Ectopic Ureter Treatment Laser Ablation
All procedures are performed by
Dr. Joe Bartges, DVM, PhD, DACVIM, DACVN
The ureters are the tubes that connect the kidneys to the bladder. The urethra is the tube that connects the bladder to the outside of the body. Normally the ureters enter the urinary bladder at the junction of the bladder and the urethra. Ectopic Ureters do not connect at the correct location.
There are two kinds of ectopic ureters. The first is a simple ectopic ureter, which bypasses the bladder altogether and enters at the urethra or vagina. Surgery to re-establish normal anatomy is the best treatment. The second type is a tunneling ectopic ureter which enters at the correct spot, but then tunnels down the wall of the urethra before opening up. Surgery is not as successful for this type, so at The University of Tennessee we offer LASER ablation, which is very successful.
LASER treatment is done under general anesthesia. A Cystoscope, which is a small endoscopic camera, is passed into the bladder through the urethra from the outside of the body. Once the tunneling ectopic ureter is identified a LASER fiber is passed through the scope and is used to cut back the excess tissue so that the ureter now empties into the bladder. There are no external incisions made and most pets gain urinary continence immediately following this procedure.