Nina (pictured above) arrived at a veterinary clinic with an advanced
case of pyometra.
Cheyenne is a beautiful, sweet 7 year old female smooth fox terrier who was admitted to Harleysville Veterinary Hospital very ill in May, 2013, with a severe
case of pyometra.
For
cases of pyometra (just like your Veterinarian advised), surgery is the treatment of choice and usually the only treatment due to the severity of the infection within the uterus.
Diarrhoea may be present in
some cases of pyometra, but usually vomiting, excessive drinking and urination are more common clinical signs.
In severe
cases of pyometra, aggressive antibiotic therapy along with excellent nursing care (possibly including fluid therapy) is the best course of action.
Ovariohysterectomy is the treatment of choice for pyometra and is a routine surgery that many Veterinarians can perform with their eyes closed; that being said, in
cases of pyometra there is always the risk of complications, especially in cases that haven't been seen to quickly.
In a few mild
cases of pyometra, medical treatment may be attempted (especially in an expensive breeding bitch), but in an older bitch that you don't wish to breed from, surgery is the best and safest treatment which will also limit complications.
Not exact matches
The treatment
of choice for
pyometra is surgery, but some
cases are very severe and require the patient to be stabilised before surgery if they are dehydrated or generally not fit for surgery; I can not comment on these.
The treatment
of choice is an ovariohysterectomy where the uterus and the ovaries are removed; the surgery is relatively safe (there are always the risk
of complications in any surgery) especially since the
pyometra is open, meaning there isn't high quantities
of infected material under pressure in the uterus which may cause it to rupture like in some severe
cases of closed
pyometra.
Radiography is more useful in the
case of closed
pyometra as the enlarged fluid filled uterus can be visualised on x-rays.
Medical management can be considered in less severe
cases of open
pyometra if the owner wants to use the dog for breeding.
Medical management is indicated in
cases of open
pyometra that are less critical, as well as if the dog is younger and has particularly valuable genetics for breeding.
Medical treatment
of pyometra is used in mild
cases for breeding dogs, but spaying is preferred since it prevents the return
of pyometra and also reduces the risk
of other conditions like mammary tumours.
Ultrasound can definitively diagnose the fluid filled uterus
of closed
pyometra as well as reveal increased thickness in the uterine wall that is seen in
cases of open
pyometra.
In over 85 %
of cases other possible causes or triggers
of the disease include cholangiohepatitis, pancreatitis, respiratory conditions, diabetes mellitus, hyperthyroidsim, FLUTD (feline lower urinary tract disease), cardiomyopathy (enlarged heart), bowel obstruction, anemia and
pyometra (puss in the uterus).
But in the
case of open
pyometra, there are several treatment options at your disposal — but the first and most important thing is to first have your veterinarian diagnose your dog.
In appropriate
cases, we offer medical treatment
of pyometra and manage the subsequent breeding
of affected animals.