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- Cystotomy in Dogs

- The patient will be placed in dorsal recumbency on the sterile surgical table and draped. The veterinary surgeon will be focusing on the ventral aspect of the bladder to better expose the trigone area.
- An incision will be created, allowing the urinary bladder to be exteriorized for easy access to the vet. Stay sutures will be placed to hold the bladder outside the dog’s body. To prevent the moist organ and surrounding tissues from drying out, laparotomy sponges will be moistened to be placed around the bladder. The bladder will then be aspirated to remove urine.
- The surgeon will then pierce the canine bladder lumen on the ventral midline, using a suction device to remove any remaining waste fluids in the organ. The incision will then be continued across the midline using Metzenbaum scissors.
- Once the surgical opening has been created, a scrubbed-in nurse will keep the bladder lumen open to allow the surgeon to remove the abnormality (polyps, tumors, urethral calculi, uroliths). If a biopsy or exploratory is in the treatment plan for this dog, the surgeon will also perform these test at this time.
- The bladder is then sutured using a continuous stitch pattern through the serosa, muscularis, and submucosa. Once the vet surgeon is content with his/her stitching and positive the bladder will not leak, the abdomen wall will also be closed.
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- Dehiscence or suture line leakage
- Infection
- Persistent hematuria
- Excessive stranguria
- Obstructions
- Impaired urinary output
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