Get Pet Questions Answered by Pet Experts
Well, in my opinion you do have reason to question when stating the 3 issues above.
Bleeding at the end of micturition(urinating) usually bladder related. Did your vet have an answer for the thickening of the bladder? Is the radiologist consulting with your vet?Dr.V
I guess my final question is...currently what are the clinical signs? Is there still purulent material? Or is it blood? How long has the dog been on antibiotics?Dr.V
Okay...here goes my opinion and I hope that Dr. Jo weighs in as well...because you may be able to get two vet opinions...which doesn't happen too often.
I think your vet has done a good job so far trying manage this case, unfortunately your dog is not turning out to be a "normal" vaginitis type dog. I will say studies suggest that primary bacterial vaginitis is not a "common" occurrence. Vaginitis is almost always a secondary issue to another problem. My concern, as yours, is that something is being overlooked. And 8 weeks with no repeat in culture and sensitivity when the symptoms remain is concerning as well.
The next steps I would take is first...a cystocentesis...this is pretty routine where urine is taken from the bladder prior to passing down the urethra and out. This tells us...is there blood/bacteria/pus/fungus/cancer cells in the urine (bladder) before it heads out. It there is, you need to address the problem there. This urine is sterile in the catch so the urine also goes for a culture and sensitivity. This would be by far the biggest diagnostic value. You have to determine if the bladder is the underlying cause. You most definately can have a problem and vaginitis /pus coming from the urethral tract.
The other thing with vaginial treatments in my experience is that the infection is mixed...meaning bacterial and yeast...and treatment for the yeast is ignored.
Let me know what you think and post your comment and I hope Dr. Jo replys as well!Dr.V