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Discussion Starter #1 (Edited)
Hi, I’ll start by saying, I have been to the vet and specialists with my girl and on all accounts and blood tests she appears to be healthy. I’m posting here just to see if anyone else has had a similar experience?

The long story starts when I picked up baby when she was 8 weeks old. I did the right thing and took out pet insurance as I wanted her to be covered for any event that may have arisen. 4 or 5 days after I had picked her up I noticed that when she would sleep she would wake with a wet hind quarter and I was also struggling to time her toilet breaks and could never get the timing right no matter how many times I did what everyone was saying. So I took her to the vet, they did some tests and said that she had a uti, here’s some antibiotics see how that goes. The antibiotics seemed to work to reduce the frequency of peeing but she was still waking in a pool of her own urine. I did notice that she was drinking a lot. We did blood tests to check everything and all of her organs were fine. Vet suggested that it was likely that she had an ectopic ureta and referred me to the specialist. Specialist conducted an ultrasound to see if they could see any alignment issues with he tubes bypassing her bladder. They said there was too much congestion in the bladder from a uti and they took a sample and then prescribed an antibiotics that would treat her uti. The antibiotics didn’t see any improvement on the leaking. It was at this point that I tried to claim on my insurance and was told that I was not covered as I first took her to the vet during a ‘waiting period’ and that any treatment linked to her incontinence was not covered as it was considered a pre existing condition. :ponder: the specialist suggested a dye ct scan to track the flow of her urine, but as the test was $2500 and was only investigatory and now not covered by my insurance I decided against it and there was no guantees of answers. I decided to wait to see if she would grow out of it. By this times she was coming up to,6 months, she had her first heat and that coincided with me running out of the advance puppy food that I was feeding her. I purchased a supermarket kibble and after her heat she was not leaking, every so often she would have a drop but nothing to bother me, she also started drinking less. The lady at the pet shop told me that the advance is very high in sodium. I decided that I would let her have a second heat before desexing her as I wanted to make sure everything in that area was matured. So that brings me to today, we’ve only got maybe a week left until she will be out of heat, but her incontinece has returned. I have also switched her to hill science diet about 2 months ago.. pre the heat we didn’t have any leaking, it’s only now?my question is has anyone else had similar experience in terms of incintiance? Vet is suggesting i dexes her in April, im just it sure if I should be if the incontienece is hormonal? Thought?
 

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When one of my dogs was a puppy, at around 6 months old she also would start leaks big urine when she slept. We tried antibiotics as well, did test but everything was normal. So we put her on Proin, it’s a medication for incontinence. She is now 5 years old and is still on it, it works really well, she gets one a day in the morning. I would ask your Vet about Proin.
 

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Its possible she has developed another UTI. Some dogs, are prone to that, but you need your Vet to confirm.
 

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Discussion Starter #4
Hi SydneyBear, was your girl desexed when she started leaking, does she have spay incontinence? My girl hasn’t been desexed yet.
 

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I had considered this Laco, but we’ve also just finished a week of antibiotics for a skin condition. I’m not,sure if the same antibiotics would be used to treat a uti?
 

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It’s been so long I don’t remember if she had been spayed yet at that point, but her issues started pretty young, One doctor said she probably had a weak urethra, that it could possible get better in time but it never did until I started the medication. It’s rare but some puppie young dogs can have incontenece issues, I don’t think being spayed or not has anything to do with it.
 

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Discussion Starter #7
Thanks SydneyBear, I think spay incontinence is definitely a condition, which is why I was advised to let her mature to see if that helped. I'm thinking because she has been almost 6 months without leaking it would be unlikely that she has ectopic uretas as the tubes from the kidney plug in after the bladder there is not sphincter to stop the flow of urine, I don't think she would have been dry for 6 months if she has ectopic uretas, as I don't think they can be fixed by any other means than surgery and even then that's not always succesful.

I'm thinking she maybe has Primary urinary sphincter mechanism incontinence. Even today she is leaking less than yesterday so maybe her hormones are regulating? My concern is that if I have her desexed will she then start leaking again? My original plan was to have her desexed at 9 months but this has been put on hold. I was just wondering if anyone else had been in a similar situation and what advice they were given.

Thanks for you taking the time to reply, much appreciated!
 

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Personally I would want to fully rule out a UTI. At this point I would wait until she was off antibiotics for 21 days then send out a low colony count urine culture to the lab. That would determine if there was any bacteria hanging around and what specific antibiotics would work to clear them out. If she as positive for a UTI then I would do the course of antibiotics, I would expect a 14-21 day course at this point, and I would recheck the culture 21 days after finishing the antibiotics. If it's not a UTI than you could do the testing for ectopic ureter that the specialist recommend or consult with your vet about just treating symptomatically for incontenince.

A lot of times we see these as 2nd or 3rd opinions and usually ends up being an unresolved UTI. There's no single antibiotic that covers all UTI, so if an initial culture wasn't done you may have never killed the offending bacteria. Or the issue is never followed up on to confirm that the infection has been completely cleared, leaving residual bacteria to reinfect and become resistant to the antibiotic that was working. Incontenince can also be caused by cellular damage from repeated UTIs and inflammation, which may or may not be permenant.

In regards to her being intact. Hormonal changes can make some females prone to developing UTIs. She definitely does not have spay incontenince, because she is not spayed. Any physical benefit that she might gotten from having a heat cycle, she would have already had by now; so if you're not planning on breeding her, her incontenince issue should not be a reason to keep her intact.
 

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Discussion Starter #9
Hi animal cracker, thanks for your suggestions. I understand that there is no way she has spay incontinence.

1 year ago when I first noticed her leaking we tried an general antibiotic and after that failed to make her better, we took her to the specialist and this is when we had the culture done and treated her with the correct antibiotic for the specific bacteria.

She was still intermittently leaking after the correct antibiotic. 1 month after we finished the course of antibiotics I changed her dry food and I instantly noticed that she was a lot dryer and drinking less water. Can the bacteria lie dormant in her system? She had her first heat and towards the end of that she was started to leak urine a little but that soon passed and she has been dry up until last week which was the end of her heat. Today she has only leaked the tiniest bit so I’m thinking we might be headed back to no leaks, which is why I thought it seems hormonal to do with her cycle.

I do not intend to breed with her, so I will be proceed with getting her desexed in 2 months. I guess I need either have her tested for a uti again or to cross the leaky issue should it happen once she’s desexed.

Thanks again, I definitely value everyone’s input.
 

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Yes the bacteria can lay "dormant". In a healthy dog, there's almost always a small amount of insignificant bacteria that the body is able to keep at bay as it were. When they are in heat the body becomes stressed and is sometimes no longer able to "control" the bio load. If you've ruled out and/or completely cleared a UTI and the symptoms return with each heat cycle then that would be a logical suspect to the cause. At this point there's no current health issue prohibiting her from being spayed. Wait until she's fully finished her cycle and get her spayed if that is what you would like to do.
 
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