- 12 year mn obese (BCS 9/9) white German Shepherd that lives at a commercial address (business mascot) with no close supervision and no one specific owner
- Presented to DVM #1 in January of 2013 for stranguria. Routine castration was performed and the dog’s clinical signs resolved
- 12 year mn obese (BCS 9/9) white German Shepherd that lives at a commercial address (business mascot) with no close supervision and no one specific owner
- Presented to DVM #1 in January of 2013 for stranguria. Routine castration was performed and the dog’s clinical signs resolved
- Presented to DVM #2 for lethargy and straining to urinate in March 2013. The prostate palpated enlarged. CBC showed an elevated WBC ct. DVM thought that rads showed prostamegaly. U/A done by cysto showed mild hematuria. The dog responded to antibiotics.
- Presented again in May 2013 for straining to urinate and lethargy. U/A done by cysto is wnl. R/O’s included prostatic abscess, prostatic neoplasia, urethral or bladder neoplasia.
- The prostate and bladder both appear normal to me on US. Urethral catheterization done under sedation was relatively easy to perform. The dog will not urinate at the clinic so stranguria cannot be confirmed.
- I have recommended a retrograde contrast cystourethrogram as well as a complete orthopedic and neurological exam to rule out neurogenic causes for dysuria.
- My rule outs include mid to lower urethral obstruction (urolithiasis, tumor), neurogenic disease, or perhaps the dog does not have stranguria but rather an orthopedic problem? Any other ideas?
Comments
The prostate appears to be
The prostate appears to be regressing normally so doubt thats the issue. Lots of spinal DJD in lower lumbar and LS. Pudendal nerve comes off the LS junction. Lots of ortho issues get worse after anesthesia. I would check that region with proper spinal rads in the LS. Any stones in the kidneys??/ maybe passed a stone or 2?
The prostate appears to be
The prostate appears to be regressing normally so doubt thats the issue. Lots of spinal DJD in lower lumbar and LS. Pudendal nerve comes off the LS junction. Lots of ortho issues get worse after anesthesia. I would check that region with proper spinal rads in the LS. Any stones in the kidneys??/ maybe passed a stone or 2?
Thanks Eric. I did not see
Thanks Eric. I did not see any renoliths. Wish the dog would urinate at the clinic so the rDVM could confirm stranguria. Looking at the dog’s weight and aging spinal changes, I am wondering if it is more of a posturing problem than urinary obstruction. Yet, I don’t want to miss anything. I do not know if the owner will pursue much more.
Thanks Eric. I did not see
Thanks Eric. I did not see any renoliths. Wish the dog would urinate at the clinic so the rDVM could confirm stranguria. Looking at the dog’s weight and aging spinal changes, I am wondering if it is more of a posturing problem than urinary obstruction. Yet, I don’t want to miss anything. I do not know if the owner will pursue much more.
Some thoughts: The urinary
Some thoughts: The urinary bladder seems fairly small on the images thus reflex dysnergia or bladder atony unlikely etiologies. Easy to catheterise thus urethral pathology unlikely. Also prostate is regressing so unlikely to be prostate. Orthopedic problems and/or LS disease highly likely.
Any idea what the neuro exam showed?
Would recommend a course of NSAIDs and see if the stranguria improves.
Some thoughts: The urinary
Some thoughts: The urinary bladder seems fairly small on the images thus reflex dysnergia or bladder atony unlikely etiologies. Easy to catheterise thus urethral pathology unlikely. Also prostate is regressing so unlikely to be prostate. Orthopedic problems and/or LS disease highly likely.
Any idea what the neuro exam showed?
Would recommend a course of NSAIDs and see if the stranguria improves.
Thanks for you input, Remo.
Thanks for you input, Remo. The bladder was actually moderately distended at 10.0cm. However, the caregivers were instructed to bring the dog with a full bladder. I do not know what was done for a neurological exam but will update the post if I can get any more follow up on this case.
Thanks for you input, Remo.
Thanks for you input, Remo. The bladder was actually moderately distended at 10.0cm. However, the caregivers were instructed to bring the dog with a full bladder. I do not know what was done for a neurological exam but will update the post if I can get any more follow up on this case.
Ok, just got off the phone
Ok, just got off the phone with the rDVM. There is a new twist in the history. The neuro exam (CP’s, anal tone, and paniculus) was normal. However, upon further questioning of the caregivers, it appears that this dog hunches up and starts straining and quits eating after supply vendors visit the business. They like to give whatever junk food they have in their trucks to the dog. Because the dog lives in a yard at a commercial business, his defecation is not closely monitored. So, now we have pancreatitis and gastroenteritis on the rule out list. The dog has been placed on a low fat diet and the caregivers have been instructed to tell the vendors to stop feeding the dogs.
Ok, just got off the phone
Ok, just got off the phone with the rDVM. There is a new twist in the history. The neuro exam (CP’s, anal tone, and paniculus) was normal. However, upon further questioning of the caregivers, it appears that this dog hunches up and starts straining and quits eating after supply vendors visit the business. They like to give whatever junk food they have in their trucks to the dog. Because the dog lives in a yard at a commercial business, his defecation is not closely monitored. So, now we have pancreatitis and gastroenteritis on the rule out list. The dog has been placed on a low fat diet and the caregivers have been instructed to tell the vendors to stop feeding the dogs.