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Title: Acquired urethral obstruction in New World camelids: 34 cases (1995-2008). Author: Duesterdieck-Zellmer KF, Van Metre DC, Cardenas A, Cebra CK. Journal: Aust Vet J; 2014 Aug; 92(8):313-9. PubMed ID: 24964920. Abstract: OBJECTIVE: Document the clinical features, short- and long-term outcomes and prognostic factors in New World camelids with acquired urethral obstruction. DESIGN: Retrospective case study. METHODS: Case data from medical records of 34 New World camelids presenting with acquired urethral obstruction were collected and follow-up information on discharged patients was obtained. Associations with short- and long-term survival were evaluated using Wilcoxon rank-sum tests, exact-logistic regressions and Kaplan-Meier survival curves. RESULTS: Of the 34 New World camelids 23 were intact males and 11 were castrated; 4 animals were euthanased upon presentation, 7 were treated medically and 23 surgically, including urethrotomy, bladder marsupialisation, tube cystostomy alone or combined with urethrotomy, urethrostomy or penile reefing. Necrosis of the distal penis was found in 4 animals and all were short-term non-survivors. Short-term survival for surgical cases was 65%, and 57% for medical cases. Incomplete urethral obstruction at admission and surgical treatment were associated with increased odds of short-term survival. Of 14 records available for long-term follow-up, 6 animals were alive and 8 were dead (median follow-up 4.5 years, median survival time 2.5 years). Recurrence of urethral obstruction was associated with long-term non-survival. CONCLUSIONS: Surgically treated New World camelids with incomplete urethral obstruction have the best odds of short-term survival and those with recurrence of urethral obstruction have a poor prognosis for long-term survival.[Abstract] [Full Text] [Related] [New Search]