Well you have a much better memory than i do, seeing as i was supposed to update this thread when the diagnosis was confirmed.
Hip dysplasia is confirmed, he is just under 1. They have tried a hormone that "should" help strengthen the bladder i believe. It was not beneficial, from then until last week it has only improved without any treatments. He now urinates 2-3 times a week inside. He was neutered last week.
Needless to say, there seems to be no "cure" just lots and lots and lots of patience.
Your folks are special people, trying with this huge dog who is undoubtedly making a mess several times a week in their house. Not many folks would do that.
For management, I guess I'd just try to keep the bladder as empty as possible when he's indoors.
Keep him OFF furniture.
IME even the most loving owners will reach a euthanasia tipping point when enough good furniture has been destroyed.
Invest in belly bands, not medication, if the diagnosis is neurological.
I would be swimming this guy if at all possible. Strengthening that hind end will help with the dysplaysia and you might get lucky with the incontinence too.
Apparently there's a new procedure out for urinary incontinence.
"If all else fails there is a surgical treatment that is being tried. It is fairly new to use in dogs and has some success. Under anesthesia collagen is injected around the urethral opening causing a mechanical blockage, which then allows the dog to hold its urine easier. Some of these dogs still need to take PPA and many of them have to have the procedure repeated. Definitely not a first line of correction but when it means the life vs death because of urine leakage it is worth trying to find a vet to do the procedure."http://dogkinetics.com/311/dog-health/urinary-incontinence-weak-bladder-sphincter-problem
Lots of nagging from myself likely helps them stay on it. Haha. He is not allowed on furniture. As he usually goes within a few moments of standing up.He hates the water, its never warm enough to swim in around here, and there are no dog friendly pools. They have purchased a belly band, not too sure if it helps or not as its seldomed used.
New question, i have been told he is having severe "rocket butt" every bowel movement for the past 48 hours. Could the neutering have anything to do with this?
If he's on antibiotics they can cause some diarrhea.
I'd fast him for several hours before giving him a few small meals of very bland foods. Boiled chicken, egg, overcooked(mushy) rice along with some pumpkin. He'll be hungry but his gut needs some time to settle down.
Here's another procedure that was introduced in 2011:
"Hydraulic urethral occlusion empoys a silicon cuff around the proximal urethra. The cuff is filled with variable amounts of saline to provide mechanical obstruction to urine flow through the urethra. The amount of saline in the cuff, and the degree of resistance to flow, is adjusted using a subcutaneous injection port placed on the inner thigh."http://dogaware.com/articles/wdjincontinence.html
Unfortunately some of the procedures are only able to be used on females for spay incontinence but I don't know if that's because it's the only way they studied it or if there's an anatomical trait that makes it ineffective for male dogs.
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