My dog Karitsa has incontinence issues. It's not just a dribble here and there, it's full bladder empyting. She's been on 2 meds for about a year now, and one of them is at a very high dose. I took her to see an vet specialist to see if there are any other options such as surgery to correct this problem as I would like to steer her away from so much medication for her entire life. The vet basically said they would need to do a cystoscopy to make sure it's not ectopic ureter(s). Once it's diagnosed that it is not this, there is a newer surgery where they place a cuff around the bladder neck and inflate it to keep the muscles taught enough to hold the urine but loose enough to let her pee when needed. She said so far the results have been pretty good with this surgery.
The vet also examined her vulva and said Karitsa's is inverted and "hooded" and recommended a "nip & tuck" surgery to correct this. She said this could be why she initially had recurrent UTI's. The nip & tuck was estimated at about $1,000-1,500, the cystoscopy was estimated at $2,500, and the cuff surgery at about $6,000.
I was speaking with my regular vet and he said perhaps to do the nip & tuck first and see how she does. If the incontinence continues after to go ahead and do the cystoscopy. Considering that everything will cost well over $10,000 (as another urine & culture test via cystocentesis and blood work to make sure her organs are ok with all the meds (both will be about $400), maybe doing the nip & tuck first will be more feasible financially, then go from there.
Can I get some insight on what other's would do in this situation? I have a little bit of savings, but not $10,000 so would have to get a loan to do all of this this year.