My dog's curved penis causes bladder stones and UTIs. What's next?

Hi there and thank you for using Petco Pet Education Center, formerly Petcoach to address your concerns! My next concern is are we dealing with some predisposing factor leading to these UTIs or is there a resistant bacteria in the urine that is not responding to the current rounds of medications? I would recommend ultrasounding the bladder and obtaining a sterile urine sample for culture and go from there. Have the crystals resolved yet? If there are still crystals in the urine, then these need to be resolved as the presence of crystals will lead to recurrent UTIs and symptoms. I hope this helps!

It sounds like your vet did all the right things. You could do a urine culture as a double check for an infection (although that would be very uncommon in an adult male dog). I would be starting to get concerned about a tumor within the penis or possibly a neuromuscular issue preventing normal urine flow. If your vet is out of ideas (as I am), the next step would be going to a specialist, probably an internist.

Sounds like you all are doing quite a bit already. If you feel that pain is not well controlled the addition of something like buprenorphine may be beneficial. Also, there is a surgical procedure that is commonly performed on cats that get urinary blockages. Essentially the urinary tract is changed from a male to a female shape, thereby widening the urethra and making it much less likely to allow for obstruction in the future. Whether or not your vet is comfortable performing this procedure is another thing altogether. I know many vets that can perform it perfectly well while I know others that have never had to perform it a single time. It is a delicate procedure because the urethra of the cat is so small so finding a doctor that is comfortable with it is of utmost importance. If your cat is not a repeat offender or has not yet blocked completely, surgical change may not be the best option at this time. Continue following the directions of the doctor and be patient with waiting for dissolution. You can also consider lithotripsy to break apart stones if there are any instead of bladder surgery. Hope this helps.

Thank you for submitting your question regarding your dog. I agree that he requires a further work up. It is not common for male dogs to develop urinary tract infections given their anatomy. I would recommend that he has bloodwork and x-rays of his abdomen. You need to rule out any metabolic disorder and uroliths (bladder stones or kidney stones). Then I would proceed with the abdominal ultrasound. Occasionally prostate disease can cause recurrent urinary signs. This is uncommon in such a young dog though. It may be easiest to pursue a consult with an internal medicine specialist. I hope you are able to get an answer and his problems resolved. Good luck!

Hello and welcome to Petco Pet Education Center, formerly Petcoach. I am sorry that Cointhee has stones. Urinary stones are concerning because at any point one of the stones can cause a complete blockage of the urethra (tube you pee out of), and can block any flow of urine and this can lead to life-threatening kidney disease and death because the potassium cannot be peed out. Therefore, firstly, it is very important to make sure that Cointhee is able to pee out urine at all times, and isn't trying to pee with nothing coming out. If this is occurring please get him to a vet right away. Blood in the urine can be caused by the stones/crystals causing irritation, and can also be caused by infection that sometimes goes along with the stones. Repeated trauma to the urethra can cause strictures, and long term complications. I would discuss with your vet about taking some x-rays to see how many stones are present, and discuss if surgery is an option to remove the stones. I would also discuss about checking to see if an infection is present. Usual treatment for bladder stones includes antiboitics if infection is present, special food to try to dissolve the small crystals and tiny stones, and surgery to remove the big stones. Best of luck with Cointhee, I hope he is peeing normally again soon!

It is hard to look at x-rays through the PetCoach system, but I do not see any bladder stones. There does appear to be some gas in the bladder, which may have been inadvertently introduced through catheterization or could indicate the presence of a gas-producing bacteria. The prostate is significantly enlarged, to the point where it could constrict the urethra and cause straining to urinate. The urinalysis shows a possible infection, which could come from the bladder or prostate. I would not start urinary alkalizers without the certainty of oxalate stones. I would start antibiotics appropriate for a prostate infection and have Sheldon neutered ASAP, which can help with BPH https://www.petcoach.co/dog/condition/prostate-enlargement/

Hi there and thank you for using Pet Coach! If Thor has not had any abdominal x-rays or an abdominal ultrasound performed I would definitely recommend having these tests performed to figure out why there is blood dripping from his penis. I would also recommend a trial of an antibiotic and an antiinflammatory to see if this resolves with symptomatic treatment. If not, then neutering may be the treatment if this is a prostate related issue such as prostatitis. I hope this helps guide you in the right direction! Please let me know if you have any other questions or concerns.