Overview of Ectopic Ureters in Dogs
Ectopic ureter is an abnormality present at birth in which one or both of the ducts that bring urine from the kidneys to the bladder fail to open into the bladder in the normal way. The affected dog is born with this problem and the resulting urinary incontinence usually begins at birth. Siberian huskies, golden retrievers, Labrador retrievers and miniature poodles may be more predisposed than other breeds. This problem is diagnosed in females 20 times more often than in males.
Urinary incontinence in a young dog is often misinterpreted as difficulty in housebreaking the pet. Ectopic ureters can predispose the animal to urinary tract and kidney infections. Urinary incontinence can persist even after surgical correction and often leads owners to elect euthanasia for the dog.
Diagnosis of Ectopic Ureters in Dogs
Tests to diagnose ectopic ureters in dogs may include:
Treatment of Ectopic Ureters in Dogs
Home Care and Prevention
After surgery and discharge from the hospital, your dog will be restricted from excessive activity. She may be given anti-inflammatory medications or analgesics (pain killers) for the first few days to keep her comfortable. Some dogs may be sent home with oral antibiotics for several days if a urinary tract infection is also present or suspected.
Your dog may be given medications to increase the urethral muscle tone in order to minimize dribbling after surgery or if no surgery was done.
Watch for potential complications after surgery, including:
This abnormality is present at birth and cannot be prevented. Although the cause of the developmental abnormality is not completely known, it is advisable not to breed the affected dog.
In-depth Information on Ectopic Ureters in Dogs
A ureter is the tube through which the urine passes from the kidney to the bladder. Ectopic ureter is an abnormally placed opening of the ureter, either into the urinary bladder or at another site in the lower genitourinary tract.
Urine traveling in the ureters normally enters the bladder in a region called the trigone near the narrow tip of the bladder where the urethra carries urine out. Animals with ectopic ureters have abnormal ureteral openings at the trigone, or the ureters bypass the bladder and open directly into the urethra, uterus or vagina. Regardless of the actual anatomic abnormality, the muscles of the urethra often function improperly and the urine is poorly contained. This results in the urinary incontinence or dribbling that prompts the owner to seek veterinary help. Some animals may have partial urethral muscle function allowing them to retain their urine, urinate normally at times and only dribble occasionally.
Ectopic ureter is a developmental abnormality that occurs early in fetal life. An underlying cause for the anomaly is not known but other developmental abnormalities of the urogenital system are often present in the same animal.
It is not known why some breeds are more commonly affected with this condition than others; genetic factors are suspected in some family lines. Siberian huskies, golden retrievers, Labrador retrievers and miniature poodles are the commonly affected breeds with this condition.
Ectopic ureters are diagnosed much more frequently in females than in males. It is believed that because of the relatively long length of the male urethra, males infrequently experience urinary incontinence when ectopic ureters are present. Although the true occurrence of ectopic ureters is not known in males, it is likely that it happens as often as it does in females.
Young puppies are usually adopted just after weaning from their mothers. Urinary incontinence or dribbling urine may be tolerated in the beginning by an owner believing that the animal is simply difficult to house train. But when the dribbling continues even after a recent urination outside on a walk, owners usually realize that something is not right and bring the problems to the attention of their veterinarian.
The aberrant location of the ureteral openings and malfunctioning of the urethral sphincter muscles can allow bacteria to gain access into the bladder or even up into the kidneys. Bladder infections (cystitis) may exacerbate these animals’ urinary symptoms by causing frequent and painful urinations, and bloody urine. Infections in the kidneys (pyelonephritis) can severely damage the kidneys and lead to systemic illness.
As many of these animals also have malfunctioning of their urethral sphincter muscles, urinary incontinence may persist after surgical correction. Some medications may help to strengthen the urethral muscle, but if the incontinence continues, many owners opt for euthanasia.
In-depth Information on Diagnosis
In-depth Information on Therapy
Follow-up Care for Dogs with Ectopic Ureters
After discharge from the hospital, the dog must be kept quiet to heal properly. Activity must be restricted for a couple of weeks after surgery. Restricted activity means that the animal should be kept confined to a carrier, crate or small room whenever he cannot be supervised, the animal cannot play or roughhouse even if he appears to be feeling well, and the animal should be confined to a leash when taken outdoors.
Analgesics (pain medications) or anti-inflammatory medications should be given as directed by the veterinarian. Analgesics, such as butorphanol (Torbugesic®) can cause sedation, and anti-inflammatory drugs, such as aspirin or carprofen (Rimadyl), can cause upset stomach. Your veterinarian should be informed if any adverse side effects do occur.
Oral antibiotics may be given at home for several days if a urinary tract infection is present or suspected until culture results are complete.
The skin incision needs to be monitored daily for signs of excessive swelling or discharge. These can indicate problems with the incision or infection. Contact your veterinarian if these occur.
Approximately 1/3 of patients with ectopic ureters will continue to be incontinent after surgery. If the incontinence persists, the urethral sphincter medications may need to be given long-term. It is common for animals to have some blood in their urine after a repair of ectopic ureters. This bleeding should resolve within a few days. If it persists or becomes profuse, inform your veterinarian.
Straining to urinate is also common after surgery on the bladder. This straining usually decreases over the first few days after surgery. It is important to make sure that the animal is actually getting urine out while it is straining. If no urine is coming out, contact your veterinarian immediately.
Infrequently, the ureteral repair can break down and lead to leaking of urine into the abdomen. If the animal begins feeling poorly after some improvement after surgery, or if the abdomen appears to be getting larger, there could be a problem that needs to be addressed by your veterinarian.