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Old May 22nd, 2009, 12:24 PM
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Reconstructive Surgery - genitals...(sigh)

Ok, just throwing this out there...has any one ever had their dog undergo, or know of one who has had, reconstructive surgery on their genitals (the vulva, specifically i.e. the "outie" part") in order to correct a congenital defect that is responsible for recurring infections?

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Old May 22nd, 2009, 12:32 PM
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Is this for Heidi?
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Old May 22nd, 2009, 12:33 PM
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No, Jaida (of course).
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Old May 22nd, 2009, 12:35 PM
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I believe mummummum's Ceili had the surgery done, bendyfoot.
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Old May 22nd, 2009, 12:39 PM
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Haven't seen M3 in a while...

I mean, she's been through worse. I dunno. It's just one more thing.
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Old May 22nd, 2009, 12:46 PM
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Oh, I guess she's been spayed already then . Fanny, our previous foster had a recessed vulva so we decided to let her go through a heat and see if it would correct itself...which it did. We had her spayed afterwords when everything was where it was supposed to be.

She did have a quite the persistent UTI that lasted quite some time. It was treated with two rounds of anti-biotics (consecutively) and we added 500mg cranberry supplements with yogurt high in probiotics to each meal (she was fed Orijen though, not raw) which seemed to do the trick in getting rid of the UTI once and for all.

Do you know if it's a recurring or pesistent UTI that Jaida has?
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Old May 22nd, 2009, 12:50 PM
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MMM is still around now and then, bendy--you might be able to get a PM through to her.

I never realized that this problem was so common! Ceili, Fanny, Jaida... Bummer
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Old May 22nd, 2009, 12:52 PM
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Knowing what we know now we're kicking ourselves for getting Jaida spayed pre-puberty. I suspect it would have been beneficial for her in many ways to delay the spay. What's done is done, though, sigh. :sad:

It's not UTIs she gets, it's vaginal tract infections. And right now a galloping case of dermatitis. It's more due to extra folds of skin around the vulva, which is already slightly recessed/small.

Egads, i just saw a dog vulvoplasty on youtube. Erk. I guess it's a quick/easy procedure. But oooooowwwwwww.......
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Old May 22nd, 2009, 01:04 PM
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Ya, I hear ya.

Thank dawg for pain meds!

Poor Jaida has really been through the wringer, hasn't she?
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Old July 28th, 2009, 01:23 PM
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Quote:
Originally Posted by bendyfoot View Post
Ok, just throwing this out there...has any one ever had their dog undergo, or know of one who has had, reconstructive surgery on their genitals (the vulva, specifically i.e. the "outie" part") in order to correct a congenital defect that is responsible for recurring infections?

I assume we are talking about an episioplasty? ...to remove excess perivulvar tissue which can hold in urine and bacteria. This is actually a common procedure and typically works well. It is like a 'face lift'... just in the opposite end of the pet. It usually involves removing a crescent shaped piece of skin and underlying fat. On occasion a second surgery might be needed if not enough tissue was taken on the first surgery. Here is a link from the AVMA which shows a retrospective study that is very encouraging: AVMA Abstract. Also here is another link: Veterinary Practice News

Many veterinarians can perform this surgery (with or without laser)
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Old July 28th, 2009, 01:24 PM
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Yes, an episioplasty...at least that's what I'm assuming the vet meant when she mentioned it last time we were in. Have you seen this used to treat dermatitis and what was the outcome?
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Audrey - torbie - sweet as pie (11 months)
Patrick - blue - a little turd (but we like him anyways) (6 months)
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Old July 28th, 2009, 01:25 PM
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...and bendyfoot - thanks for bumping it up!

also feel free to PM me if you ever want me to look at a thread. Personal life has been a little strained lately, so I have not spent as much time on pets.ca as I would like to.
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Old July 28th, 2009, 01:28 PM
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I understand personal life stuff getting in the way these days, and I appreciate you having a look...

another question...we're looking at getting this done probably in the fall...is there anything we should be doing in the meantime to mitigate it? We try to keep her from licking/chewing as best as we're able, I often will wipe with Malacetic wipes that I was given, sometimes I'll put a little antibiotic ointment on there if I'm going to be around long enough to monitor that she's not going to lick it off... I feel bad for her, I'm always hearing "nibblenibblenibble" if I step out of the room.
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Solomon - black DSH - king of kitchen raids (11)
Gracie - Mutterooski X - scary smart (9)
Jaida - GSD - tripod trainwreck and gentle soul (4)
Heidi - mugsly Boston Terrier X - she is in BIG trouble!!! (3)
Audrey - torbie - sweet as pie (11 months)
Patrick - blue - a little turd (but we like him anyways) (6 months)
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Old July 28th, 2009, 01:28 PM
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Yes. It works well as long as the problem is localized to the perivulvar region. If the problem is from a small amount of urine sitting perivuvlarly and leading to secondary dermatitis, then this should work well.

If there are other problems (food allergy, atopy, etc...) then it will not be as successful. Also a swab cytology might be helpful at the time of surgery - make sure that we know if the local dermatitis is secondary to yeast or bacteria - as antibiotics can make fungal infections worse and visa versa. Usually antibiotics alone post op will work though.
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Old July 28th, 2009, 01:31 PM
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The wipes are good. How is her weight? If there is any extra pounds, it will make this condition worse.

Also most topical medications are designed to have the majority of the medication absorbed within 10-15 minutes and what is left over is just a carrying agent - often similar to vaseline. Neosporin works well. If there is extra inflammation, Neosporin Plus (which has cortisone) can be helpful as well.
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Old July 28th, 2009, 01:31 PM
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The area extends about 1-1.5" away from the vulva in all directions. There is some hair loss and irritation further up her belly, and around her anus, but I'm pretty sure that's from the chewing she's doing. She's had several bacterial vaginal infections (staph). No UTIs that we've been able to detect. Very minor presence of fungus showed up on a swab.

