| Urinary catheterization was performed, which involves passing a plastic tube from the outside up the urethra, in an attempt to drain Mijo's bladder and relieve the pressure and discomfort. Mijo's swelling was so excessive that the catheter would not pass all the way into the bladder. Due to Mijo's discomfort, we needed to anesthetize him -- put him under -- to relax him enough to drain his bladder. Once Mijo was asleep, he relaxed enough to allow the urine to flow.
The treatment for BPH is neutering (castration) since this is a hormone responsive condition. Mijo was also neutered as part of the treatment for his problems.
Mijo was unable to urinate on his own for approximately one week. He remained in the hospital and had to be briefly anesthetized and have his bladder manually emptied twice a day. Medications were given to help relax his muscles in the urethra to allow urine to flow, but the response to these medications was poor.
Dr. Geurts decided that Mijo had also likely suffered some neuromuscular damage to his bladder from the initial episode where his bladder was so swollen. This meant that his bladder was unable to "squeeze" properly and push the urine out on it's own. A medication that is prescribed for humans with these symptoms was formulated at a special pharmacy for animals just for Mijo. After several doses of the new medication called bethanechol, Mijo was able to urinate on his own!
Mijo was discharged from the hospital on medications for several weeks and rapidly regained his normal urinary function. Mary reports that he is back to his normal routine and doing great. When he first came home, he urinated on her bed and she was never so happy to see him go! She had to call the clinic and tell us.
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