SUTURES USING POLYGLACTIN 910 AND TITANIUM STAPLES: URINARY AND UROLITHOGENIC ASPECTS IN EXPERIMENTAL ILEOCYSTOPLASTIES IN DOGS

Abstract

Urinary disorders are an important finding in ileocystoplasty, especially uroliths and crystalluria, and partly related to the type of suture material involved in this procedure. The aim of this study was to determine whether there are differences in the formation of uroliths and urinary crystalloid after ileocystoplasty in dogs, performed by suturing with nonabsorbable titanium staples and suture with polyglactin 910, noting their impact on renal function and urinary changes in the constitution difference in surgical time. Twelve healthy dogs were used and divided into two groups. In each animal was selected a segment of terminal ileum for bladder augmentation. In group A the suture of the detubelized ileal segment to the bladder was made with polyglactin 910 and in group B and the suture was made with titanium clips. We observed the presence of struvite crystals in 11 animals and the formation of large amounts of mucus in urine in all of them. In conclusion, no significant differences between groups in the formation of urinary crystals and uroliths after surgery, group A showed longer duration of surgery and no evidence of change in renal function in both groups.

KEYWORDS: Cystectomy; mechanical suture; sutures; urinary calculi.