Hello,
Benji is a 9 Years old Terrier X M/N that presented for dribbling urine. His UA in house was normal with moderatelly low concentration at USG 1.024. Normal renal values and rest of blood wnl. C/S pending
His AUS was normal except concentric diffuse thickening of the bladder wall, mesuring 0.55-0.6 cm . MILN was normal as well
Is this appearance sggestive of Polypoid cystitis or more like interstitial cystitis?
If C/S is negative for growth, what tx would you recommend?
Thank you,
CC
Hello,
Benji is a 9 Years old Terrier X M/N that presented for dribbling urine. His UA in house was normal with moderatelly low concentration at USG 1.024. Normal renal values and rest of blood wnl. C/S pending
His AUS was normal except concentric diffuse thickening of the bladder wall, mesuring 0.55-0.6 cm . MILN was normal as well
Is this appearance sggestive of Polypoid cystitis or more like interstitial cystitis?
If C/S is negative for growth, what tx would you recommend?
Thank you,
CC
Comments
Looks like a chronic
Looks like a chronic interstitial cystitis with the tapering apical dorsal/ventral thickening and nsf caudally. Would need full thickness bx to differentiate. I don’t trust cultures much as they are often false negative unless you are culturing in house… if there is pyuria then there is usually a big to treat. Maybe try a Baytril trial for 3 weeks if that’s the case and then rescan and recheck ua.
Thank you EL
Thank you EL
Before going to surgery can
Before going to surgery can try a catheter-assisted biopsy first, which can be used both for histopath and culture.
Yes. That is less invasive
Yes. That is less invasive and ussualy gives great results . Do you cut the tip of the red rubber catheter and completelly emptying the bladder prior to traumatic catheterization/ suction?
Thank you Remo
Keep a small amount of urine
Keep a small amount of urine in the bladder as it easier to visualize the catheter. Normally use a feeding tube without cutting the tip off as it has a number of side holes – more rigid that the red catheters but is a personal preferance.
Sounds good. Thank you
Sounds good. Thank you