Poodle, Male, 5 years
Swollen painful abdomen, peeing dark red urine. Bladder about to rupture. Vomiting brown yellow fluid. High surgical risk. No choice but to do emergency surgery as dog would die soon. Cystostomy opened up the bladder to get spiky stones attached to bladder wall removed by using forceps. IV Hartman's 1 hour and blood collection.
In this case, the dog's bladder was thoroughly flushed. I used normal saline and a rigid catheter from bladder to flush out any spiky urinary stones in the urethra. Then I used a smaller sized catheter to flush urine from the penile opening.
Post-op
The following occurred.
1. DAY 1: Urine backflow from prepuce to under the penile skin. Swollen penile area. A catheter was not stitched earlier as the dog would usually pull it out despite wearing an e-collar. He would not pee normally, so urine collected in this way.
Solution: A catheter was inserted and the urine pool removed. One side near the penile opening was taped to the skin using elastoplast (see pic). Urine stained the elastoplast by Day 3. Elastoplast removed. No more catheter.
2. Irrigation of urine daily for 5 days to remove blood clots from the bladder. Urine still bloody. Small clots seen even on Day 2(Oct 6).
3. Acidify urine, antibitoics and close monitoring. Dog is eating and should recover. He could not pee normally due to pain. Pain-killers given.
Owner wanted the dog home after 5 days. Dog was still passing blood in the urine. No more complaints for the next 14 days. Updated info will be at www.toapayohvets.com
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