02/01/2022
5 year old Great Dane, Bruno, was brought to our clinic referred by another senior veterinary doctor. Bruno was suffering from severe discomfort, frequent straining during urination, pain and anuria. He came with a history of frequent UTI, hematuria, seldom partial urinary obstruction since 5 months. He was being treated conservatively since then. Complete anuria indicated a definite obstruction of the urethra. Radiological examination revealed multiple stones in his urinary bladder and a minimum of three stones in the pe**le urethra which further blocked the entire urethra. His bladder was distended. After consent from the owner, we sedated him but even after catheterization, the stones refused to move from its place. To avoid complications, Bruno was put under a surgical procedure called a CYSTOTOMY. We extracted multiple stones from his bladder. His bladder was flushed throughouly and a normograde catheterization was attempted to push the urethra stones into the bladder but once again the stones refused to budge. After the bladder wall was closed, the pe**le urethra was operated and a urethrostomy was performed close to the os-pen*s and the three stones stuck there were extracted. A retrograde cathedar was pushed into the bladder and no obstruction was noted.
To rule out obstruction in the bladder, the urine was aspirated using a syringe and radiography examination was done. The urethra was sutured properly and a urinary cathedar was secured. The cathedar will be kept secured in place till the urethra heals completely.
Bruno has been prescribed antibiotics, multi modal pain medications and drugs to help his UTI.
The surgery was indeed a satisfying procedure for the entire team.
The extracted stones have been sent to the pathology lab for further evaluation.
