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Classification and treatment of canine urolithiasis

Date: 2024-02-15

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Classification and treatment of canine urolithiasis
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Types of canine urolithiasis:

1. Infected stones (struvite)

It consists primarily of magnesium ammonium phosphate, sometimes mixed with calcium carbonate phosphate and ammonium urate. Stones vary greatly in size and are dirty gray in color. Some friable stones have a marl or pumice structure on the surface. There is often a large amount of matrix in the stone and the hardness is low.

2. Calcium-containing stones

Calcium oxalate stones are the most common urinary stone in dogs. It is tan in color, hard in texture, and consists of calcium oxalate or calcium phosphate, more commonly a mixed stone with calcium phosphate. Pure calcium oxalate is more common than pure calcium phosphate.

3. Uric acid stones

Consists of free uric acid. 75%-80% of uric acid stones are composed of pure uric acid, and the rest are composed of uric acid and calcium stones (calcium oxalate, calcium phosphate).

The color is yellow, brown or brown, the surface is smooth, and the stones are round or oval, sometimes in the form of fine particles. Most small stones are formed with low hardness. Usually formed in acidic urine.

Simple uric acid stones are transparent on X-rays and often do not develop, while mixed stones are opaque and can be developed on X-rays.

4. Cystine stones

The stones are yellow, waxy, smooth or granular, and the cross-section is centripetally layered or radially streaked. X-rays can pass through and are not easy to develop. They are formed in acidic urine.

Treatment for canine urolithiasis:

1. Conservative treatment

Struvite: At present, "Xilein" and ammonium chloride are used to acidify and dissolve struvite.

Uric acid stones: Generally, "Xiletin" is used together with potassium citrate to alkalize uric acid stones and then dissolve and expel the stones.

During conservative treatment, pay attention to observe whether there is any foreign body in the dog's urine and whether the color of the urine has improved to normal.

2. Lithotripsy

Calcium oxalate and other hard or large stones dissolve slowly, so lithotripsy is often used.

3. Surgical treatment

If the condition is serious, if the number of stones is relatively large and the diameter of the stones is large through urine test, blood test, and X-ray inspection, and if there is ureteria or severe hematuria, you can cooperate with the doctor for surgery.

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