Urology

Urology

At Treendale Pet Medical we prefer to make a diagnosis rather than giving your pet antibiotics based on guess work. If your pet has ongoing urinary tract problems, we will discuss a workup using the following tests. To look is to see. Our focus is a diagnosis not shotgun therapy and guess work.
 
  1. Blood work to assess kidney function and screen for diabetes and other diseases that may be causing urinary system issues.
  2. Urinalysis - We will collect urine and run a urinalysis in our pet lab and centrifuge the urine to examine the sediment. Sometimes we may find crystals, cancer cells, red blood cells, white blood cells, haemoglobin or bilirubin, sugar and maybe pathological bacteria.
  3. Ultrasound - We will use state of the art imaging with our top of the range veterinary ultrasound machine to assess bladder and kidneys.
  4. Urine culture and sensitivity - based on our urinalysis findings, we may recommend to have your pet's urine cultured.

The following images demonstrate pathology in a feline bladder that presented for inappropriate urination. Often this is a behavioural problem, however, because we checked the urine, we realised this cat had significant disease.

The cat has severe thickening in the bladder trigone which was causing irritation and straining to urinate. 
thickened bladder wall cat feline ultrasound

The next image shows fibrin strands floating around in the urine due to a severe inflammatory response.
ultrasound feline urinary bladder FLUTD cat

The urine was collected by ultrasound guided cystocentesis and urinalysis and sedimentary examination undertaken. The urine showed an overgrowth of bacteria suggesting a severe infectious cystitis and the urine was sent for culture and sensitivity testing. A bacteria called Enterococcus was cultured. This bacteria is resistant to many kinds of antibiotics. Since urine culture and sensitivity testing had been performed, we prescribed the correct antibiotic and began the correct treatment immediately.

feline urine Enterococcus bacteria FLUTD cystitis cat
Enterococcus bacteria in the urine of a cat with an infectious cystitis.
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