Lola is a 2 year old, spayed female, pug that presented to Dr. Buedel at Animal Care Center of Plainfield for straining to urinate and not being able to produce any urine. Her temperature, heart rate, and respiration were all normal. Although, she was painful when her abdomen was palpated.
Radiographs were take and revealed a large distended bladder, but there did not seem to be any foreign objects in the bladder, like bladder stones. Afterwards, Lola was sedated and an attempt at placing a urinary catheter was made.
Unfortunately, the catheter would not pass due to a urolith (urinary stone) obstructing the very end of the urethra.
It was decided to take Lola to surgery. During surgery, an abdominal incision was made to gain access to the bladder. A cystotomy (cutting a hole in the bladder) was performed and a red rubber catheter was placed through the bladder and into the urethra. Sterile saline was used to try to flush out the stone. Fortunately, after several attempts of flushing and another veterinarian manipulating the stone near the vulva, the stone was removed and Lola was able to urinate again. Several small crystals were removed from the bladder as well. The bladder and the abdominal incision were closed and another urinary catheter was left in the urethra for 48 hours to allow better healing, in case the urolith caused any tears in the urethra.
After two days of hospitalization, Lola went home with antibiotics, pain medication, and a prescription diet. The prescription diet helps to control the pH of the urine to avoid other uroliths from forming.
Lola is doing great at home and has not had any further urinary issues.
Lola’s owners were very observant and quickly noticed that she was having a problem. If the urethral blockage was not dealt with quickly, it could have lead to severe kidney disease, a ruptured bladder, or even death.
If your pet is struggling to eliminate urine or feces, please take them to your veterinarian immediately.