The RVC Small Animal Referrals offers advanced care for both dogs and cats with all conditions related to the urinary tract. Nephrology and urology falls under the remit of the Internal Medicine team but is staffed by a team of internationally recognised specialists dedicated to the field of canine and feline nephrology and urology.

The best in upper urinary tract care

Our team provides state-of-the-art care for dogs and cats with all forms of kidney disease including, but not limited to:

  • Acute kidney injury
  • Chronic kidney disease
  • Renal dysplasia
  • Pyelonephritis
  • Idiopathic renal haematuria
  • Fanconi’s Syndrome
  • Glomerular disease
  • Nephrolithiasis

We can offer imaging, cystoscopy and renal biopsy at the QMHA and we work closely with our diagnostic laboratory and the RVC GFR service to provide a complete and comprehensive assessment of canine and feline kidney problems. Together with the Extracorporeal Therapies and Critical Care team, we also offer advanced management of acute kidney injury including haemodialysis. 

The RVC is the only centre in the UK able to draw on the expertise of the two UK-based board members of the International Renal Interest Society; an international organisation dedicated to advancing the management and care of patients with acute and chronic kidney disease, and of the WSAVA renal standardisation project which founded veterinary clinical research into canine and feline glomerular disease. 

The best in lower urinary tract care

We aim to determine the best and least invasive form of treatment for lower urinary tract conditions on a case-by-case basis. Following a consultation with our team, we can provide an individualised assessment and determine the best management care plan. Procedures applicable to the lower urinary tract that we have available at the QMHA include:

  • Advanced imaging of the urinary tract via ultrasound, fluoroscopic guided antegrade pyelography and computed tomography-intravenous urography
  • Urinary cystoscopy to aid diagnosis and treatment
  • Minimally invasive urolith retrieval, via:
    • Laser lithotripsy
    • Basket removal
    • Voiding urohydropulsion
    • Percutaneous cystolithotomy (minimally invasive cystotomy)
  • Laser ablation for ectopic ureters
  • Urethral bulking procedures

With these procedures we are able to care for patients with, but not limited to urinary tract stones, ectopic ureters, other causes of urinary incontinence and urinary tract masses.

The team has a particular interest in the management of stone disease affecting both the upper and lower urinary tract. We are pleased to offer a multidisciplinary approach to these challenging cases and we have a particular interest in the evaluation of both cats and dogs with nephroliths (stones in the kidney) and ureteroliths (stones in the ureter) and experience with the placement of both ureteral stents and subcutaneous ureteral bypass devices (SUB).  

Advancing our knowledge of nephrology and urology

The clinical work undertaken by members of the nephrology and urology team is supported by complementary clinical research which helps to advance this field and the clinical care that we are able to provide. Please see individual staff members’ profiles for further information on their current areas of clinical research interest.

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