Evaluation of clinical signs and causes of lower urinary tract disease in Polish cats

https://doi.org/10.17221/170/2016-VETMEDCitation:Lew-Kojrys S., Mikulska-Skupien E., Snarska A., Krystkiewicz W., Pomianowski A. (2017): Evaluation of clinical signs and causes of lower urinary tract disease in Polish cats. Veterinarni Medicina, 62: 386-393.
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This paper describes the results of a retrospective study performed on 385 cats with feline lower urinary tract disease. The study was conducted to obtain epidemiological data and to evaluate clinical symptoms and the results of laboratory tests in a population of Polish cats with symptoms of lower urinary tract disease. The analysed population comprised feline patients of the veterinary clinic at the University of Warmia and Mazury in Olsztyn who had not been treated prior to admission. Medical history was obtained for all patients. Urine samples were collected mostly, but not solely, by cystocentesis. Feline idiopathic cystitis was diagnosed in most cats (60.7%), while urinary tract infections were noted in only 7.8% of patients. Urethral obstruction caused by mucus plugs was observed in 17.4% of animals. Urolithiasis was observed in 13% of cats, 5% of whom were also diagnosed with urinary tract infections. Hyperplastic changes were identified in only 1% of the studied population. In 59% of cats, feline lower urinary tract disease was accompanied by urethral obstruction. Cats with feline idiopathic cystitis were the youngest animals in the analysed population, and the risk of urinary tract infections and neoplasia increased with age. Our results, obtained over a period of six years in a Polish feline population, show that sex, neutering, age, living conditions and diet influence the type of urinary tract disease, data which are consistent with those obtained in other countries.
References:
Bailiff Nathan L., Westropp Jodi L., Nelson Richard W., Sykes Jane E., Owens Sean D., Kass Philip H. (2008): Evaluation of urine specific gravity and urine sediment as risk factors for urinary tract infections in cats. Veterinary Clinical Pathology, 37, 317-322  https://doi.org/10.1111/j.1939-165X.2008.00065.x
 
Barsanti JA (2006): Genitourinary infections. In: Greene CE (ed.): Infectious Diseases of the Dog and Cat. 3rd edn. Saunders Elsevier, St Louis. 935–961.
 
Barsanti Jeanne A., Brown John, Marks Amanda, Reece Lynn, Greene Craig E., Finco Delmar R. (1996): Relationship of Lower Urinary Tract Signs to Seropositivity for Feline Immunodeficiency Virus in Cats. Journal of Veterinary Internal Medicine, 10, 34-38  https://doi.org/10.1111/j.1939-1676.1996.tb02021.x
 
Bartges Joseph W (2004): Diagnosis of urinary tract infections. Veterinary Clinics of North America: Small Animal Practice, 34, 923-933  https://doi.org/10.1016/j.cvsm.2004.03.001
 
Buffington CA, Chew DJ, Kendall MS, Scrivani PV, Thompson SB, Blaisdell JL, Woodworth BE (1997): Clinical evaluation of cats with nonobstructive urinary tract diseases. Journal of the American Veterinary Medical Association 210, 46–50.
 
Cameron M. E., Casey R. A., Bradshaw J. W. S., Waran N. K., Gunn-Moore D. A. (2004): A study of environmental and behavioural factors that may be associated with feline idiopathic cystitis. Journal of Small Animal Practice, 45, 144-147  https://doi.org/10.1111/j.1748-5827.2004.tb00216.x
 
Chew Dennis J., Buffington Tony, Kendall Michael S., Osborn Steven D., Woodsworth Bruce E. (1996): Urethroscopy, Cystoscopy, and Biopsy of the Feline Lower Urinary Tract. Veterinary Clinics of North America: Small Animal Practice, 26, 441-462  https://doi.org/10.1016/S0195-5616(96)50077-X
 
Defauw Pieter A.M., Van de Maele Isabel, Duchateau Luc, Polis Ingeborgh E., Saunders Jimmy H., Daminet Sylvie (2011): Risk factors and clinical presentation of cats with feline idiopathic cystitis. Journal of Feline Medicine & Surgery, 13, 967-975  https://doi.org/10.1016/j.jfms.2011.08.001
 
Dorsch R, Remer C, Sauter-Louis C, Hartmann K (2014): Feline lower urinary tract disease in a German cat population. A retrospective analysis of demographic data, causes and clinical signs. Tieraerztliche Praxis Ausgabe K: Kleintiere/Heimtiere 42, 231–239.
 
EGGERTSDOTTIR A, LUND H, KRONTVEIT R, SORUM H (2007): Bacteriuria in cats with feline lower urinary tract disease: a clinical study of 134 cases in Norway. Journal of Feline Medicine & Surgery, 9, 458-465  https://doi.org/10.1016/j.jfms.2007.06.003
 
Eggertsdóttir Anna V., Sævik Bente K., Halvorsen Ingvild, Sørum Henning (2011): Occurrence of occult bacteriuria in healthy cats. Journal of Feline Medicine & Surgery, 13, 800-803  https://doi.org/10.1016/j.jfms.2011.07.004
 
Forrester S. Dru, Towell Todd L. (2015): Feline Idiopathic Cystitis. Veterinary Clinics of North America: Small Animal Practice, 45, 783-806  https://doi.org/10.1016/j.cvsm.2015.02.007
 
