CT shows a sign of both kidneys (more severe on the right side)
BUN and CREA, which are representative kidney values, are seriously elevated and require rapid surgical correctionUrinal obstruction caused by stones causes urine to accumulate in the renal pelvisThe anesthesia at this hospital uses the highest-specification GE’s respiratory anesthesia machine, and Choi Geon-ho, the only anesthesiologist in Ulsan, oversees anesthesia to minimize anesthesia accidents that may occur during anesthesiaTreatment of cat ureteral stones, hydronephrosis, ureteral bypass (SUB) Cat ureteral stones, hydronephrosis surgeryHello 🙂 This is Ulsan S Animal Medical Center, which has the only 24-hour surgical system in Ulsan. Today’s topic is hydronephrosis due to cat ureter stones. Let’s take a closer look at the cause of multiple nephropathy, treatment of symptoms, and rehabilitation. Patient information age: 7-year-old breed: Russian blue symptoms: If you eat from a few days ago, you will vomit and you have no appetite at all. Cat ureter stones, hydronephrosis, visit to the hospitalHong Chu’s blood uremia (BUN) and CREA are severely elevatedCats are animals derived from African deserts and have excellent urine concentration capabilities to adapt to water-deficient environments, so they do not have a lot of drinking water. In addition, they are complete carnivores and are highly likely to produce urinary stones due to their high protein intake.Until the discharge, the doctor is conducting all treatment in person. In order to alleviate the concern of the guardian during hospitalization, we provide a service that sends the child’s condition and photos every day through Kakao Talk once a day. This was Ulsan S Animal Medical Center at 24:00 specializing in high-level surgeryToday’s treatment diary protagonist, Pepper, visited Ulsan S Animal Medical Center due to vomiting, loss of appetite, and loss of vitality due to hydronephrosis and uremia caused by cat ureter stones. Cat ureter stones, hydronephrosis? Cat ureter stones, hydronephrosis surgerythe appearance of stones caught in the ureterGastrointestinal diseases such as vomiting and diarrhea are fast to breathe, and the smell of ammonia in the mouth drastically decreases the vitality of appetite. S. Animal Medical Center SurgeryPreoperative uremia (BUN), CREA levelsThe postoperative radiation confirmed the artificial conduit mounted in the proper position of the kidney and bladder. After five days of surgery, all kidney levels were restored to normal and the appetite and vitality improved remarkably. The pepper was discharged on the 6th day of hospitalization and will manage the artificial ureter, which can be seen as a lifeline for a child, for life through continuous monitoring. Cat ureter stone, hydronephrosis artificial ureter bypass surgery (SUB) surgeryCat ureteral stones, hydronephrosis, ureteral stones, and hydronephrosis surgeryCauses of cat ureteral stones? Cat ureteral stones, hydronephrosis surgeryArtificial ureter bypass (SUB) actual mounting photo and attached implet appearance Cats have very narrow lumen of the ureter compared to dogs and are more likely to be obstructed due to stenosis after incision. Tube incision is not preferred. Artificial ureter bypass (SUB) is a surgery that creates a new urine path by attaching artificial conduits to the kidneys and bladder, showing a semi-permanent lifespan and there is no possibility of problems even if new stones are created in the future. Artificial ureter bypass (sub)3. SurgeryPepper was diagnosed with uremia on both sides of the kidney due to ureter stones on ultrasound and CT, and the operation was decided in consultation with your guardian. Cat ureter stones, hydronephrosis diagnosisa photo of pepper’s anesthesia record sheetCat ureteral stones, hydronephrosis, and uremia will be determined based on blood tests, ultrasound results, medical treatment to lower the stones into the bladder through ureteral dilatation, removal of the stones through ureteral incision, and induction of urine discharge through artificial ureteral bypass (SUB)Patient’s actual surgical case Cat ureteral stone, hydronephrosis artificial ureteral bypass (SUB)However, since it is an artificial structure, it is very vulnerable to infection, so periodic cleaning and hygienic toilet management are essentialUltrasound shows urine accumulated on both kidneys (the black area in the middle of the kidneys is not being discharged)Pepper was confirmed to be normal except for blood test, chest radiation, and kidney level on electrocardiogram before anesthesia. Afterwards, anesthesia was performed under the supervision of a veterinarian majoring in anesthesia. Cat ureter’s stone, hydronephrosis artificial ureter’s bypass surgery (SUB) anesthesiaAn artificial conduit mounted on the bladder An artificial conduit was installed on both kidneys and bladder of pepper at the end of surgery in the inspection port mounted under the skin for about two hoursOur hospital uses single-use products, from anesthetic intubation tubes to surgical cloths, and does not reuse and sterilize them. All operations are carried out after covering the film coated with povidone disinfectant to prevent infection of the skin bacteria. All sterilization processes meet the sterilization standards of human hospitals set by the Ministry of Health and Welfare.1. DiagnosticsSince the S-Animal Medical Center has imported and performed surgery from NORFOLK in the U.S. since 2016, before the artificial ureter was officially released in Korea, medical staff have a lot of experience and understanding of artificial ureter’s postoperative surgery. The operation of pepper was carried out by Director Jeong Hee-joon, who succeeded in SUB surgery for the first time in Korea. Cat ureter’s stone, hydronephrosis artificial ureter’s bypass surgery (SUB) surgeryRadiographic appearance after artificial ureteral bypass (SUB) surgeryCT shows stones in the middle of the right ureter, stones in the lower left ureter, and stones in the kidney4. Surgery results and hospitalization managementAnesthesia pain during anesthesia This is an anesthesia record sheet filled out by a veterinarian majoring in anesthesia. Continuous vital check during surgery minimizes anesthesia accidents. Sterilization is the most basic and key to surgeryCauses of Cat Urethral Stone Genetic factors Excessive protein intake Lack of drinking water Lack of liver function Intake of urinary system Bacterial infection Vegetables containing a lot of minerals, sweet potatoes, etc. Surgery at Ulsan S Animal Medical CenterThe ureter is the way urine made in the kidneys goes down to the bladder. If stones generated in the kidneys get caught in the ureter while descending through the ureter and the ureter is blocked, the urine cannot escape, which can accumulate in the kidneys and cause serious damage to the kidneys. The accumulation of urine in the kidneys is called hydronephrosis.When hydronephrosis occurs, the nephron responsible for filtering the kidneys is torn due to strong water pressure, resulting in kidney failure, and it is a scary disease that causes death by not discharging the urea (BUN) and circulating throughout the body through blood vessels, causing digestive mucosal damage, lung damage, brain damage, etc. If proper treatment is performed within 3 days of the outbreak, it can be cured, so careful observation by the guardian is requiredArtificial conduit mounted on the left kidney Artificial conduit mounted on the right kidneyThe results of the urine bacterial culture test of pepper showed that the urine of pepper was collected before the surgery was performed. To prevent infection after drinking, a bacterial culture test is essential. Ulsan S Animal Medical Center is the only one in the country that can select whether bacteria are infected or effective antibiotics within 24 hours through its own bacterial culture test, minimizing misuse of antibiotics. 2. Anesthesia
