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Cystotomy in Dogs: A Complete Guide to Bladder Stone Surgery

Brindle and white Boxer dog on vet table with professional's hand

Brindle and white Boxer dog on vet table with professional's hand

Learn about cystotomy, a procedure for removing bladder stones in dogs, covering pre-surgery prep, recovery, and prevention.

Understanding Canine Cystotomy Surgery

A cystotomy is a surgical procedure commonly performed on dogs to address various bladder issues, with bladder stone removal being the most frequent reason. This specialized surgery involves making a careful incision into the dog's bladder to remove stones (uroliths) that can't be dissolved through medication or are causing dangerous urinary blockages.

For many pet owners, learning their dog needs a cystotomy can be concerning. However, this procedure is one of the most routine surgeries performed in veterinary medicine, with high success rates when conducted by experienced veterinary surgeons.

The Surgical Procedure Explained

During a cystotomy, the veterinary surgeon makes a precise incision in the dog's lower abdomen to access the bladder. The procedure is performed under general anesthesia, with careful monitoring throughout the operation. The surgeon creates an opening in the bladder wall, allowing for the removal of stones and inspection of the bladder's interior.

The entire surgical process typically takes between 45-90 minutes, depending on the number and size of stones present. Advanced imaging techniques help ensure all stones are located and removed during the procedure.

Pre-Surgery Preparation and Assessment

Before scheduling a cystotomy, your veterinarian will conduct comprehensive testing, including:

  • Blood work to assess organ function and overall health
  • Urinalysis to evaluate infection and urine composition
  • X-rays or ultrasound to confirm stone location and size
  • Physical examination to ensure your dog can safely undergo anesthesia

Post-Operative Care and Recovery

Recovery from a cystotomy requires careful attention and dedication from pet owners. Your dog will need:

  • A quiet, comfortable space to rest
  • Restricted activity for 10-14 days
  • Regular monitoring of the surgical site
  • Pain medication as prescribed by your veterinarian
  • Special dietary considerations to prevent stone recurrence

Most dogs return to normal activities within two weeks, though full internal healing may take slightly longer.

Preventing Future Bladder Stones

After surgery, preventing stone recurrence becomes a primary focus. Your veterinarian will develop a comprehensive prevention plan that may include:

  • Specialized prescription diets
  • Increased water consumption
  • Regular urinalysis monitoring
  • Scheduled follow-up imaging
  • Dietary supplements as recommended

Frequently Asked Questions

What are the common reasons for performing a cystotomy in dogs?

The most common reasons for performing a cystotomy include removing bladder stones, treating bladder tumors, obtaining tissue biopsies, and addressing severe urinary blockages that can't be resolved through other methods.

How long does it typically take for a dog to fully recover after a cystotomy?

Most dogs recover from a cystotomy within 10-14 days. However, complete internal healing may take up to 4 weeks. During this time, activity should be restricted, and the surgical site should be monitored closely.

What post-operative care instructions should I follow to ensure my dog heals properly after a cystotomy?

Follow your veterinarian's specific instructions regarding medication administration, wound care, activity restriction, and dietary changes. Keep the surgical site clean and dry, monitor for signs of infection, and prevent your dog from licking the incision.

How can I prevent bladder stones from recurring in my dog after a cystotomy?

Prevention typically involves maintaining your dog on a specialized diet, ensuring adequate water intake, regular veterinary check-ups, and monitoring urine pH levels. Your veterinarian will create a prevention plan based on the type of stones removed.

What are the potential complications that can occur during or after a cystotomy in dogs?

While complications are relatively rare, they may include surgical site infection, urinary leakage, bladder inflammation, or stone recurrence. Proper post-operative care and following prevention protocols help minimize these risks.

Conclusion

A cystotomy is a vital surgical procedure that can significantly improve your dog's quality of life when dealing with bladder stones. While the surgery itself is routine, success depends on proper pre-operative preparation, skilled surgical technique, and dedicated post-operative care. By following your veterinarian's recommendations and maintaining preventive measures, you can help ensure your dog's long-term urinary health.

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