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Hi. Welcome to Just Answer. My name is***** I'm very sorry to hear about Maddie's situation. It sounds like your girl is in a very critical state. In a situation like this, have they consulted with you about a possible referral for doing more tests prior to an exploratory. An ultrasound of the bladder could be done to see if there is a mass there or something else that may be surgical. I'm going to be honest here and say that if this is an immune mediated hemolytic anemia situation, surgery isn't likely to help. The main basis for its treatment is to get the immune system halted to stop it from destroying the red blood cells. When I have a dog that is urinating very red urine, I will spin it down in a centrifuge to see if it is red blood cells or if it is hemoglobin from destroyed red blood cells.