A two-year-old, entire male Welsh springer spaniel presented for investigation of urinary incontinence, present from a young age. Contrast-enhanced abdominal computed tomography (CT)revealed a large, fluid-filled lesion within the prostate gland. A retrograde urethrocystogram documented leakage of contrast medium from the urethra into the lesion. Surgery revealed a prostatic cavitary lesion communicating directly with the prostatic urethra via multiple urethral defects, allowing accumulation of urine within the lesion. Partial prostatic wall resection and intracapsular prostatic omentalisation were performed after debridement and closure of the urethral defects. Prostatopexy was performed to maintain an intra-abdominal bladder neck and address the possibility of concurrent urethral sphincter mechanism incompetence. Histological examination of prostatic wall biopsies revealed bacterial prostatitis and culture yielded Staphylococcus aureus. The urinary incontinence resolved completely postoperatively. A urine-filled prostatic cavitary lesion, with concurrent prostatic urethral defects, should be included in the differentials of urinary incontinence in young male dogs.
- urinary tract
- companion animals
- soft tissue surgery
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Contributors All authors were responsible for the animal’s care, involved in the management of the case as well as actively involved in the concept, design and revision process of the report. All authors agreed on the final version of the document submitted.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
Data sharing statement There are no additional data available for this article.
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