Pyometra treatment

RE: Pyometra treatment

Andreas Ege — Thu, 22 Sep 2022 16:22:24 GMT

[quote userid="5012" url="~/001/veterinary-clinical/small-animal/emergency-critical-care/f/discussions/30419/pyometra-treatment/239235#239235"]How successful is the treatment? how many go on to breed again?[/quote]

I haven't got proper statistics. The original paper looking into a modified alizin protocol said 96% cure rate but an increased risk getting it back next season.

From the ones I've dine I can remember only one that didn't get cleared and then was operated and I had one breeding bitch that took 3 attempts and me getting to the point telling the breeder we'll have to neuter if this attempt doesn't work.

It gets used much more commonly in Germany, sometimes only to do initial stabilisation and neuter once better.

Wouldn't treat only with abs even if open but have done quite a few with abs and alizin +/- nsaid.

The protocol I'm using is from above mentioned study (Wehrend et al, I think): 2x alizin 24h apart and a 3rd after 7 days, abs cover at least those 7 days.

RE: Pyometra treatment

jane alexander — Thu, 22 Sep 2022 14:21:20 GMT

quite good, need to breed at next oestrus. My own bitch had a litter of 10.

RE: Pyometra treatment

Dinu Catilina — Thu, 22 Sep 2022 12:56:23 GMT

We did not run an internal audit and I honestly don't have a number but since we use this modified protocol I would say that most get to reproduce again, A subjective estimate would be three quarters.

pubmed.ncbi.nlm.nih.gov/.../

RE: Pyometra treatment

Clive Ansell — Wed, 21 Sep 2022 07:22:07 GMT

I operate as soon as is reasonably possible.

If they're sick I would hospitalise to stabilise first prior to surgery. If they're reasonably well within the next 48 hours ideally.

The last one I had was very unwell, but the owners refused to take it to the OOH provider both pre and post surgery because of costs. It presented mid afternoon, toxic and pyrexic, so started fluids and medications, home overnight, back next day for surgery. Did very well, but I would have been happier if had been cared for OOH instead of going home. But thats's the way of it.

RE: Pyometra treatment

Clive Ansell — Wed, 21 Sep 2022 07:14:25 GMT

[quote userid="9239" url="~/001/veterinary-clinical/small-animal/emergency-critical-care/f/discussions/30419/pyometra-treatment/239231#239231"]We treat quite a few every year but only because their owners would like to breed from them in the future.[/quote]

How successful is the treatment? how many go on to breed again?

RE: Pyometra treatment

Michael Woodhouse — Tue, 20 Sep 2022 14:50:36 GMT

I wouldn't maybe operate over the bank holiday weekend if not very sick, but would have done so today.

RE: Pyometra treatment

Dinu Catilina — Tue, 20 Sep 2022 14:19:16 GMT

We treat quite a few every year but only because their owners would like to breed from them in the future. Otherwise we just spay them as next season they are very likely to have pyometra again. Open or closed.

RE: Pyometra treatment

Bibs — Tue, 20 Sep 2022 12:45:33 GMT

I suspect in this case there are other influences that I'm not privy to - that's the only way it makes sense to me. There is no mention of alizin use. I just wanted to satisfy myself that my approach is still the standard approach.

RE: Pyometra treatment

George Cooper — Tue, 20 Sep 2022 12:23:11 GMT

If it is an "open" pro then IMO you do have elasticity in the timing of surgery. I have used Alizin only occasionally and never been entirely happy with results both short term and in the long term. All that being said, like you the inclination is to get on with the surgery - unless there are other influences that are dictating taking a pause. Whatever is actually happening it sounds like your uncle's dog is being monitored and is getting as much attention as she needs, day by day. I wouldn't be worrying unduly.

RE: Pyometra treatment

Bibs — Tue, 20 Sep 2022 11:51:18 GMT

The info I’m getting is that they’re happy to go for surgery and she’s a usually fit well 11 year old. I might be getting dodgy info from family……

RE: Pyometra treatment

a.bardell — Tue, 20 Sep 2022 11:43:50 GMT

Had an old Springer with very sensible owner who didn't want to put through surgery. Had long discussion about possible risks and managed on oral antibiotics and metacam. Owner was very on the ball and kept us updated daily.

Was a bit lethargic and off for occasionally but never flat flat and was open pyo throughout.

Was on antibiotics for about 3 weeks andnow signed off as fit and well.

Owner also fully aware may return at next season but happy to potter on for now.

RE: Pyometra treatment

Laura Dell'Abate — Tue, 20 Sep 2022 11:37:43 GMT

I would only consider that if the dog has alizin at the same time, antibiotics and antinflammatories (after checking renal function).

RE: Pyometra treatment

ian bates — Tue, 20 Sep 2022 11:23:27 GMT

I'm with you - I'd operate as soon as I could - surely she is only likely to worsen with delays....??