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Shelly Duttine asked 3 years ago

Bulldog Urinary Cystine Stones

Bulldog Urinary Cystine Stones  Hi, Dr. Kraemer i have a 6.5-year old intact male, bulldog mix (English, American, pocket pit) who was diagnosed with bladder stones (cystine) approximately 6 months ago.
Cystotomy July, cystotomy October, stones flushed back into bladder December he’s been on science diet u/d since October

Bulldog Urinary Cystine Stones PU:

we have been to 2 different vets and neither are very familiar with the cystine stones
One vet says to do PU surgery and stay on the science diet u/d
the other said the PU would help the stones to pass but he will be very prone to infections (we live in the country so lots of land and dirt) and says thiola drug and neuter and potassium citrate and science diet u/d

Bulldog Urinary Cystine Stones LONG TERM:

Are there any studies on the best treatment for the long term? it sounds like PU surgery will enable the stones to pass but can cause many other issues.
the thiola is expensive and not sure if it will work potassium citrate reviews do seem to be a method to keep the stones from forming.
i am just at a loss and exhausted so if there is any input or sites I can look at for advice it would be greatly appreciated!!

Thank you!

 

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jasmine88woo replied 9 months ago

Hi Shelly,
Our Olde Thyme Bulldog Byrti is 2yrs old and 6months ago suddenly started pee’ing blood. Initially he was treated for Cystitis but with no success. After a bladder scan, he was diagnosed with Cystine bladder stones. A fairly large one was lodged in his penis and could not be dislodged using a catheter. He unfortunately had to have surgery (I forget the medical name) but they cut him from his belly button and along the side of the full length of his penis. They removed the stone and flushed everything out. We were shocked to see the size of the stone, but also the texture, these stones are very jaggered and rough, they were literally tearing up the inside of his bladder bless him 🙁 . He was put on a strict prescribed kibble (which we soak in water before we give him) and was also advised to give him 2000mg of potassium citrate a day. 2 months later we noticed he was struggling to pee again, no blood this time but the flow was virtually non-existent, just some dribbles here and there. We took him straight back and after a week of backwards and forwards, flushing with catheters, research and many discussions, we decided to have the urethrostomy – permeant opening/stoma allowing for the stones to pass, thus preventing re-blockage. They neutered him during the same surgery too. He is now 1 month post-op and is doing brilliantly! The stoma opening is so neat and tidy. He healed very fast too. He was sore and miserable for 2 days post-op, but then was back to his usual energetic self. We had to wear a cone when left alone for 2 weeks and was not allowed outside other than on a lead to pee or poop. The only issues we’ve had so far is that he keeps cocking his leg to pee instead of squatting, so he pee’s down his leg sometimes 🙂 but this is a small price to pay in order to see him happy and pain-free again.
I hope this helps. Good luck!

Bshelly73 replied 9 months ago

Thank you! I actually sent this a few years ago. I should have posted a follow up. After seeing one of the other vets in the office for a post op from one of the stone removal surgeries, she suggested just neutering him, and it worked! He has been stone free ever since!

Bshelly73 replied 9 months ago

Thank you! I actually sent this a few years ago. I should have posted a follow up. After seeing one of the other vets in the office for a post op from one of the stone removal surgeries, she suggested just neutering him, and it worked! He has been stone free ever since!

1 Answers
Dr. Kraemer Vet4Bulldog answered 3 years ago

Answer for Bulldog Urinary Cystine Stones

Answer for Bulldog Urinary Cystine Stones Dear Shelly those stones are common to the breed especially younger male bulldogs yet constitute less than 2% in other breeds. The stone formation is likely due to your bulldog genetics and is thought to be a metabolic defect of your bulldog kidneys’ processing of cystine.

Answer for Bulldog Urinary Cystine Stones RX DIETAnswer for Bulldog Urinary Cystine Stones SUPPLEMNTS

Answer for Bulldog Urinary Cystine Stones

Note the cystine stone in the new permanent opening, it will just be urinated out from that opening instead of causing a blockage

Strict dietary compliance is necessary to try and keep the urine PH neutral or higher (alkaline) and lower proteins. There are a few prescription veterinary diets available such as Proplan HA and Hills Ud, increasing water intake is also important (dilute urine).

Answer for Bulldog Urinary Cystine Stones SCROTAL URETHROSTOMY

Unfortunately, bulldog cystine stones are likely to recur despite removal and dietary changes, thus I concur with the vet who recommended the urethrostomy (scrotal is preferred). I have done many bulldog urethrostomies successfully, with little to no long-term complications (i.e. Cystitis).

Answer for Bulldog Urinary Cystine Stones SUPPLEMENTS

You can add a urinary supplement like my V4B Bully Comfort & AcheLess Formula and  V4B Bully Urinary Health Formula Chews that can help control infections and reduce the chances for drug resistance type due to biofilm (adherence to bladder wall) The permeant opening/stoma allows for the stones to drop thus preventing re-blockage.

Removal without a permeant new opening at the scrotal area despite adherence to the dietary recommendation is usually just short-term relief. The chances are that your bulldog will present (usually as a very costly emergency) with a new urethral blockage or various degrees of urinary distress in the coming months and years.

Dr. Kraemer Vet4Bulldog

“An Ounce Of PREVENTION Is Worth A Pound Of CURE”

Answer for Bulldog Urinary Cystine StonesPREVENTION IS CURE

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