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skippysmom1612 · 02-25-2012, 12:02 PM

Thought if anyone who might be knowledgeable would understand what these test results read. One thing left for doc to try (and medicine arrives on Monday) is suppose to be something to relax his uretha. Doc thinks he might be tensing up with trying to pee. The day after he received these results he ran another cath (larger) and did a saline flush with nothing showing up this time but skippy is still having his issues. Feedback would be extremely appreciated at this point. Below are the lab results:
Report Date 02/21/12 5:27 pm
Received Date 02/21/12 3:30 pm
Request Date 02/21/12 3:44 pm
Report # 197699
Requesting Veterinarian Mallard
Requesting Facility Strafford Veterinary Clinic, LLC
601 W. Evergreen
Strafford MO 65757
Phone
Fax 4177362819
Patient Skippy Study Special Studies: Cystogram - Positive
Sex Male, Neutered Age 6y Weight 6.10 lbs. Species Canine Breed Yorkshire
Terrier
Patient ID 6528
200 Valley Wood Rd., Suite B-200
The Woodlands, TX 77380
1-888-4-PETRAYS
Generated by RadRequest : PetRays Submit a Request PetRays Veterinary Telemedicine Consultants Located in Spring, Texas Report # 197699
History Skippy has been straining to urinate every since a dental procedure. A struvite stone was found in
the hair around the penis the day after the dental procedure.
Findings
2 lateral survey radiographs are available along with 11 orthogonal retrograde cystourethrogram radiographs.

There is no evidence of liver, splenic or renal enlargement. The gastrointestinal structures are within normal
limits for size and content. The urinary bladder is moderately distended. There is a questionable faint pinpoint
mineral opacity on the lateral projection over the plane of the bladder. There is no evidence of a urethrolith.

A retrograde cystourethrogram was performed with a catheter in the distal penile urethra. 2 filling defects are
noted in the mid membranous urethra on initial radiographs. This is not identified on subsequent images.
There is no evidence of a urethral stricture or abnormal luminal attenuation. The urinary bladder is
moderately distended with contrast. Complete urinary bladder distention is not identified. Minimal
extravasation into the prostate is identified. Filling defects are not identified within the urinary bladder.
Conclusions
Initial urethral filling defects may represent gas bubbles; however, small ureteroliths cannot be ruled out.
These are not seen on subsequent images and may have been pushed into urinary bladder.

Small mineral opacity over plane of urinary bladder may represent small cystic calculus. Intermittent
movement of cystic calculi into urethra is a consideration.

Otherwise normal retrograde cystourethrogram.
Cody Laas, DVM, Diplomate, ACVR

If you have any questions (veterinarians only), please email me at

drlaas2005@yahoo.com or call 210-262-0718

If you would like additional information regarding specific treatment recommendations for this case please submit an additional
request for an internal medicine consultation. Please make sure you apply the same patient identification number to the request.

02-25-2012, 12:02 PM	#6
skippysmom1612 YorkieTalk Newbie! Join Date: Feb 2012 Location: Springfield, Mo, USA Posts: 6	an update and still stumped Thought if anyone who might be knowledgeable would understand what these test results read. One thing left for doc to try (and medicine arrives on Monday) is suppose to be something to relax his uretha. Doc thinks he might be tensing up with trying to pee. The day after he received these results he ran another cath (larger) and did a saline flush with nothing showing up this time but skippy is still having his issues. Feedback would be extremely appreciated at this point. Below are the lab results: Report Date 02/21/12 5:27 pm Received Date 02/21/12 3:30 pm Request Date 02/21/12 3:44 pm Report # 197699 Requesting Veterinarian Mallard Requesting Facility Strafford Veterinary Clinic, LLC 601 W. Evergreen Strafford MO 65757 Phone Fax 4177362819 Patient Skippy Study Special Studies: Cystogram - Positive Sex Male, Neutered Age 6y Weight 6.10 lbs. Species Canine Breed Yorkshire Terrier Patient ID 6528 200 Valley Wood Rd., Suite B-200 The Woodlands, TX 77380 1-888-4-PETRAYS Generated by RadRequest : PetRays Submit a Request PetRays Veterinary Telemedicine Consultants Located in Spring, Texas Report # 197699 History Skippy has been straining to urinate every since a dental procedure. A struvite stone was found in the hair around the penis the day after the dental procedure. Findings 2 lateral survey radiographs are available along with 11 orthogonal retrograde cystourethrogram radiographs. There is no evidence of liver, splenic or renal enlargement. The gastrointestinal structures are within normal limits for size and content. The urinary bladder is moderately distended. There is a questionable faint pinpoint mineral opacity on the lateral projection over the plane of the bladder. There is no evidence of a urethrolith. A retrograde cystourethrogram was performed with a catheter in the distal penile urethra. 2 filling defects are noted in the mid membranous urethra on initial radiographs. This is not identified on subsequent images. There is no evidence of a urethral stricture or abnormal luminal attenuation. The urinary bladder is moderately distended with contrast. Complete urinary bladder distention is not identified. Minimal extravasation into the prostate is identified. Filling defects are not identified within the urinary bladder. Conclusions Initial urethral filling defects may represent gas bubbles; however, small ureteroliths cannot be ruled out. These are not seen on subsequent images and may have been pushed into urinary bladder. Small mineral opacity over plane of urinary bladder may represent small cystic calculus. Intermittent movement of cystic calculi into urethra is a consideration. Otherwise normal retrograde cystourethrogram. Cody Laas, DVM, Diplomate, ACVR If you have any questions (veterinarians only), please email me at drlaas2005@yahoo.com or call 210-262-0718 If you would like additional information regarding specific treatment recommendations for this case please submit an additional request for an internal medicine consultation. Please make sure you apply the same patient identification number to the request.