Bloody discharge in an 8 year old MN English Bulldog

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Bloody discharge in an 8 year old MN English Bulldog

  • 8 year old mn English Bulldog presented for bloody discharge from the penis.  The patient has no dysuria and no tenemus.
  • Urinary tract ultrasound shows normal kidneys and bladder and normal MILN.

    • 8 year old mn English Bulldog presented for bloody discharge from the penis.  The patient has no dysuria and no tenemus.
    • Urinary tract ultrasound shows normal kidneys and bladder and normal MILN.
    • The prostate is normal in size with a uniform capsule.  Shadowing, linear, echogenic lines can be seen parallel to the prostatic urethra. I originally thought that this was parenchymal mineralization with a normal prostatic urethra but upon further review, I am wondering if the prostatic urethra is indeed, dilated and that perhaps there is a problem further down the pipe.
    • What next….fna the prostate?  cystourethrogram?

Comments

EL
June 10, 2016 at 6:48 am -

Hmm could be a carcinoma

Hmm could be a carcinoma starting up. i would fna the prostate along the mineralized areas and culture as well.

Electrocute
June 10, 2016 at 12:51 pm -

Thanks Eric.  The parallel

Thanks Eric.  The parallel echogenic lines look odd to me as if this should be pathognomonic for something.

EL
June 10, 2016 at 1:32 pm -

Its odd I agree and anything

Its odd I agree and anything echogenic thats not in the urethra in a MN should be sampled to ensure not carcinoma…maybe weird fat design if we are lucky

rlobetti
June 11, 2016 at 4:17 pm -

Curved ball: being a bulldog

Curved ball: being a bulldog any chance that he has a urethral prolapse?

Electrocute
June 13, 2016 at 12:18 am -

Interesting thought.  The

Interesting thought.  The primary vet told me initially that no external abnormalities were seen, but I will run this by him.  Thank you!

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