Gerber B., Boretti F. S., Kley S., Laluha P., Muller C., Sieber N., Unterer S., Wenger M., Fluckiger M., Glaus T., Reusch C. E. (2005): Evaluation of clinical signs and causes of lower urinary tract disease in European cats. Journal of Small Animal Practice, 46, 571-577  https://doi.org/10.1111/j.1748-5827.2005.tb00288.x
 
Gunn-Moore D (2003): Feline lower urinary tract disease. Journal of Feline Medicine & Surgery, 5, 133-138  https://doi.org/10.1016/S1098-612X(02)00129-8
 
Jones B.R., Sanson R.L., Morris R.S. (1997): Elucidating the risk factors of feline lower urinary tract disease. New Zealand Veterinary Journal, 45, 100-108  https://doi.org/10.1080/00480169.1997.36003
 
Kraijer M (2003): The short-term clinical efficacy of amitriptyline in the management of idiopathic feline lower urinary tract disease: a controlled clinical study. Journal of Feline Medicine & Surgery, 5, 191-196  https://doi.org/10.1016/S1098-612X(03)00004-4
 
Kruger JM, Osborne CA, Goyal SM, Wickstrom SL, Johnston GR, Fletcher TF, Brown PA (1991): Clinical evaluation of cats with lower urinary tract disease. Journal of the American Veterinary Medical Association 199, 211–216.
 
Kruger JM, Osborne CA, Venta PJ, Sussman MD (1996a): Viral infections of the feline urinary tract. Veterinary Clinics of North America: Small Animal Practice 26, 281–296.
 
Kruger JM, Osborne CA, Ulrich LK (1996b): Cystocentesis. Diagnostic and therapeutic considerations. Veterinary Clinics of North America: Small Animal Practice 26, 353–361.
 
Kruger John M., Osborne Carl A., Lulich Jody P. (2009): Changing Paradigms of Feline Idiopathic Cystitis. Veterinary Clinics of North America: Small Animal Practice, 39, 15-40  https://doi.org/10.1016/j.cvsm.2008.09.008
 
Lekcharoensuk Chalermpol, Osborne Carl A., Lulich Jody P. (2001): Epidemiologic study of risk factors for lower urinary tract diseases in cats. Journal of the American Veterinary Medical Association, 218, 1429-1435  https://doi.org/10.2460/javma.2001.218.1429
 
Lemberger Stephanie I. K., Deeg Cornelia A., Hauck Stefanie M., Amann Barbara, Hirmer Sieglinde, Hartmann Katrin, Dorsch Roswitha (2011): Comparison of urine protein profiles in cats without urinary tract disease and cats with idiopathic cystitis, bacterial urinary tract infection, or urolithiasis. American Journal of Veterinary Research, 72, 1407-1415  https://doi.org/10.2460/ajvr.72.10.1407
 
Litster Annette, Moss Susan, Platell Joanne, Trott Darren J. (2009): Occult bacterial lower urinary tract infections in cats—Urinalysis and culture findings. Veterinary Microbiology, 136, 130-134  https://doi.org/10.1016/j.vetmic.2008.10.019
 
Martinez-Ruzafa I., Kruger J. M., Miller R., Swenson C. L., Bolin C. A., Kaneene J. B. (): Clinical features and risk factors for development of urinary tract infections in cats. Journal of Feline Medicine and Surgery, 14, 729-740  https://doi.org/10.1177/1098612X12451372
 
MAYERROENNE B, GOLDSTEIN R, ERB H (2007): Urinary tract infections in cats with hyperthyroidism, diabetes mellitus and chronic kidney disease. Journal of Feline Medicine & Surgery, 9, 124-132  https://doi.org/10.1016/j.jfms.2006.09.004
 
Passmore C. A., Sherington J., Stegemann M. R. (2008): Efficacy and safety of cefovecin for the treatment of urinary tract infections in cats. Journal of Small Animal Practice, 49, 295-301  https://doi.org/10.1111/j.1748-5827.2008.00545.x
 
Pressler B, Bartges JW (2010): Urinary tract infections. In: Ettinger SJ, Feldman EC (eds): Textbook of Veterinary Internal Medicine. 7th edn. Saunders Elsevier, St Louis. 2036–2047.
 
Sævik Bente K., Trangerud Cathrine, Ottesen Nina, Sørum Henning, Eggertsdóttir Anna V. (2011): Causes of lower urinary tract disease in Norwegian cats. Journal of Feline Medicine & Surgery, 13, 410-417  https://doi.org/10.1016/j.jfms.2010.12.012
 
van Duijkeren E, van Laar P, Houwers DJ (2004): Cystocentesis is essential for reliable diagnosis of urinary tract infections in cats. Tijdschrift Voor Diergeneeskunde 129, 394–396.
 
Westropp Jodi L., Kass Philip H., Buffington C. A. T. (2006): Evaluation of the effects of stress in cats with idiopathic cystitis. American Journal of Veterinary Research, 67, 731-736  https://doi.org/10.2460/ajvr.67.4.731
 
Willeberg P, Priester WA (1976): Feline urological syndrome: associations with some time, space, and individual patient factors. American Journal of Veterinary Research 37, 975–978.
 
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