Alternative Method of Surgical Treatment of Urinary Incontinence in the Spayed Bitch

The aim of this paper was the assessment of the useful alternative method of surgical treatment of urinary incontinence in the spayed bitch. The operation was performed on a bitch, which before had been inefficiently treated by available drugs. During a contrast X-ray examination (ascendent urethrography), executed before the operation, intrapelvic position of urinary bladder neck, as well as slight spondylosis L 1, 2, and 6 and spondylarthrosis of the section L 1-4 was found. During an ultrasound examination of the abdominal cavity, perceptible changes of bladder’s wall structure were not found. The vagina remained not adhered to the base of the bladder and it did not contain fluid content. The structure of either kidney did not differ from normal; inflammatory changes were not found. Before the operation, basic biochemical and morphological examination of peripheral blood, as well as general urine examinations, had been performed. The obtained results did not differ from the reference values. In the hormonal profile of peripheral blood, low concentration of oestradiol 19 pg/mL in comparison to the reference values for a bitch (≤20 pg/mL in anoestrus), as well as of progesterone 0.2 ng/mL (≤1 ng/mL in anoestrus), was found. The operation performed consisted of modification and simultaneous combination of three different techniques (colposuspension, bladder neck reconstruction, and bladder suspension) of surgical incontinence treatment. During the follow-up examination after surgery, an intra-abdominal position of the entire bladder was found, and during the period of 16 months after the operation, incidence of urine uncontrolled discharge/leakage were not observed.