This issue, Veterinarian Dr Geoff Mehrtens, shares Rosie’s journey to recovery, thanks to expert care from Ourvets.
Rosie was a happy, healthy six-year-old female Shih Tzu x Lhasa Apso who had become uncomfortable recently when urinating. A general examination of Rosie revealed no abnormalities; however, her owner Bridget had noticed that Rosie was peeing more frequently, often only small amounts and was sometimes forced to urinate in abnormal locations, which indicated that her urge to urinate was uncontrollable. She showed no signs of urinary leakage in her bedding, which was an important piece of information.
Some spayed female dogs develop an increased tendency to leak urine, often while they’re asleep, or very relaxed. Luckily, Rosie did not have this problem, however her urge incontinence required further investigation. Rosie was very co-operative and provided us with a urine sample during the consultation which revealed large numbers of bacteria present. It was late in the evening, so we elected to see her again the next day.
By then, Rosie’s bladder felt smaller and firmer on palpation, which raised a suspicion that perhaps something abnormal was within. Rosie was taken to ultrasound, which revealed a spectacular large, ovoid, smooth stone – the size of an egg – in the bladder. The bladder wall was remarkably normal considering what was rattling around inside it!
With such a large stone, the treatment of choice was surgical removal. Special diets can dissolve bladder stones, but this would have taken far too long in Rosie’s case. The surgery ran smoothly, and within hours, Rosie was happy and comfortable, and actually went home the same day. Her post-op recovery was uneventful, she was the perfect patient and her urinary habits returned to normal within days.
The urinary stone was sent to the USA for analysis.
This is a wonderful service provided by Hill’s Pet Nutrition. Rosie’s stone was found to be composed of struvite crystals. Struvite issues are common in many small breeds and are usually associated with low-grade urinary bacterial infections. Treatment includes surgery and a long course of antibiotics, together with a special diet. Rosie will need careful monitoring to ensure she doesn’t develop another stone, but with care, she will continue to live a happy, active life.
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