Pee-s help

Pets (Singapore) - - Ask The Expert -

Typ­i­cally, the signs of a uri­nary tract in­fec­tion in­clude fre­quent uri­na­tion but in small amounts; some­times strain­ing to uri­nate; and/or uri­nat­ing with blood.

As there was no blood in her urine and this is the first time she’s wet her bed to this ex­tent, there might be other rea­sons be­hind her in­con­ti­nence. These in­clude a weak ure­thral sphinc­ter (for spayed or de­sexed fe­male pooches), con­gen­i­tal causes like ec­topic ureters in younger dogs, weak blad­ders and short ure­thras that might oc­cur in some fe­male dogs.

It would be help­ful to get more in­for­ma­tion on the dog, such as whether she’s lost control of her blad­der pre­vi­ously—no mat­ter how small the amount—and whether she was awake or asleep when it hap­pened. For ex­am­ple, if she was sound asleep, it might be due to a con­di­tion called ure­thral sphinc­ter mech­a­nism in­com­pe­tence (USMI). I would nor­mally rec­om­mend an ex­am­i­na­tion of the dog and at least a uri­nary anal­y­sis as part of the process for in­ves­ti­ga­tion of uri­nary in­con­ti­nence.

There are sev­eral treat­ments for this con­di­tion. Firstly, you can give your dog med­i­cal sup­port by hor­monal sup­ple­men­ta­tion if the cause of the uri­nary in­con­ti­nence is mus­cle weak­ness. Depend­ing on the type of ec­topic ureters (whether it’s within or be­yond the blad­der wall), you can con­sider send­ing your dog for surgery or min­i­mally in­va­sive en­do­scopic laser ab­la­tion. For furkids that have weak blad­ders or short ure­thras, it might be more chal­leng­ing due to con­for­ma­tion prob­lems. As for USMI, there are sur­gi­cal op­tions, such as op­er­at­ing on the ure­thra or ure­thral col­la­gen bulk­ing, which is a min­i­mally in­va­sive en­do­scopic pro­ce­dure.

My two-year-old Mal­tese re­cently wet her bed in her sleep. She’s com­pletely house­trained and even did her potty be­fore bed­time. There was no blood in her urine, but she’s never lost control of her blad­der like this be­fore—es­pe­cially not in her bed and not in such huge amounts. Could this be a uri­nary tract in­fec­tion and if so, what other signs should I look out for?

EX­PERT: DR DAN MARINCAS DVM, NZNVE, GP(Endo), PG SAEE Doc­tors Beck and Stone

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