Micturition Disorders

Disorders of Storage is the bladder small, normal or large

Small to normal

What are the 3 differentials of Disorders of Storage

urethral sphincter mechanism incompetence

Ectopic ureters

overactive bladder

Do disorders of Voiding have a small, normal or lage bladder

Large

What are the 3 differentials of Disorders of voiding

mechanical obstruction, functional obstruction, atonic bladder

You have an older spayed female who has clinical signs of urine dribbling in her sleep and standing up. What is the diagnosis

Urethral Sphincter mechanism incompetence

How to treat a Dog with urethral sphincter mechanism incompetence

sympathomimetic phenylpropanolamine alpha agonist

no improve-estrogen/ testosterone but be careful of BM suppression

A dog has pollakiuria and its bladder is always small. What is the disorder and how do you diagnose it?

Disorder of storage overactive bladder

diagnose by ruling out other pollakiuria causes

How should we treat an overactive bladder

anti-spasmodic anti-cholinergic anti-muscarinic oxybutynin

Mechanical obstruction is a disorder of voiding. what are some examples

Urolithiasis, prostatic disease, neoplasia, stricture

Functional obstruction causes increased urethral sphincter tone due to what? What is a sign to look for?

T3-L3 lesion- neurologic signs

What skeletal muscler relaxer would you give to a dog with a functional obstruction

Diazepam

If a dog has atonic bladder, how should we treat?

Bethanechol

What is the mechanism behind overflow incontinence

bladder is so full with high pressure some urine dribbles out

What is reflex dyssynergia

Incoordination of detrusor muscle contraction with urethral sphincter relaxation

What is the etiology of Reflex dyssynergia

Secondary to spinal cord disease vs idiopathic

Recurrent UTIs is how many in what time frame

>3 in 12 months

what are some underlying problems of UTIs

Anatomic, urine concentration, immune function

What are most common problems of UTI recurrence

when to refer

Endocrine, uroliths, CKD- if not one consider refferal cystoscopy

Treatment of UTIs includes

treating underlying cause 7-14 days, monitor

if bacterial prostatitis 4-6 weeks

struvites can be a sequela

When can you use meropenem, imipenem, vancomycin, tazocin with recurrent UTIS

no other choice, owner compliance 100%, possible to totally clear infection

How to tell if we have a mechanical or functional obstruction

try to pass a catheter, rads, ultrasound