ภาวะท่อไตเปิดผิดตำแหน่ง

Key Facts

• Most patients are female puppies under 1 year with urinary leaking
• 64% have concurrent bladder infection
• Diagnosis: IV pyelogram (60-70% accuracy), ultrasound, CT scan (most accurate), cystoscopy
• Surgical correction: neoureterostomy or neoureterocystostomy depending on anatomy
• Laser ablation via cystoscope: less invasive, better continence outcomes
• 33-58% achieve full continence resolution after surgery; 55% show improvement
• Many patients need ongoing incontinence medication even after anatomical correction
• Multiple internal urinary anatomical abnormalities often coexist
• Species: dogs (primarily)