These are images a colleague sent me of the trigone of a FS Shih Tzu with persistent hematuria (she failed to give me the age). There has been no evidence of infection. The thickened wall is very suspicious to me and perhaps even mineralized in some regions. I think a suction biopsy is warranted and did read the technique on Sonopath. I am just wondering what type of catheter to use. I have pretty long but rigid whitish ones but also red rubber. French size for a Shih Tzu?
These are images a colleague sent me of the trigone of a FS Shih Tzu with persistent hematuria (she failed to give me the age). There has been no evidence of infection. The thickened wall is very suspicious to me and perhaps even mineralized in some regions. I think a suction biopsy is warranted and did read the technique on Sonopath. I am just wondering what type of catheter to use. I have pretty long but rigid whitish ones but also red rubber. French size for a Shih Tzu?
I have not catheterized a female dog in a very long time and apparently this is quite a fat little Shih Tzu – any hints on technique?
Comments
I have never been good at
I have never been good at female catheterization but just ask someone that does scopes. Remo? Peter? Doug?
You will wanth the rigid catheter and empty the bladder completely first when you pass the catheter. First cut the end of the catheter at an angle to create a bevel type edge.
The procedure is described in interventional procedurs in resources on sonopath
http://sonopath.com/resources/interventional-procedures
I have never been good at
I have never been good at female catheterization but just ask someone that does scopes. Remo? Peter? Doug?
You will wanth the rigid catheter and empty the bladder completely first when you pass the catheter. First cut the end of the catheter at an angle to create a bevel type edge.
The procedure is described in interventional procedurs in resources on sonopath
http://sonopath.com/resources/interventional-procedures
The best technique I have
The best technique I have found if you dont have a cystoscope is to use an otoscope to directly visualize the urethral turbucle . I either do this with the patent standing or in sternal recumbency if sedated. Use a big enough otoscope speculum ,visualize the urethral turburcle the move youe eye maginifier to the side and insert your lubed urinary catheter, should slide ride in
Doug
The best technique I have
The best technique I have found if you dont have a cystoscope is to use an otoscope to directly visualize the urethral turbucle . I either do this with the patent standing or in sternal recumbency if sedated. Use a big enough otoscope speculum ,visualize the urethral turburcle the move youe eye maginifier to the side and insert your lubed urinary catheter, should slide ride in
Doug
Awesome Doug great idea thx
Awesome Doug great idea thx Dr. Gadget
Awesome Doug great idea thx
Awesome Doug great idea thx Dr. Gadget
I use local anaesthetic spray
I use local anaesthetic spray or gel, which makes catheterization easier. The urethral opening is located on a small elevation on the ventral vaginal floor, which can be visualized with scope (oto, cysto, speculum) or else felt with digital palpation.
I use local anaesthetic spray
I use local anaesthetic spray or gel, which makes catheterization easier. The urethral opening is located on a small elevation on the ventral vaginal floor, which can be visualized with scope (oto, cysto, speculum) or else felt with digital palpation.
Thanks for the tips!
Thanks for the tips!
Thanks for the tips!
Thanks for the tips!