Beau presented with a history of urinary obstruction requiring hospitalization and urinary catheter placement in September. On examination, Beau was found to have a firm and painful bladder. A small amount of bloody urine was expressed, but his bladder could not be fully emptied, even with additional anxiolytic medications. They discussed the concerns of a full urinary obstruction requiring emergency treatment.

At this time, Beau is not fully obstructed, but has a large amount of inflammation throughout his urogenital system causing constriction of his urethra. Blood work showed mild elevations in his kidney values. He was started on anti-inflammatory
medications to help reduce this inflammation, along with pain medications and an antibiotic injection. Fluids were given under this skin to help dilute his urine and decrease inflammation as well. A trip to the ER if he did not begin urinating was recommended. He was sent home with pain medication and antibiotics.

He returned the next day for his recheck. Beau ate last night. Overnight had no urinations. The owner felt his urinary bladder this morning and it was getting large and hard again. He then urinated several times on a blanket he was laying on before coming for the recheck. No vomiting. Very lethargic.

Beau ended up coming into Jarrettsville Vet Center as an emergency fit-in appointment and was immediately found to need emergency PU surgery for a urinary obstruction. The surgery went smoothly and the patient recovered beautifully.

Surgical cost rough breakdown…
Same-Day Fit-In Emergency Exam $80.00
Single X-ray and Image Interpretation $100.00
IV Pain Medications $30.00
IV Antibiotics $25.00
Fluid Pump and IV Fluid Therapy $50.00
Hospitalization (x2 days) $120.00
IV Induction Medications $105.00
Anesthesia $125.00
PU Surgery $500.00
Recheck X-Ray $50.00
Oral Pain Meds to go home $30.00
Oral Antibiotics to go home $40.00