Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010–2019)
🔍 Key Findings
- PCCLm resulted in significantly fewer postoperative lower urinary tract signs compared to OC (13.0% vs 60.9%, p <.001).
- Incomplete urolith removal was not significantly different between PCCLm and OC (11.4% vs 20%, p = .112).
- PCCLm had significantly shorter anesthesia times than OC when no concurrent procedures were performed (97.5 vs 120 min, p < .001).
- Surgical site infection/inflammation (SSII) rates were low and not significantly different between groups (4.5% PCCLm vs 1.8% OC).
- Dogs undergoing PCCLm were more frequently discharged same-day (84.7% vs 0% in OC), reflecting faster recovery.
- PCCLm had higher intraoperative complication rates (22.1% vs 3.4%), mostly due to incision extension or conversions.
- Time to additional surgery for urolith recurrence was longer in PCCLm dogs (24 vs 11.5 months, p = .004).
- Calcium oxalate uroliths were more prevalent in PCCLm cases, while OC had more struvite or mixed types.
Simini Surgery Review Podcast
🔍 Key Findings
- PCCLm resulted in significantly fewer postoperative lower urinary tract signs compared to OC (13.0% vs 60.9%, p <.001).
- Incomplete urolith removal was not significantly different between PCCLm and OC (11.4% vs 20%, p = .112).
- PCCLm had significantly shorter anesthesia times than OC when no concurrent procedures were performed (97.5 vs 120 min, p < .001).
- Surgical site infection/inflammation (SSII) rates were low and not significantly different between groups (4.5% PCCLm vs 1.8% OC).
- Dogs undergoing PCCLm were more frequently discharged same-day (84.7% vs 0% in OC), reflecting faster recovery.
- PCCLm had higher intraoperative complication rates (22.1% vs 3.4%), mostly due to incision extension or conversions.
- Time to additional surgery for urolith recurrence was longer in PCCLm dogs (24 vs 11.5 months, p = .004).
- Calcium oxalate uroliths were more prevalent in PCCLm cases, while OC had more struvite or mixed types.
Simini Surgery Review Podcast
Know What Matters in the Literature - and Why
We distill peer-reviewed surgical studies into clinically relevant summaries and
exam-style questions, so you can make informed decisions with confidence.
Free Access. No Spam. Just Smarter Surgical Learning
Multiple Choice Questions on this study
Access the full library of surgical summaries and exam-style questions.
Educational content developed independently and supported by Simini.
The maker of Simini Protect Lavage.