Sammy is a 14 year old American Eskimo. I saw Sammy in November of 2013. His history was excessive licking of his penis. When I tried to retract his prepuce he cried out in pain and there was excessive bleeding with actual pieces of tissue on the table (I guess I have to work on my touch :)). The bleeding eventually stopped. I sent the pieces of tissue in for evaluation and the histopath came back “Erosive Chronic Inflammation and Fibromatous Polyps”. I have never seen this before. At that time I did a quick scan of the bladder and prostate. I did not notice pathology in the bladder but there was a large cyst in the prostate. The prepuce was mildly swollen at that time. I believe he was treated with antibiotics but his symptoms never went away.
Fast forward to March of 2015. Culture and Sensitivity was done on the urine and an E Coli was recovered. He was treated with Clavamox. 30 days later the urine was recultured and an E Coli is present and Sammy is currently on Cefpodoxime.
Blood work indicated an Albumin of 2.4, Globulin of 4.4, BUN 43, Creat 0.9, Urine SG of 1.027.
I placed the ultrasound on the prepuce, bladder and prostate again.
I have never seen preputial swelling like this before. In one of the cines you can see the os penis shadowing as a point of reference. One of the cine’s is transverse. There is also a mass at the trigone that looks polypoid to me. I no longer see the cyst in the prostate.
I am having a hard time believing this is a polypoid change. Owner does not want to biopsy again. I think this is probably a malignancy. Anyone have any ideas?
6 responses to “Preputial & Bladder Mass”
Hi Randy – poor dog! In the
Hi Randy – poor dog! In the transverse clip of the UB,it looks like these “masses” are on either side of the trigone. Could they be prominent ureteral papilla? I guess you could put colour over them to see if you see ureteral jets. If they are ureteral papilla, I agree they look mass-like and bigger than usual. Will see what the pro says 🙂
Hi Randy – poor dog! In the
Hi Randy – poor dog! In the transverse clip of the UB,it looks like these “masses” are on either side of the trigone. Could they be prominent ureteral papilla? I guess you could put colour over them to see if you see ureteral jets. If they are ureteral papilla, I agree they look mass-like and bigger than usual. Will see what the pro says 🙂
Im seeing mineralizing tissue
Im seeing mineralizing tissue at the CUJ and an enlarged prostate with pericapsular inflammatory pattern… if neutered then prostatic carcinoma suspect… try traumatic catheterization at the prostate. I dont see a prostatic cyst but i do see an enlarged inflamed hypoechoic prostate.
Here’s the traum cath procedure:
http://sonopath.com/resources/interventional-procedures/traumatic-catheterization
Im seeing mineralizing tissue
Im seeing mineralizing tissue at the CUJ and an enlarged prostate with pericapsular inflammatory pattern… if neutered then prostatic carcinoma suspect… try traumatic catheterization at the prostate. I dont see a prostatic cyst but i do see an enlarged inflamed hypoechoic prostate.
Here’s the traum cath procedure:
http://sonopath.com/resources/interventional-procedures/traumatic-catheterization
Anyone have an idea about the
Anyone have an idea about the preputial swelling?
Anyone have an idea about the
Anyone have an idea about the preputial swelling?