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Ectopic Ureters in Dogs- How to Manage It?

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Ectopic ureters is a congenital problem in the development of ureters. Instead of connecting to the bladder, the ureters are connected directly to the urethra. The ureters then bring urine to an area that is unable to store urine and leaks. One or both of the ureters may be affected. Ectopic ureters are commonly diagnosed in puppies and mostly in female dogs.

What Are The Signs Of Ectopic Ureters?

The patient is usually one year old female puppy with the following signs:

  • Urine leaking or dribbling at times, but urinating normally at other times.
  • The licking of the genital area. Urine leakage has always caused a rash in this area.
  • Inflammation of the bladder

It should be noted that an uncomplicated infection of the bladder would also cause all of the above.

Ectopic ureters are rare and it is important to find more common explanations of the above. Many puppies exhibit submissive urination or have house-breaking issues, which can also be ruled out.

How Is An Ectopic Ureter Diagnosed?

Medical symptoms indicate an ectopic ureter, but the diagnosis should be confirmed by ultrasound, CT scan or cystoscopy. Urinalysis and culture will decide whether a urinary infection is present and which antibiotics will operate against it. The simple blood panel will evaluate the function of the kidneys. If incontinence and/or infection persists after adequate care, additional diagnostic measures may be required.

Can Ectopic Ureter Be Treated?

Depending on the type of ectopic ureter, treatment options can differ. Surgical solutions for intramural ectopic ureters can include surgical removal of unstable tissues by using an open surgical technique to the bladder. Alternatively, a minimally invasive procedure uses video-guided laser equipment to open the irregular section of the ureter back to its preferred place. For ectopic ureters assumed to be extramural, while it can also be used for intramural ureters, the suggested technique involves removing the distal ureter and returning it to the urinary bladder at a more suitable position.

What Is The Follow-up Care?

Depending on the form of surgery, aftercare and recovery time can differ. Main post-surgical issues include ongoing unregulated peeling, leaking of urine through the bloodstream, swelling at the surgical site, and urinary tract infection. Nearly half of the urinary leakage persists in dogs undergoing birth defect surgeries. If this happens, extra drugs may be required for the rest of the pet’s life to better control urination.

It is not clear whether some animals have continued leaking urine following treatment. Pets afflicted by ectopic ureters should not be bred.

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