Your dog will be treated on an inpatient basis and will be started on supportive care (e.g., fluids and antibiotics) while diagnostic testing is performed. Correction of fluid and electrolyte deficits will be undertaken using intravenous fluid therapy over four to six hours, followed by maintenance fluids as needed. If your dog is exhibiting extreme polyuria, (excessive urination), higher maintenance fluid rates will be necessary for replacing those being excreted.
Relieving the lower urinary tract obstruction as soon as possible by catheterization will be a foremost priority, along with serial cystocentesis. Cystostomy is the surgical formation of an opening through the abdomen into the urinary bladder using a tube-like structure. Any obstructions should then be surgically corrected as soon as is possible.
Your veterinarian will discuss with you the possible presence and implications of renal disease and the possible need for surgery should it be diagnosed. Specific treatment (usually surgical) depends on the cause of the disease and whether there is concurrent renal failure or other disease process at work (e.g., metastatic cancer). Emergency surgery is rarely required for renal disease. Kidney removal is generally not necessary unless is is infected or cancerous. If mild disease is secondary to the kidney stones, extracorporeal shock wave lithotripsy, which uses shock waves to break up the kidney stones, may be used as an alternative to surgery.
Ureteral stents have also been used experimentally in dogs. These are hollow, plastic tubes that are surgically placed between the kidney and the bladder, functioning to hold the ureter open to allow normal drainage of urine.
Living and Management
Your veterinarian will schedule follow-up appointments with you every two to four weeks after the obstruction has been successfully removed in order to monitor your dog's progress. Bloodwork will be taken at these appointments to be sure that the blood urea nitrogen and blood creatinine levels have fallen to normal levels. If you notice that your dog is urinating excessively and/or losing weight after the obstruction has been removed, contact your veterinarian for a further examination.
The failure of the kidneys to perform their proper functions
The area between the vulva and anus or scrotum and anus
The act of making an opening narrower.
A medical condition involving excessive thirst
Waste in the blood; may also be referred to as uremic poisoning.
An in-depth examination of the properties of urine; used to determine the presence or absence of illness
A tube found between the bladder and the outside of the body; used to assist in urination.
The tubular shaft found between the kidneys and the bladder
The term for the hip and related area
The product of protein being metabolized; can be found in blood or urine.
The actions involved in tying something
The widening of something
The wasting away of certain tissues; a medical condition that occurs when tissues fail to grow.
The end of the gastrointestinal tract; the opening at the end of the tract.
A localized infection, usually a lesion filled with pus. Can be large or small in size.
The process of making something larger by dilating or stretching it
The accumulation of blood in bodily tissues
The dilation of the pelvis due to obstruction of urine
The condition of having a part of a body part protruding through the tissue that would normally cover it
Blood in the urine
The space in the abdomen that holds the major digestive organs in an animal. Normally referred to as the area between the diaphragm and the pelvis. Also referred to as the peritoneal cavity.