This patient is a 10 year-old FI Vizsla owned by her breeder. She has a several year history of severe urinary incontinence and has to wear a diaper at all times. She was worked up at CSU and came away from that with an open diagnosis but suspected detrusor instability. She was started on oxybutyin at that time and is still on that medication. Her urine dribbling is a tiny bit better on that medication. The owner also works with a repro specialist who is reluctant to use DES in this p.
Her urinary incontinence completely resolves during her heat cycle and she usually starts leaking around 55-60 days post heat. This leads me to assume it is hormonally related. I believe that they tried PPA but it didn't help.
This p has eaten raw food for her entire life. She is on many supplements (Bioprep, standard process whole body support, a probiotic, and a mushroom supplement). She is a strong, woody and driven dog, with a very med speed toned pulse with a bit of a wiry component and a deep pink, moist tongue. She has a history of 2 MCT's (a Grade 2 on the vulva removed at 2 years of age and a Grade 1 on the shoulder removed last year).
I have treated her a couple of times with acupuncture and started her on BZYQT which the owner feels may have made the incontinence worse. She continues to get worse off the herbs as well.
I am not sure where to go from here and I would love your advice.
Best wishes and many thanks!
Kelly