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Kona

• Patient:
  Kona, 7 month old female Miniature Pinscher.



• Presenting complaint:
  Leaking urine continuously. No response to phenylpropanolamine or antibiotic administration.



• Diagnostic studies before endoscopy:
  The serum chemistry profile was normal and there was no evidence of infection on urinalysis and culture. An excretory urogram did not identify a left kidney, but contrast did leak onto the hair around the vulva.



• Endoscopic procedure:
  Cystoscopic clearly identified ectopic ureters on both sides with the left intraumural ectopic ureter having a fenestration within the bladder. This could not be seen with traditional contrast radiology studies.



• Surgical treatment:
  At the time of this patient’s care, we were doing traditional laparotomy and cystotomy to redirect the ureters into the bladder. A colposuspension was done as we have found that nearly all of these dogs have weak sphincter muscles in their urethra.



• Benefits of using endoscopy:
  Cystoscopy clearly showed the extent of the ectopic ureters and the presence of the fenestration. Catheters were placed during cystoscopy and these facilitated surgical redirection during a traditional laparotomy and cystotomy. For our current minimally invasive treatment see Peanut, who also had ectopic ureters.



• Case Follow-up:
  Without drugs, Kona was dry, except when standing up after being recumbent. Treatment for the sphincter with phenylpropanolamine was recommended.

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