Wednesday, 27 September 2017

An interesting case of stones in the bladder


The other day a 6 year old Cocker spaniel bitch was brought to our clinic with the history of  - “can’t hold its urine”, increased frequency of urination and  painful urination. Apart from the presenting symptoms, the animal appeared normal. 

The blood reports and the urine examination did not reveal any significant finding either and no urinary tract infection could be established.

However, the Xray report revealed the presence of stones in the bladder. An operation was carried out to remove the urinary stones and the bitch had an uneventful recovery.

Nice to know   
Stones in the urinary tract are technically refereed as “Uroliths”. The term “urolith”  is derived from the Greek “Ouron” meaning Urine and “lithos” meaning stone. (Remember the Paleolithic and the Neolithic age that we read about as kids !). These stones are primarily made up of minerals and can be lodged at one or many places in the urinary tract. 

When present in the bladder it is called a cystolith, in the kidneys (nephrolith) and when present in the urethra it is called a urethrolith.

Luckily, the disease is infrequently seen in dogs. Roughly about 3 per cent dogs presented to the veterinary clinics are found to be suffering from the disease. Depending upon the location where it is lodged, varied symptoms are presented by the animal. Diagnostic imaging viz Xrays and Ultrasound are normally employed to arrive at a confirmatory diagnosis.   


Rapid strides have been made in the treatment of the disease. Generally, when the stones are fewer in number and smaller in size attempts are made to dissolve the same. This is what is referred to as the Dissolution Protocol.  Normally it helps. When it doesn’t surgical intervention is carried out. The surgery can be specialized or simple surgery.

Radiograph showing white (radio opaque) stones in the bladder

Cystoliths removed after open surgery
  

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