If it was an allergy would we expect to see irritation elsewhere? She occasionally gets some dermatitis between her toes but is otherwise fine apparently...
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Solomon - black DSH - king of kitchen raids (11)
Gracie - Mutterooski X - scary smart (9)
Jaida - GSD - tripod trainwreck and gentle soul (4)
Heidi - mugsly Boston Terrier X - she is in BIG trouble!!! (3)
Audrey - torbie - sweet as pie (11 months)
Patrick - blue - a little turd (but we like him anyways) (6 months)
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Riley and Molly
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Old July 28th, 2009, 01:32 PM
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ok I've used an OTC cortisone a few times too when things looked really red.

She's definitely NOT overweight, we have to stuff her with a ton of food to keep any weight on her, she's usually on the bony side.

Good to know about the absorption rate of the topicals, I didn't know that before...I can mellow out about watching her for licking after 15 minutes then, yay!
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Owned by:
Solomon - black DSH - king of kitchen raids (11)
Gracie - Mutterooski X - scary smart (9)
Jaida - GSD - tripod trainwreck and gentle soul (4)
Heidi - mugsly Boston Terrier X - she is in BIG trouble!!! (3)
Audrey - torbie - sweet as pie (11 months)
Patrick - blue - a little turd (but we like him anyways) (6 months)
__________
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Riley and Molly
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Old January 14th, 2010, 08:08 PM
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So I'm reviving this thread because there's very little information and fewer personal accounts available on the web, or on this site, and if someone wanders to pets.ca looking for information about an episioplasty, at least there will be this (Yes, I document things. It's what I do, I'm a geek and can't help it)

Jaida, our three year old GSD, had an episioplasty today, to treat the dermatitis she's been suffering around her genital area for quite some time. Medications, wipes, creams etc. had not helped to this point so this was really our last option if we wanted to treat it.

As Dr. Lee described in a earlier post, Jaida now has a horseshoe or crescent-shaped incision between her vulva and her anus. I'm guessing the incision is about 7" long in total; it has been closed with sutures. She has been sent home with antibiotics, and two pain medications (Tramadol and Metacam).

The incision bleeds only a little bit, as long as she's leaving it alone. I've been assured that this is normal for such a highly vascularized area of the body. She is, however, wanting to scoot her bum on the floor; this is definitely something I'm going to be preventing her from doing, as it worsens the bleeding considerably. I'm having a bit of an issue with her cone, too...it's long enough to keep her from licking, but the edge of the cone itself it banging the incision. I'm now considering spending the night here with her on the floor to keep her from damaging the wound...overkill? Maybe, but what's a worried dog-mom to do?

I've also been instructed to apply warm compresses to the area 2-3 times a day. I managed to do this successfully once tonight, although it seemed to be sore for her when I did it.

She has peed once tonight, and it didn't seem to hurt at all, so that's a positive thing.

I may post a picture, or a link to one, later this week so interested parties can get an idea of what we're working with here. There is one video, of the surgery itself, available on YouTube, for those who aren't squeamish.
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Solomon - black DSH - king of kitchen raids (11)
Gracie - Mutterooski X - scary smart (9)
Jaida - GSD - tripod trainwreck and gentle soul (4)
Heidi - mugsly Boston Terrier X - she is in BIG trouble!!! (3)
Audrey - torbie - sweet as pie (11 months)
Patrick - blue - a little turd (but we like him anyways) (6 months)
__________
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Riley and Molly
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Old January 14th, 2010, 11:02 PM
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Bendy, I hope Jaida has a speedy recovery.

Since there is so little info here about an episioplasty/vulvoplasty I think you should post your information in the Pet Encyclopedia forum http://www.pets.ca/forum/forumdisplay.php?f=65 with a link to this thread.
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Old January 15th, 2010, 02:11 AM
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Speedy recovery for Jaida .
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Old January 15th, 2010, 08:04 AM
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Quote:
Originally Posted by rainbow View Post
Bendy, I hope Jaida has a speedy recovery.

Since there is so little info here about an episioplasty/vulvoplasty I think you should post your information in the Pet Encyclopedia forum http://www.pets.ca/forum/forumdisplay.php?f=65 with a link to this thread.
Hm, maybe not a bad idea. I can post the few links I found too. Alright lemme see what I can come up with.

Ok, new entry here: Episioplasty-canine

And an update for this thread today:

She slept well overall last night, from 11-4 a.m. without a peep. She got another Tramadol at 4:30, and I napped with her until about 6 a.m.; she needed some supervision because she was trying to scoot/lick again.

She had a pee this morning, no problem, and enjoyed a good roll in the snow. She started her antibiotics this morning.

One thing that surprises me is that it doesn't seem to hurt when she wags her tail...I would have thought that would be sore, but her tail hasn't stopped!!!

She is napping now, with her cone on, and is being a good girl.
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Owned by:
Solomon - black DSH - king of kitchen raids (11)
Gracie - Mutterooski X - scary smart (9)
Jaida - GSD - tripod trainwreck and gentle soul (4)
Heidi - mugsly Boston Terrier X - she is in BIG trouble!!! (3)
Audrey - torbie - sweet as pie (11 months)
Patrick - blue - a little turd (but we like him anyways) (6 months)
__________
Boo, our Matriarch (August 1 1992 - March 29 2011)
Riley and Molly

Last edited by bendyfoot; January 15th, 2010 at 08:57 AM.
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Old January 15th, 2010, 01:11 PM
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Glad to hear that Jaida is recovering well.

And, thanks for posting the info in the Encyclopedia forum .....it was very well written.
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