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Urinary Incontinence
When a dog is presented at the Vet because it is leaking urine (urinary incontinence)
there is generally no quick solution to the problem due to the many reasons why it occurs.
A full examination, detailed history and full analysis of the urine is often required. In
this article we are only going to cover some of the causes.
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Incontinence in the middle-aged to older desexed female dog is a common reason for
to be presented to the Vet. The two most common forms of incontinence we see in this group
of patients are:
1. Hormone-responsive incontinence: - It is believed that
oestrogens play a role in the maintenance of urethral tone. Therefore female dogs that are
without normal levels of oestrogens ie desexed dogs can develop incontinence associated
with sleeping and relaxing. This condition will often respond to some type of oestrogen
replacement therapy. Supplementing the diet with phyto-oestrogen containing foods has been
suggested. It is hard to recommend them as a sole treatment for the problem due to the
lack of controlled trials and the relative "weakness" of phyto-oestrogens
compared to the body's natural oestrogens. Occasionally desexed male dogs will develop
incontinence after desexing although this is a fairly rare condition.
2. Bladder hyper-contractility means the bladder wall muscles are
contracting more than they should when the bladder is in a relaxed, non-urinating state.
This generally occurs in inflammation such that occurs in bacterial cystitis. This leads
to what we call urge incontinence which is the inability to control urine
loss due to an overwhelming urge to urinate. The inflammation gives the sensation of a
full bladder which triggers the urination reflex. Treating the cause of the inflammation
is the main way to control urge incontinence.
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Polyuria is another reason we see incontinence. Polyuria simply means increased
urine production. Both of the above problems can be made worse if there is polyuria. This
often needs to be ruled out as an underlying cause by urine tests. The reasons for
polyuria are many - too many to discuss in this article. For more information on polyuria
follow this link. Increased urine production in polyuria will place more demand on the
mechanisms that keep urine in and incontinence may follow.
All the medications to treat the above problems are only able to be dispensed by your
Vet after your dog has been examined. It is against the law to do otherwise. If you intend
to have your dog examined to determine what is the cause of the incontinence, it is often
a good idea to take a fresh (<2hrs old) urine sample with you when you visit the Vet.
If incontinence is left too long complications such as infection can develop.
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