Peer-reviewed veterinary case report
Endoscopy treatment for unexplained kidney bleeding in 2 dogs
By De Schrijver, Rebecca et al.·Published in Tierarztliche Praxis. Ausgabe K, Kleintiere/Heimtiere·2025·Tierklinik Neu-Isenburg, Germany·View original on PubMed →
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Original publication title: Endoscopy-guided, renal-sparing sclerotherapy in 2 dogs with idiopathic renal hematuria.
- Species:
- dog
Plain-English summary
A 10-month-old male Australian Shepherd and a 3.5-year-old female Staffordshire Bull Terrier were brought in because they were both experiencing ongoing blood in their urine. After tests showed no clear cause, they were diagnosed with idiopathic renal hematuria, meaning the bleeding had no known reason. Initial treatment with a herbal remedy didn’t work, so both dogs underwent a special procedure where a solution was injected into their kidneys to help stop the bleeding. Thankfully, both dogs did well after the treatment and have been free of blood in their urine for over 11 months now.
People also search for: dog blood in urine treatment · Australian Shepherd hematuria · Staffordshire Bull Terrier kidney issues
Abstract
A 10-month-old male Australian Shepherd and a 3.5-year-old female Staffordshire Bull Terrier were presented due to chronic gross hematuria. Further diagnostics, including ultrasonography and cystoscopy of the urinary tract, revealed no cause for the bleeding. Accordingly, a diagnosis of unilateral idiopathic renal hematuria (IRH) was made.Treatment with Yunnan Baiyao was unsuccessful. Both patients underwent retrograde ureteropyelography and unilateral sclerotherapy. A 5% povidone iodine mixture and a 0.5% silver nitrate solution were administered sequentially into the renal pelvis multiple times and left there for 20 minutes. The second dog showed a tortuous course of the ureter caused by bilateral ectopic ureters, already treated with a laser ablation. This made treatment considerably more challenging. Giving the persistence of hematuria, the procedure was repeated 3 weeks later. Neither dog exhibited any complications associated with the treatment and they remain free of microscopic hematuria 15 and 11 months later, respectively.The reported cases demonstrate that sclerotherapy should be considered as a renal-sparing therapy, even in dogs with more complicated conditions.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/40513608/