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Peer-reviewed veterinary case report

Lesser vestibular periurethral gland-like inflammation associated with lower urinary tract signs in a female dog.

Journal:
Journal of veterinary internal medicine
Year:
2023
Authors:
Price, Matthew et al.
Affiliation:
North Carolina State University · United States
Species:
dog

Plain-English summary

A 4-year-old female spayed mixed breed dog had been experiencing painful urination and blood in her urine for two years. During a check-up, the vet found that her bladder was very sensitive, and she cried out when trying to urinate. A special procedure called cystoscopy revealed an abscess, which is a pocket of pus, in her urethra, and tests showed it was caused by two types of bacteria. The vet was able to drain the pus and prescribed antibiotics and anti-inflammatory medication. Thankfully, her symptoms improved within just two days after starting treatment.

Abstract

CASE DESCRIPTION: A 4-year-old female spayed mixed breed dog presented with a 2-year history of painful urination and recurrent hematuria. CLINICAL FINDINGS: The dog had a large sensitive bladder, palpation of which was followed by painful urination. Pollakiuria accompanied by vocalization were noted during observation of voiding. DIAGNOSTICS: Cystoscopy identified a focal, rounded expansion of epithelial tissue in the right lateral aspect of the urethral papilla containing purulent material consistent with an abscess. A sample submitted for culture yielded growth of Staphylococcus pseudintermedius and Proteus mirabilis. TREATMENT AND OUTCOME: Purulent material was expelled by manual pressure during cystourethroscopy. Enrofloxacin (10 mg/kg PO q24h for 42 days) and carprofen (4.4 mg/kg PO q24h for 14 days) were initiated. Clinical signs resolved within 2 days. CLINICAL RELEVANCE: Inflammation in the region of the lesser vestibular paraurethral glands should be considered as a differential for female dogs presenting with chronic dysuria.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/37772480/