Peer-reviewed veterinary case report
Cystoscopy helps treat visible blood in urine from bladder bleeding
By Himelman, Jessica F et al.·Published in Journal of the American Veterinary Medical Association·2019·View original on PubMed →
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Original publication title: Use of cystoscopy or cystourethroscopy in treating benign macroscopic hematuria caused by lower urinary tract hemorrhage in three dogs.
- Species:
- dog
Plain-English summary
A 5-year-old Boston Terrier, an 8-year-old Boxer, and a 10.5-year-old Pembroke Welsh Corgi were all brought in for severe blood in their urine. They also showed signs of anemia and had blood clots in their bladders, but standard tests didn’t reveal any bleeding issues. Using a special camera procedure called cystourethroscopy, vets found small lesions causing the bleeding in the dogs' urinary tracts. The Boston Terrier had the lesion surgically removed, while the other two dogs had the lesions treated with laser therapy. None of the dogs experienced any further bleeding after treatment, and they all did well in the long term.
People also search for: dog blood in urine treatment · Boston Terrier hematuria · Boxer urinary tract issues · Pembroke Welsh Corgi blood clots in bladder
Abstract
CASE DESCRIPTION: A 5-year-old 11.5-kg (25.3-lb) castrated male Boston Terrier (dog 1), an 8-year-old 27.8-kg (61.2-lb) castrated male Boxer (dog 2), and a 10.5-year-old 15.9-kg (35.0-lb) spayed female Pembroke Welsh Corgi (dog 3) were evaluated because of severe, gross hematuria and suspected idiopathic renal hematuria. CLINICAL FINDINGS: All 3 dogs had hematuria, anemia, blood clots in their urinary bladders, and unremarkable findings on coagulation and mucosal bleeding time assessments. With cystourethroscopy, lower urinary tract hemorrhage originating from a small lesion in the urinary bladder (n = 2) or urethra (1) and normal-appearing yellow urine jetting from both ureterovesicular junctions were visualized in each dog. TREATMENT AND OUTCOME: Cystoscopically guided surgical resection of a hemorrhagic lesion of the urinary bladder was performed on dog 1, and histologic evaluation of the resected tissue confirmed urinary bladder telangiectasia. Dogs 2 and 3 each underwent cystourethroscopically guided laser ablation of a hemorrhagic lesion (presumptively diagnosed as hemangioma, angioma, or telangiectasia) in the urinary bladder (dog 2) or urethra (dog 3). The longest follow-up duration was 7 years, and none of the 3 dogs had subsequent recurrence of gross hematuria. CLINICAL RELEVANCE: Findings suggested that cystourethroscopy should be considered part of the diagnostic plan for hematuria in dogs before pursuing major surgical treatment or when results of conventional diagnostic procedures do not indicate the underlying cause. In addition, histologic results for dog 1 indicated urinary bladder telangiectasia, previously an unreported cause of severe, chronic lower urinary tract hematuria in dogs.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/31194653/