UTI Medication for Pets Cordova TN
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Common Cause of Chronic UTI Has a Surgical Solution
|Redundant vulvar fold in an 18-month-old Labrador. (Courtesy of Dr. Zelztman)|
The solution to some chronic urinary tract infections is not always antibiotics. When female dogs present excessive or redundant skin folds dorsally and laterally to the vulva, a cascade of events often follows.
Common complaints from the owner include excessive licking of the vulvar area, scooting, malodor, hematuria and sometimes urinary incontinence. How can a simple skin fold cause urinary incontinence?
The redundant skin fold acts like a dam and enables urine retention. Moisture, body heat, darkness and accumulation of skin debris create an ideal environment within the skin folds for bacteria to proliferate and cause local infection.
The two main challenges are assessing precisely how much skin to remove, and closing the surgical site in a cosmetic manner.
Friction between the two skin surfaces causes microtrauma, which adds to self-trauma via licking and scooting. This leads to skin fold dermatitis or pyoderma. In turn, secondary vestibulitis, vaginitis or ascending UTIs have been reported. At worst, urinary incontinence can occur.
The poster child for this condition is an overweight female dog with a hypoplastic or recessed vulva. The mean weight was 71 pounds in a fairly recent study. 1 Another study reports the condition in medium to giant breeds, except for one bichon frise. 2 The mean age is approximately 3.5 years in both studies.
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