A 9-year-old intact male Labrador that had been treated for bacterial cystitis was presented for evaluation of ongoing dribbling of urine. Urinalysis showed WBC, epithelial cells, and crystals.
Case Study
09_00172 Dutch T BPH and prostatitis. Bladder debris.
Sonographic Differential Diagnosis
Prostatomegaly.
BPH prostatitis pattern.
Bladder debris.
Image Interpretation
The urinary bladder, trigone and pelvic urethra presented normal wall thicknesses with anechoic urine and normal tone. The bladder presented a large amount of debris, dependent sand and probable blood clots. No evidence of inflammatory or neoplastic changes were noted. The ureters were not visible and therefore considered normal.
The prostate in this patient was swollen, edematous with areas of striations and cysts. The cysts will likely resolve; however, they may have underlying abscessation. There were variable areas of capsular expansion. The prostate measured 7.85 x 5.58 cm.
DX
BPH and prostatitis. Bladder debris.
Outcome
None
Clinical Differential Diagnosis
Bladder – bacterial cystitis, neoplasia, uroliths, polyploid cystitis, bladder atony
Prostate – benign prostatic hyperplasia, neoplasia, prostatitis, cysts
Urethra – liths, neoplasia
Sampling
None
Video
Patient Information
Gender :
Male, Intact
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- Incontinence
Images
Clinical Signs
- Incontinence
Urinalysi
- Epithelial Cells Present
- WBCs Present