UR22 – Bladder paralysis
Synonyms
No known synonym
Name of the disease in English
Paralysis of the bladder
The disease in brief
Bladder paralysis, the absence of contractions, results in permanent distension, along with uncontrolled loss of urine. This paralysis occurs in Cauda Equina Syndrome N261 and after a long period of distension caused by urolithiasis. Bladder infection often accompanies the paralysis.
Clinic & diagnosis
If a female strains to urinate or is no longer seen urinating, bladder paralysis may be suspected. Urine may flow spontaneously, and signs of ataxia or tail paralysis may accompany urinary signs. Rectal examination will find a tense bladder that empties on pressure.
Typical sign of the disease
No description
Pictures
See below
Diagnostic formulas
No description
Differential diagnosis
-Urolithiasis-Urinary infection to be specified N246
-Acute cystitis UR11
Confirm a suspicion?
Rectal examination finds a bladder tense with fluid and gentle pressure causes urine to come out. Bladder catheterization relieves the tension.
Prognosis and treatment
The bladder must be relieved and freed from urine under tension by catheterization. A broad-spectrum antibiotic treatment should be implemented to prevent the development of cystitis. If the paralysis has a recent traumatic origin without sacral fracture-dislocation, there is good hope for recovery. The prognosis is much more reserved in other cases.
Prevention
No specific prevention for this accidental problem.
References
Veterinary Medicine-Pocket companion -9th Edition BLOOD DC-page 185