Anal Gland Sacculectomy
Anal sac removal (anal sacculectomy), is a surgical procedure indicated for dogs with chronic anal sac issues such as impaction, infection, or neoplasia. The surgical process involves making an incision near the anus, identifying and carefully removing the anal sacs and then closing the incision. Anal sacculectomy is known to effectively resolve recurrent anal sac issues and provide relief to affected dogs.
In cases where the patient is suffering from adenocarcinoma of the anal gland, this surgery may be combined with abdominal extirpation of the local lymph nodes. These patients will often have polydipsia which is related to hypercalcaemia and may require adjunct chemotherapy and/or radiotherapy as part of their treatment. Prognosis for these patients can be variable, with studies ranging from 12-30 months depending on treatments used.
Our information sheet for clients can be found here.
Perineal Hernia Surgery
Perineal hernias involve the protrusion of pelvic or abdominal organs through the weakened perianal tissues, commonly affecting intact male dogs. Surgical management is essential to address this condition and prevent complications such as constipation, tenesmus or urinary obstruction.
The surgical approach to perianal hernia repair typically involves repositioning herniated tissues, reinforcing the weakened muscles, and stabilising the pelvic diaphragm.
With effective surgical intervention, the prognosis is very good. If the cause of straining cannot be treated or if there is a delay in treatment, then the outcome may be more guarded.
Our client information sheet can be found here.
Urethral Prolapse
Urethral prolapse is a condition most commonly seen in male dogs, with a breed disposition observed in Bulldogs and Boston terriers. Causes are typically due to dysuria (secondary to urolithiasis), excessive sexual excitement or trauma.
Management of these cases will involve diagnosis and treatment of underlying causes along with surgical correction if indicated. This may be a urethropexy or resection of the affected tissue.
Prognosis for these cases is typically good following surgery although recurrence can occur. The surgeon will discuss this with the owner at the time of surgery.
Perineal Urethrostomy – Feline
This is a surgical treatment which is typically reserved for severe, recurrent urinary tract obstructions caused by feline lower urinary tract disease or trauma and/or scarring of the urethra. A significant proportion of the cases are male cats suffering from recurrent ‘blocked bladder’.
The procedure involves excision of the distal (narrower) portion of the urethra and creation of a new stoma in the perineal region. In the post operative period hospitalisation with a urinary catheter may be required.
Many cats go on to lead a good quality of life however as with all surgeries, complications are possible. Transient urinary incontinence can occur, and owners should be forewarned.
Vulvoplasty
Vulvoplasty, also known as episioplasty, is a surgical procedure performed on female dogs to correct vulvar fold dermatitis and related issues, such as recessed vulva (also called “hooded vulva”).
These conditions can lead to chronic infections and discomfort due to excessive skin folds around the vulva that trap moisture, urine and debris. Vulvoplasty aims to reduce the overhanging skin, improving hygiene and airflow thus preventing recurrent infections.
This surgery carries an excellent prognosis with dogs returning to a more comfortable lifestyle following recovery.
Post operative care
Postoperative care is crucial for the successful recovery of dogs undergoing perianal surgeries. This includes pain management, antibiotic administration and monitoring for potential complications such as wound dehiscence or infection. Owners should be educated on at-home care and advised on follow-up appointments to ensure optimal healing. In conclusion, perianal surgery in dogs, encompassing anal sac removal and the surgical management of perianal hernias, plays a vital role in addressing debilitating conditions in the anal region. These procedures, supported by recent studies, have shown positive outcomes in relieving clinical signs and improving the overall quality of life for affected dogs.
