Sampling Guide  - 5

UROGENITAL TRACT CYTOLOGY - SMALL ANIMALS.

URINE SEDIMENT CYTOLOGY

Cytological examination of a urine sediment may be indicated by the presence of abnormal cell types on routine sediment examination or by a clinical suspicion of bladder neoplasia.

(i) Collect either a random midstream voided urine sample (not early morning) or a cystocentesis sample (Yam, 1994). Catheterisation is not recommended due to the traumatic exfoliation of cells.

(ii) Centrifuge 2ml of urine at slow speed (c. 1500 rpm) for 5 minutes. Decant the supernatant and resuspend the pellet in the small amount of fluid that drains back. Agitate to resuspend the pellet. Pipette a drop of the sediment onto one end of a clean glass slide. Holding a second slide at right angles place it flat on the first slide and draw apart horizontally maintaining contact (Morris and Dobson, 1992). Alternatively place a large glass coverslip onto the sediment drop to spread it and then gently lift the coverslip. Rapidly air dry two smears.

(iii) If no centrifuge is available either submit 2ml of urine in a plain tube or mix with cytological preservative before submission ("Cytofix" is available free of charge on request).

PROSTATIC ASPIRATES AND WASHES

Prostatic enlargement, haematuria and the voiding of blood or pus from the penis are possible indications for prostatic cytology.

(i) First clean the tip of the penis then, with minimal lubrication, introduce a urinary catheter to the base of the prostate as palpated per rectum.

(ii) Have an assistant apply gentle suction with a 10ml syringe and gently massage the prostate. Release the suction and withdraw the catheter.

(iii) Expel the sample onto a clean glass slide. Holding a second slide at right angles, place it flat onto the first and draw apart horizontally maintaining contact (Morris and Dobson, 1992). Rapidly air dry two smears.

(iv) If bacterial culture is required then either expel sample into a sterile glass bijou or express onto a swab before placing it in transport medium. Submit any remaining material in cytological preservative (available free of charge on request).

(v) If insufficient material is obtained by this method then a prostatic wash should be performed. After introducing the catheter, repeatedly inject and aspirate 2 to 5ml of sterile saline whilst gently massaging the prostate. Depending upon the gross appearance of the resulting wash either prepare two air dried direct smears of the wash or prepare two air dried smears of a centrifuge deposit as described under "Urine Sediment Cytology" above. Again any remaining material may be submitted in cytological preservative.

PROSTATIC FINE NEEDLE ASPIRATES

Occasionally it is not possible to obtain a prostatic sample using the above techniques. Direct fine needle aspiration may then be used to obtain a diagnostic sample.

(i) Introduce the needle through the skin in the perineal area having first swabbed the skin with alcohol and applied local anaesthesia. Guide the needle peri-rectally to the prostate along a finger in the rectum. 

(ii) Once in the prostate attach a 10ml syringe and apply negative pressure whilst moving the needle within the prostate to sample different parts of the gland. Prostatic massage will improve the yield of cells. Release the pressure before withdrawing the needle. 

(iii) Remove the needle, draw air into the syringe and carefully expel sample onto two clean glass slides. Prepare smears by laying a second slide at right angles, flat onto the first slide and then draw the two slides apart horizontally maintaining contact. (Morris and Dobson, 1992). Rapidly air dry the smears.

(iv) An alternative technique is to place the dog in dorsal recumbancy and, with a finger in the rectum, elevate the prostate to a position lateral to the penis. Swab the skin over the bulge with alcohol and apply local anaesthesia before introducing the needle through the skin into the prostate. Sample and prepare slides as above.

VAGINAL SMEAR CYTOLOGY

Cytology of exfoliated vaginal cells may be used to monitor the progression of pro-oestrus and oestrus in cats and dogs. Less commonly it may be indicated to detect inflammation or neoplasia. 

(i) Using a vaginal speculum if available, direct a cotton/viscose swab craniodorsally into the caudal vagina.

(ii) Once cranial to the urethral orifice, gently rub the swab against the vaginal wall.

(iii) Remove and prepare two smears by gently rolling the swab over two clean glass slides and rapidly air dry.

Test Code  Test Name and Description  Sample
CYTO CYTOLOGY 
Fine needle aspirates, urine sediment, prostatic washes.
Air dried smears (Sample in cytological preservative)
CVS CANINE VAGINAL SMEAR FOR HEAT DETECTION  Air dried smear.

REFERENCES AND FURTHER READING.

Morris,J.S. and Dobson,J.M.(1992). Solid neoplasms. In Practice. 14(1) p 18-24.

Thrall,M.A. and Olson,P.N.(1989). The Vagina. In: Diagnostic Cytology of the Dog and Cat. Eds. Cowell,R.L. and Tyler, R.D. American Veterinary Publications Inc. Goleta. p 225-234.

Yam,P.(1994). Cystocentesis in the dog and cat. In Practice. 16(6). p 319-320.

Zinkl,J.G. and Feldman,B.F. (1989). The Male Reproductive Tract. In: Diagnostic Cytology of the Dog and Cat. Eds. Cowell,R.L. and Tyler, R.D. American Veterinary Publications Inc. Goleta. p 217-224.

Zinkl,J.G. and Feldman,B.F. (1989b). Urinary Sediment. In: Diagnostic Cytology of the Dog and Cat. Eds. Cowell,R.L. and Tyler, R.D. American Veterinary Publications Inc. Goleta. p 213-216.

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