Monday, November 25, 2013

1215. Review & Audit of haematuria & dysuria. My bladder stone case operated July 2010

Nov 26, 2013
I was reviewing 2010 cases and came across one of my bladder stone cases  TP 41022

Shih Tzu, F, Born Dec 25, 2008

July 25, 2010 At Toa Payoh Vets 
Blood in urine and difficulty peeing for past few weeks. Vet 1 palpated bladder stones and referred to another vet practice as Vet 1 does not perform more complicated surgeries and always refer to this practice. Very thin 4.6 kg, 39.1C. Urinary incontinence every 10 min 3-4X/day. Crepitus & gas inside bladder on palpation.

Jul 27, 2010
Urine test   pH 6.5, bacteria + 
Alternative to surgery. Owner was given acidifying tablets for 60 days, to feed C/D. No treats to be given.

Aug 31, 2010
Admitted for blood in the urine again. No fever.   4.4 kg, 38C
1.5 cm x 1.5 cm stones palpated. Does not want X-ray or blood test. Image of surgery taken to be posted.

Anaesthesia I used;  Domitor 0.1 ml IV, Zoletil 100  0.1 ml IV. Isoflurane gas + O2 as required.
2 big urinary stones and >10 small ones in the bladder taken out. Hospitalised 6 days.

Sep 6, 2010
Dog had licked surgical wound. E-collar given when discharged 2 days of hospitalisation.

Owing to financial constraints, surgery is done based on bladder crepitus on palpation which is quite accurate as regards presence of bladder stones inside the bladder.

No news or follow up from the owner. Phoned owner. left a message to call me back. Emailed owner.
No response. I presume the dog is OK for the past 2-3 years.

Large bladder stones cannot be dissolved by diet. No stone analysis was done due to financial restraints.


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