Thursday, June 13, 2013

1459. Update: Overweight Jack Russell 13 hours after bladder stone surgery

Friday July 14, 2013  9.34 am Toa Payoh Vets

I reviewed the Jack Russell, operated by Dr Daniel yesterday afternoon, 13 hours ago and to ensure he has his medication including pain-killers. He drinks and is OK. The 10 small calcium oxalate stones were so small (2-3 mm across)  and were flushed out via the urinary catheter from the penile end. My assistant took some images as he is being trained in digital photography and video graphy to enhance his skills when he seeks another employer later.

It is always good to see an old dog recovering well from surgery as no vet can expect a 100% success in old dog surgeries. Many have health problems as they have no regular medical check ups over the years. Old dogs are like house furniture. The owner does not bother with yearly check ups. After all, human beings don't go for annual health screenings.

Initially I wanted an air contrast X-ray. Dr Daniel, Dr Daniel did not do it as the radiographer wanted to charge an additional $100. 50-100 ml of air would be pumped into the bladder via the catheter.  I got the X-ray image cropped as there were small stones in a row seen. According to Dr Daniel's interpretation, the stones were in a row because the bladder had no urine and so had collapsed. Sounds logical to me. "The stones are too big to be sucked out," he said. "In female dogs, the urethra is straight and not bent and an endoscope may be able to suck them out without surgery."

In any case, opening up the bladder would be most economical in dogs and 10 stones were irrigated out. The images will be shown later.  

10 small calcium oxalate stones removed from the bladder on Jun 13, 2013


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