MAX is on the road again!

  • Posted: July 19, 2011 
  • by Karen Ragusa   -  
  • Comments Off on MAX is on the road again!

Well, Max is now finished with his procedure and headed back to Georgia!

THANK THE LORD!!!!

I can’t even express my elation that he is safe and sound and most of all HEALTHY!

More updates to come; but for now here are a few pictures from his journey.

Above is Max pictured with the lovely Dr. Allyson Berent, DVM, DACVIM of the Animal Medical Center of New York. What a blessing she has been throughout this process!

Above is Max’s X-Ray after the stent was placed.

Above is Max once more with his doctor on his way out of AMCNY!

Below is Max’s report from the surgeon upon completion of surgery.

DISCHARGE INSTRUCTIONS FROM AMCNY:

Discharge Date: 7-18-11

Medical Record Number: 92-85-61

Pet: Maximus

Diagnosis:

  1. Urethral stricture-likely trauma
  2. Urethral stent: 10x40mm COVERED FLUENCY
  3. High BUN with Normal creatinine: worry about GI ulcer from the Metacam

Case Summary

Maximus presented to the Interventional Radiology service at the Animal Medical Center for placement of a urethral stent. Maximus has a urethral stricture which is suspected to be secondary to a pelvic fracture and trauma. Possibly from being hit by a car. You reported that Maximus has been straining to urinate since you adopted him six months ago and will often leak urine as well. His bladder does not seem to empty well and he strains very hard to urinate. He has been evaluated by various veterinary institutions in Georgia and he was determined to have a urethral stricture in his pelvic urethra. He also had a filling of urine in front of his prostate that was likely associated with his obstruction.

On examination Maximus was bright and alert. His bladder was moderately sized but not turgid. He was dribbling urine when lying down and when excited. He was in great body condition with no other physical examination abnormalities detected.

On 7/18/2011 Maximus was anesthetized. Blood work was done under anesthesia and was suggestive of a GI ulcer. We recommend stopping the Metacam as that can cause ulceration. An endoscope was inserted into the urethra. At the level of his stricture there was a tiny hole that he was passing urine through. This was nearly impossible to see any lumen through. Using fluoroscopy and a guidewire we were able to pass a catheter through his urethra and into his urinary bladder. Then a balloon was needed to open his urethra (5.5 mm) in order to get the stent through. His urethra measured between 8.4 and 9.1 mm in diameter and the obstruction was about 10-15 mm in length. Once we were passed the obstruction a stent was placed over the wire (10 mm x 40 mm covered stent). He recovered very well from anesthesia.

As we discussed we do not commonly place urethral stents for strictures but more commonly for tumors. We have placed about 15 for strictures and they have all done relatively well. The biggest concern is post-stent incontinence. This occurs in about 25% of dogs with tumors and less of dogs with strictures. Stent associated discomfort is not typically seen. Stent migration is also a risk, but we have not seen that with strictures either. Finally, the risk of urethral stent reactions in the urethra are quite rare and are usually associated with urinary tract infections. We are pending a culture now.

You may see a little straining or blood in his urine for 2-3 days after the procedure. This will get better with time. If he is incontinent this too can get better with time. Please keep Dr. Berent updated.

TESTS PERFORMED:

  1. Urine culture: pending
  2. Urethrogram for stent placement
  3. Anesthesia blood work: BUN 61 creatinine 0.6.

Thank you to everyone who has read and shared Max’s story. Thank you to those who have prayed and loved him through this long journey. Thank you to all those who have given freely and abundantly… It is because of every single one of you that Max lived to tell his story!

Don’t forget to visit Max’s ChipIn!

The surgery is complete, but payment is not 🙂

We have FAITH that the funds will come!

On that note, don’t forget that donations can always be mailed (No matter what size!) if you do not wish to use our online credit card option with ChipIn:

Caring 4 Creatures, Inc.

1032 Old Peachtree Road

# 401-130

Lawrenceville, GA 30043

Written by Karen Ragusa

Karen has gracefully run this organization and watched it grow since 2008. She's seen it all over the years and loves to write about her adventures!

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