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Bladder mass?

Sonopath Forum

Hi,

This is my own dog, a 14 year old FS Boston Terrier.  I US her for anorexia, vomitting and lethargy.  She’s had bladder issues (incontinence, occ. cystitis) for many years.  I found this on her bladder…. mass?  When it’s my own pet, I’m not a great diagnostician.

Her bladder was really tucked into her small pelvis, and I was having an unusually hard time seeing the pelvic urethra.

If it persists, I’ll have her bladder scoped if someone near me can do it.

Thanks!

Karen Ebersole

Hi,

This is my own dog, a 14 year old FS Boston Terrier.  I US her for anorexia, vomitting and lethargy.  She’s had bladder issues (incontinence, occ. cystitis) for many years.  I found this on her bladder…. mass?  When it’s my own pet, I’m not a great diagnostician.

Her bladder was really tucked into her small pelvis, and I was having an unusually hard time seeing the pelvic urethra.

If it persists, I’ll have her bladder scoped if someone near me can do it.

Thanks!

Karen Ebersole

Comments

rlobetti

Would be worried about an

Would be worried about an early transitional cell carcinoma and in that region of the baldder the early it is diagnosed the better. Cystoscopy with biopsy ideal but can also consdered a catheter-assisted biopsy of the lesion 

4ebersoles

Thank you for your thoughts

Thank you for your thoughts on it.  I’ll be arranging to have the scoping done.

bhylands77

I would recommend using

I would recommend using biopsy forceps to sample the lesion. These are used in endoscopy. Easy to purchase of Ebay. I empty the bladder then direct the forceps righ up to the mass using the US machine to visualize my position. It works really well and to me is much less traumatic then using a cut off  catherer.

Unfortunately,I agree with with the probable diagnosis of neoplasia especially since it is highly vascular. Check the distal ureter on US plus both renal pelvises for signs of obstruction or invasion. I would also pass a catheter to see if it passes freely through the urethra. Thgese often seed down the urethra. I would start her on NSAIDS now as well. This is a difficult area to debulk. 

bhylands77

I would recommend using

I would recommend using biopsy forceps to sample the lesion. These are used in endoscopy. Easy to purchase of Ebay. I empty the bladder then direct the forceps righ up to the mass using the US machine to visualize my position. It works really well and to me is much less traumatic then using a cut off  catherer.

Unfortunately,I agree with with the probable diagnosis of neoplasia especially since it is highly vascular. Check the distal ureter on US plus both renal pelvises for signs of obstruction or invasion. I would also pass a catheter to see if it passes freely through the urethra. Thgese often seed down the urethra. I would start her on NSAIDS now as well. This is a difficult area to debulk. 

4ebersoles

Thank you bhylands!  That’s a

Thank you bhylands!  That’s a great idea!  Is this a rigid or flexible biopsy forcep?  And what size would you try to find for a 20lb female dog?

bhylands77

Flexible and probably around

Flexible and probably around a 5 french ( 1.6 MM diameter)  here are examples of some on Ebay ;

SUPERTRAX AKI00133-01 FENESTRATED ELLIPSOID BIOPSY FORCEPS SURGICAL MEDICAL PROP

Olympus Surgical Reusable Autoclavable Fenestrated Cup Biopsy Forceps FB-24E