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Recently completed scrotal urethrostomy on a dog. Urethrostomy is a surgical procedure that creates a permanent opening in the urethra, commonly to remove obstructions to urine flow. The procedure is most often performed in male cats, where the opening is made in the perineum. [1]
Perineoplasty (also perineorrhaphy) denotes the plastic surgery procedures used to correct clinical conditions (damage, defect, deformity) of the vagina and the anus. [1] [2] [3] Among the vagino-anal conditions resolved by perineoplasty are vaginal looseness, vaginal itching, damaged perineum, fecal incontinence, genital warts, dyspareunia, vaginal stenosis, vaginismus, vulvar vestibulitis ...
Small stones in female dogs may possibly be removed by urohydropropulsion, a nonsurgical procedure. Urohydropropulsion is performed under sedation by filling the bladder with saline through a catheter, holding the dog vertically, and squeezing the bladder to expel the stones through the urethra.
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The female or male external sphincter muscle of urethra (sphincter urethrae): located in the deep perineal pouch, at the bladder's distal inferior end in females, and inferior to the prostate (at the level of the membranous urethra) in males. It is a secondary sphincter to control the flow of urine through the urethra.
Compressor urethrae muscle in the female is sometimes included [3] Urethrovaginal sphincter in the female is sometimes included [3] other Membranous urethra in the male; proximal portion of urethra in the female; Bulbourethral gland (males). The Bartholin gland, the female counterpart, is in the superficial perineal pouch; Vagina (females)
After pelvic exenteration, many patients will have perineal hernia, often without symptoms, but only 3–10% will have perineal hernia requiring surgical repair. [4] Many problems can occur with the stoma. [1] Bowel obstruction may occur, or the anastomosis created by the surgery may leak. [1] The stoma may retract, or may prolapse. [1]
Perineal hernias are rare in female dogs and uncommon in cats. Dogs with benign prostatic hyperplasia have been found to have increased relaxin levels and suspected subsequent weakening of the pelvic diaphragm. [10] In cats, perineal hernias are seen most commonly following perineal urethrostomy surgery or secondary to megacolon. [11]