I have a spoiled rotten,10 yr old neutered male Shih Tzu, named Kuro. He's also blind, but still my sweet baby!
Although it's only him and me now, there's a lot of talking around our house. I didn't realize he knows so many words! Some people say it's repetition, but I prefer to think he's that smart.......
We moved to Michigan from Indiana 4 years ago, and for the first 7 years of Kuro's life, the only expense I had was vaccinations, grooming,and buying toys. ( Lots of toys)
But time passes on and age starts taking a toll, and he started having problems: bladder, tumor on paw,liver enzymes too high, dental work, eye problems,and for the past few months, skin problems.
Dr. Dhaliwal has done all of Kuro's surgeries, and worked with me on the other problems. He never loses his patience, and stays calm while I am asking my 100 questions .
Dr. Dhaliwal is definitely in the correct profession. It seems he has a passion for not only helping animals, but he takes every opportunity to learn new techniques so he can help them even more.
The staff is also very nice. They greet you with a smile, take the time to talk, explain meds,etc. and if Dr. D. doesn't call to check on Kuro after a procedure, the staff will, and that means a lot to me.
Michigan Avenue Animal Hospital is a caring place, and everyone makes sure your pet is given the best care. Whatever it takes to make you and your pet "HAPPY!"
Cystotomy ( Urinary Bladder surgery)
- A cystotomy
is a surgical opening created in the wall of the urinary bladder. This
procedure allows the surgeon to look inside the bladder. While abdominal
x-rays, ultrasound examination, and cystoscopy
(scooping the bladder) are less invasive methods of looking into the
bladder, cystoscopy has an important role in treatment of urinary bladder
Indications of a cystotomy?
Cystotomy is mostly indicated for treatment of
bladder problems including:
- Removal of bladder stones,
- Urinary bladder tumors, and blood clots. This
procedure also can be done
- To obtain a biopsy sample of the urinary
- Cystotomy is done to repair a rupture or severe
trauma to the urinary bladder.
- In cases of abnormal insertion of the ureters
into the bladder (these are the thin long tubes that carry urine from the
kidneys to the bladder), a cystotomy incision will be needed to correct the
- Preoperative tests depend in part on the age and
general health of the animal as well as the cause for the cystotomy.
- Radiographs (x-rays) or abdominal ultrasound
typically is done to diagnose the underlying illness prior to surgery.
- Often a complete blood count, serum biochemical
test, a urinalysis, and possibly an EKG will be performed prior to surgery.
Type of Anesthesia:
- This is a surgical procedure that involves
opening the abdominal cavity. General anesthesia is needed to induce
unconsciousness, complete control of pain, and muscle relaxation.
- In the usual case, the pet will receive a
pre-anesthetic sedative-analgesic drug to help him relax, a brief intravenous
anesthetic to allow placement of a breathing tube in the windpipe, and
subsequently inhalation (gas) anesthesia in oxygen during the actual surgery.
- Following anesthesia, the pet is placed on its
back lying on the surgical table.
- The hair is clipped over the lower abdomen, the
skin is scrubbed with surgical soap to disinfect the area and a sterile drape
is placed over the surgical site.
- The incision is similar to a spay incision
(midline). Your veterinarian uses a scalpel to incise the skin of the lower
abdomen and to open the abdominal cavity.
- The urinary bladder is isolated with sterile
sponges and an incision is made. Any urine is removed from the bladder to
prevent abdominal contamination.
- The operation then continues; for example, the
surgeon may remove bladder stones, a tumor, or extensive blood clots. Often a
urinary catheter is placed at the conclusion of surgery, to allow urine to
drain easily from the bladder.
- At the conclusion of the procedure, sutures
(stitches) that dissolve over time are placed to close the incision in the
- The abdominal incision is then closed with one
or two layers of self-dissolving sutures (stitches).
- The outer layer of skin is closed with sutures
or surgical staples; these need to be removed in about 10 to 14 days.
- The procedure takes about 45 minutes to 1-1/2
hours to perform in most cases, including the needed time for preparation and
Risks and complications of a
- The overall risk of this surgery is low. The
major risks are those of general anesthesia, bleeding (hemorrhage),
postoperative infection, urine leakage, and wound breakdown (dehiscence) over
- Overall complication rate is low, but serious
complications can result in anesthetic death or the need for additional
Aftercare for a cystotomy?
- Post-operative medication should be given to
relieve pain, which is judged in most cases to be mild to moderate and can be
effectively eliminated with safe and effective pain medicines.
- Often a urinary catheter will have been placed
at surgery. This is typically removed in 24 to 72 hours.
- The home care requires reduced activity until
the stitches are removed in 10 to 14 days.
- You should inspect the suture line daily for
signs of redness, discharge, swelling, or pain and monitor your pet’s urinary
- Some blood-tinged urine is expected for the
first few days, but obvious pain, straining or a lack of urination is not
normal and should prompt a call to your veterinarian.
Hospital stay following a Cystotomy:
- The typical stay following a cystotomy is 2-3
days but will vary depending on the overall health of the pet and the
underlying reason for the surgery.
I would like to truly thank Dr. Dhaliwal and his entire staff for their professional veterinary expertise in caring for my dog Mandy. From the moment I walked into the office, I was comforted and reassured that my dog could recover from her affliction.
Mandy previously had surgery at another veterinary hospital for the removal of a growth on her hind leg. For some unfortunate reason, the area became badly infected that the doctor's opinion was amputation to save Mandy's life.
At first, I was devastated about this news and wanted to get a second opinion. Therefore, I began seeking other veterinary hospitals that specialized in this area. However, for some reason Michigan Avenue Animal Hospital would constantly reappear on my list. I began to read the testimonies from his previous clients and suddenly a peaceful feeling came over me. Even though Dr. Dhaliwal's hospital was a great distant from Detroit to Ypsilanti Michigan, it was worth the ride.
Mandy's outcome was the same, yet the calming and patient manner in which my dog and I were given from Dr. Dhaliwal and his loving staff made a difference. Today, Mandy is still running, climbing and playing even with three legs and I am thankful for the time and quality of life I still share with her.