A board-certified veterinary internal medicine expert, Joseph Bisignano, DVM, draws upon more than two decades of veterinary experience. Joseph Bisignano DVM, specializes in minimally invasive procedures for removal of bladder stones, including percutaneous cystolithotomy (PCCL).
Percutaneous cystolithotomy is a minimally invasive procedure to treat animals with bladder and urethral stones. Doctors can perform the procedure on dogs and cats of any size or species by inserting a cystoscope (camera) into the bladder via a small incision. With the help of the camera and a stone basket, doctors remove the stones from the animal’s bladder and perform comprehensive surveillance to ensure that no stones are left behind. Advanced visualization of the urinary tract, from the bladder to the urethra, significantly lowers chances of stone reoccurrence. Doctors can discharge animals that have undergone PCCL the very next day with minimal pain and complications. Any active infection should be treated with antibiotics prior to any intervention unless there is concern for obstruction. For this reason, a urine culture is checked during the preoperative clearance process
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The recipient of a doctor of veterinary medicine from the Western University of Health Sciences, Joseph Bisignano, DVM, is a veterinary internal medicine specialist and consultant. He serves as the head of the internal medicine department at Metropolitan Animal Specialty Hospital, where he oversees the department's services and staff. As a veterinarian, Joseph Bisignano, DVM, performs laser procedures to correct ectopic ureters in dogs.
Cystoscopic laser ablation is a minimally invasive surgery that uses a laser and specialized camera to remedy ectopic ureters. From birth, ectopic ureters in dogs cause abnormal anatomical connections between the ureters and the bladder. Ureters are tube-like structures that facilitate the movement of urine from the kidneys into the bladder. An abnormal connection to the bladder can cause incontinence, commonly affecting female dogs. Cystoscopic laser ablation is an alternative to traditional invasive surgery for ectopic ureters. In cystoscopic laser ablation, a laser disrupts the walls of the ectopic ureters, and a cystoscope (a tiny camera) helps locate the positions of the ectopic ureters. Recovery times following cystoscopic laser ablation are significantly shorter compared to traditional surgery and success rates are higher. Complications are also much lower with laser correction than traditional surgery. |
AuthorA board-certified veterinary internal medicine specialist, Joseph Bisignano, DVM, recently completed advanced residency training before joining the staff of VCA West Los Angeles Animal Hospital as a veterinary specialist. Archives
September 2023
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