North Carolina State University, Raleigh, North Carolina, USA.
Department of Clinical Sciences, North Carolina State University, Raleigh, North Carolina, USA.
J Vet Intern Med. 2023 Nov-Dec;37(6):2488-2491. doi: 10.1111/jvim.16889. Epub 2023 Sep 29.
A 4-year-old female spayed mixed breed dog presented with a 2-year history of painful urination and recurrent hematuria.
The dog had a large sensitive bladder, palpation of which was followed by painful urination. Pollakiuria accompanied by vocalization were noted during observation of voiding.
Cystoscopy identified a focal, rounded expansion of epithelial tissue in the right lateral aspect of the urethral papilla containing purulent material consistent with an abscess. A sample submitted for culture yielded growth of Staphylococcus pseudintermedius and Proteus mirabilis.
Purulent material was expelled by manual pressure during cystourethroscopy. Enrofloxacin (10 mg/kg PO q24h for 42 days) and carprofen (4.4 mg/kg PO q24h for 14 days) were initiated. Clinical signs resolved within 2 days.
Inflammation in the region of the lesser vestibular paraurethral glands should be considered as a differential for female dogs presenting with chronic dysuria.
一只 4 岁已绝育的雌性混种犬，表现出 2 年的尿痛和复发性血尿病史。
该犬膀胱大且敏感，触诊后出现尿痛。在观察排尿过程中，出现多尿伴发声。
膀胱镜检查发现尿道乳头右侧有一个局灶性、圆形的上皮组织扩张，其中含有脓性物质，符合脓肿的表现。提交进行培养的样本中生长出中间葡萄球菌和奇异变形杆菌。
在膀胱尿道镜检查过程中，通过手动施压排出脓性物质。开始使用恩诺沙星（10mg/kg，口服，每 24 小时 1 次，共 42 天）和卡洛芬（4.4mg/kg，口服，每 24 小时 1 次，共 14 天）。临床症状在 2 天内得到缓解。
对于出现慢性排尿困难的雌性犬，应考虑到小阴唇旁尿道腺区域的炎症作为鉴别诊断。
