SAGE Dublin and SAGE Redwood City internists and surgeons are now offering minimally invasive bladder stone removal in cats and dogs using a specialized scope called a Flexible Uretero-Renoscope. Their partnership is another example of SAGE specialists collaborating to provide advanced care to pets.
SAGE Dublin internist Dr. Jennifer Strasser says the scope enables teams to do a procedure called percutaneous cystolithotomy (PCCL), also known as cystoscopy-assisted cystotomy (CAC). With this procedure, Dr. Strasser and Dr. Brandy Ensley work with SAGE Dublin surgeon Dr. Tim Sellmeyer to remove bladder stones of any size or number through a small, 1 centimeter incision. Minimally invasive procedures like this one generally mean patients can go home on the same day. Bleeding is minimal. In a 2011 paper published in the Journal of the American Veterinary Medical Association, researchers found that the PCCL/CAC procedure reduced to less than 3 percent the possibility of leaving stones behind. Previous veterinary studies have reported that traditional, more invasive procedures leave stones behind in 10-12 percent of cases.
Also at SAGE Dublin, Surgery and Internal Medicine continue to offer urethral stenting, ureteral stenting and Subcutaneous Ureteral Bypass (SUB) to alleviate urethral and ureteral obstructions in cats and dogs. Dr. Sellmeyer says this collaborative effort is used to manage obstructive bladder and kidney disease. Urethral and ureteral stenting can be placed using a minimally-invasive combination of cystoscopy and fluoroscopy.
At this time, SAGE Redwood City offers urethral stenting and SUB, but not ureteral stenting.