한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제26권4호
  • /
  • Pages.331-335
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  • 2009
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지

수컷 개에서 최대 확장된 요도의 직경

The Diameter of Maximum Distended Urethra in Male Dogs

  • 변예은 (서울대학교 수의과대학 수의외과학교실) ;
  • 이선태 (서울대학교 수의과대학 수의외과학교실) ;
  • 권오경 (서울대학교 수의과대학 수의외과학교실) ;
  • 김완희 (서울대학교 수의과대학 수의외과학교실)
  • Byeon, Ye-Eun (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Lee, Sun-Tae (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Kweon, Oh-Kyeong (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University) ;
  • Kim, Wan-Hee (Department of Veterinary Surgery, College of Veterinary Medicine, Seoul National University)
  • 발행 : 2009.08.31
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초록

25마리의 다양한 종의 수컷 개에서 전립선에서 음경골까지 각 부위의 요도를 최대로 확장하여 측정 후 그 경향을 조사하였다. 전립선, 요도막, 협부, 회음부, 고환, 고환앞, 음경골 부위에 각각 풍선카테터를 위치한 후 풍선 내에 조영제를 주입하여 영상촬영 후 분석하였다. 협부를 제외하고 전립선에서부터 음경골로 갈수록 각 부위의 최대 확장된 직경은 점점 줄어들었다. 골반 부위 근처에 위치한 협부에서 카테터의 풍선을 전립선 부위와 회음부로 견인 시 25마리 중 22마리의 개에서 강한 저항감이 있었고 직경 또한 원위부와 근위부의 직경보다 더 작았다. 이러한 결과는 요도를 확장시켜 요도 내 결석을 제거하는 수압추진법의 적용 계획을 세우는 데 기여할 것으로 사료된다.

This paper was performed to investigate the propensity of the diameter of maximum distended urethra from urethra to os penis in mature male dogs of 25 male dogs of different breeds. The measured sites of urethras were divided into 7 regions, i.e. prostate, membrane, isthmus, perineum, scrotum, prescrotum and os penis. By using the inflated balloon catheter filled with contrast medium, the maximum diameter of the distended urethras of each region was recorded and compared among regions. The mean diameter of the lumen from the prostatic urethra to the os penis urethra was gradually narrowed except for the isthmus portion, with a sense of resistance for retraction being noted at the level of ischiatic arch in 22 dogs. Proposed results from this should be utilized as a predictor of a treatment plan for the removal of urethroliths using an urohydropropulsion.

키워드

참고문헌

  1. Bjorling DE, Hosgood G, Slatter D, Holmburg DL. The Urethra. In: Textbook of small animal surgery, 3rd ed. Philadelphia: Saunders. 2002; 1638-1651
  2. Caywood DD, Osborne CA. Surgical removal of canine uroliths. Vet Clin North Am Small Anim Pract 1986; 16: 389-407
  3. Creed KE, Van Der Werf BA, Kaye KW. Innervation of the striated muscle of the membranous urethra of the male dog. J Urol 1998; 159: 1712-1716 https://doi.org/10.1097/00005392-199805000-00099
  4. Cullen WC, Fletcher TF, Bradley WE. Histology of the canine urethra II: Morphometry of the male pelvic urethra. Anat Rec 1981; 199: 187-195 https://doi.org/10.1002/ar.1091990204
  5. Davidson EB, Ritchey JW, Higbee RD, Michael D. Lucroy, Bartels KE. Laser Lithotripsy for Treatment of Canine Uroliths. Vet Surg 2004; 33: 56-61 https://doi.org/10.1111/j.1532-950x.2004.04002.x
  6. Feeney DA, Johnston GR, Osborne CA, Tomlinson MJ. Dimensions of the prostatic and membranous urethra in normal male dogs during maximum distension retrodrade urethrocystography. Vet Radiol Ultrasound 1984; 25: 249-253 https://doi.org/10.1111/j.1740-8261.1984.tb01939.x
  7. Fossum TW, Hedlund CS, Hulse DA, Johnson AL. Surgery of the Bladder and Urethra. In: Small Animal Surgery, 2nd ed. Missouri: Mosby. 2002: 572-609
  8. Grant DC, Werre SR, Gevedon ML, Holmium: YAG laser lithotripsy for urolithiasis in Dogs. J Vet Intern Med 2008; 22: 534-539 https://doi.org/10.1111/j.1939-1676.2008.0083.x
  9. Johnston GR, Feeney DA, Osborne CA, Johnston SD, Smith FO, Jessen CR. Effects of intravesical hydrostatic pressure and volume on the distensibility of the canine prostatic portion of the urethra. Am J Vet Res 1985; 46: 748-751
  10. Johnston GR, Stevens JB, Jessen CR, Osborne CA. Effects of prolonged distention of retention catheters on the urethra of dogs and cats. Am J Vet Res 1983; 44: 223-228
  11. Lulich JP, Adams LG, Grant D, Albasan H, Osborne CA. Changing Paradigms in the Treatment of Uroliths by Lithotripsy. Vet Clin North Am Small Anim Pract 2009; 39: 143-160 https://doi.org/10.1016/j.cvsm.2008.10.006
  12. Lulich JP, Osborne CA, Carlson M, Unger, LK, Samelson LL, Koehler LA, et al. Nonsurgical removal of urocystoliths in dogs and cats by voiding urohydropropulsion. J Am Vet Med Assoc 1993; 203: 660-663
  13. Lulich JP, Osborne CA, Sanderson SL, Ulrich, LK, Koehler LA, Bird KA, et al. Voiding urohydropropulsion: Lessons from 5 years of experience. Vet Clin North Am Small Anim Pract 1999; 29: 283-291
  14. Osborne CA, Kruger JM, Johnston GR, Polzin DJ. Dissolution of canine ammonium urate uroliths. Vet Clin North Am Small Anim Pract 1986; 16: 375-388
  15. Osborne CA, Lulich JP, Polzin DJ. Canine retrograde urohydropropulsion: Lessons from 25 years of experience. Vet Clin North Am Small Anim Pract 1999; 29: 267-281
  16. Ponglowhapan S, Church DB, Khalid M. Differences in the proportion of collagen and muscle in the canine lower urinary tract with regard to gonadal status and gender. Theriogenology 2008; 70: 1516-1524 https://doi.org/10.1016/j.theriogenology.2008.06.099
  17. Poogird W, Wood AK. Radiologic study of the canine urethra. Am J Vet Res 1986; 47: 2491-2497
  18. Smith J. Canine prostatic disease: A review of anatomy, pathology, diagnosis, and treatment. Theriogenology 2008; 70: 375-383 https://doi.org/10.1016/j.theriogenology.2008.04.039
  19. Van Der Werf BA, Hidaka T, Creed KE. Continence and some properties of the urethral striated muscle of male greyhounds. BJU Int 2000; 85: 341-349 https://doi.org/10.1046/j.1464-410x.2000.00421.x