I have received Dozer's CT Scan results today :(
The CT Scan revealed - "abnormal termination of the right ureter at the junction of the trigone and proximal urethra (ureteral ectopia) and indiscernible site of insertion of the left ureter. Mild bilateral hydroureter and mild pyelectasia". His ureters measured 3mm in dilation each, there was mild distention of the renal pelves - right renal pelvis was 3.8mm in diameter and the left renal pelvis measured 5.1mm in diameter. I am not 100% understanding of what all of this means other than he has a right ectopic ureter for sure, the left ureter attachment was hidden by stool therefore the attachment not visualized, but due to the dilation it is assumed it also is Ectopic.
He has been improving lately, not peeing as frequently (down from 18 times a day to 6-7 times a day) or dribbling as much (or not even at all some days) and I had almost been tempted to cancel the CT Scan as I was assuming all of his symptoms were related to the UTI he is currently being treated for. The Vet put him on Propalin about two weeks ago which has almost completely stopped his urinary incontinence. He back to sleeping all night and is able to get up from his sleep with little to know dribbling. The Vet instructed me to stop the Propalin as he felt the Propalin would contribute to urine being held in the Ureters and potentially reaching the kidneys.
Does anyone on the lab board have experience with Ectopic Ureters?? Is surgery the only route to go?? Can it be treated with medication....or do all dogs with Ectopic Ureters require surgery to prevent damage to their kidneys from urine back flowing up the ureters?? I obviously want to do what is best for Dozer. He has a consult scheduled on April 5th for a Cystoscopy and Ultrasound to determine if he is a candidate for minimally invasive laser surgery for Ectopic Ureters. If he is he would have the procedure done the next day. There is a chance his ureters are intramural and that would entail a more invasive approach. The Veterinary Hospital where he has been referred is almost 6 hours hours from our home, so everything will happen quickly and be done at the same time.
I appreciate any experience, advice, knowledge that the lab board has to offer....I just feel so overwhelmed :(