Hysterectomy

RE: Hysterectomy

Clive Ansell — Sat, 19 Apr 2025 15:25:28 GMT

[quote userid="12930" url="~/f/clinical-questions/31173/hysterectomy/247052#247052"]can enjoy all the benefits of both the having ovaries and a cervix[/quote]

Which are?

RE: Hysterectomy

Beats — Sat, 19 Apr 2025 12:59:29 GMT

Ovary sparing cervical sparing spay. its all the rage in 2030 and ahead of its time and not just the outcome of you failing to mentor your new grad effectively. Sure the odd one will get a stump pyobut most won't and can enjoy all the benefits of both the having ovaries and a cervix without the wanted pregnancies. And those stump pyos are easily dealt with while still preserving the ovaries.

RE: Hysterectomy

Dinu Catilina — Sat, 19 Apr 2025 10:08:53 GMT

[quote userid="5012" url="~/f/clinical-questions/31173/hysterectomy/247045#247045"]And she may well get a stump pyometra.[/quote]

They can't have it unless you leave uterus behind. No vaginal pyometra!

RE: Hysterectomy

Clive Ansell — Fri, 18 Apr 2025 17:09:15 GMT

[quote userid="12930" url="~/f/clinical-questions/31173/hysterectomy/247044#247044"]"She has had a modern progressive procedure called an ovary-sparing spay. Consider yourself very lucky, these are normally only available in the States. Yes, she will keep coming in to season, but not to worry - she won't get pregnant!.[/quote]

And she may well get a stump pyometra.

[quote userid="12930" url="~/f/clinical-questions/31173/hysterectomy/247044#247044"]

I'm going to try that one next time i see a bitch with a bit of ovary leftb after being spayed.

"She has had a modern progressive procedure called an ovary-sparing spay.

[/quote]

Never thought of that!. I had a run last year of having to reoperate on cats with bits of ovary left in after spaying, could have spun that yarn and saved myelf the bother!

RE: Hysterectomy

Beats — Fri, 18 Apr 2025 14:29:34 GMT

I'm going to try that one next time i see a bitch with a bit of ovary leftb after being spayed.

"She has had a modern progressive procedure called an ovary-sparing spay. Consider yourself very lucky, these are normally only available in the States. Yes, she will keep coming in to season, but not to worry - she won't get pregnant!.

RE: Hysterectomy

Clive Ansell — Fri, 18 Apr 2025 09:04:12 GMT

[quote userid="9239" url="~/f/clinical-questions/31173/hysterectomy/247042#247042"]

The claims coming from one of the US Universities where they did a few hundred spays like this is that leaving ovaries behind reduces the risk for certain tumours, urinary incontinence and ortho issues.

They do make theoretical sense but hard evidence is lacking.

[/quote]

Not read the detail, but I am assuming those studies were in much younger bitches?

The bitch in Mark's case is 7 years old, so I wonder if there is any evidence leaving ovaries in situ would have health benefits at that age? doubtful.

One of my regular practices has been spaying bitches pre-season at 5-6 months of age for 30 or so years. They almost never see mammary neoplasia, and don't have anymore cases of incontinence than anywhere else.

Sometimes difficult to work out what is good old fashioned veterinary tradition, myth or dogma, and what is fact.

RE: Hysterectomy

Dinu Catilina — Fri, 18 Apr 2025 07:03:25 GMT

They do make theoretical sense but hard evidence is lacking.

RE: Hysterectomy

Mark Rowland — Wed, 16 Apr 2025 19:14:11 GMT

Hi Clive

Its one of those clients

"Ive lost my hormones and its really affected me so I don't want her to loose hers"

No reasoning

RE: Hysterectomy

Clive Ansell — Wed, 16 Apr 2025 13:53:10 GMT

[quote userid="6437" url="~/f/clinical-questions/31173/hysterectomy"]

Client has a Retriever, 7yo

V bright

Open pyometra.

O has requested that the ovaries to be left in situ if the womb is removed.

[/quote]

Do they say why?

RE: Hysterectomy

Mark Rowland — Wed, 16 Apr 2025 13:28:12 GMT

Thanks Michael, hope you are well :)

RE: Hysterectomy

Michael Woodhouse — Wed, 16 Apr 2025 13:22:50 GMT

Common in the US. Search "ovary sparing spay".

One example of the information being given to owners - they make it sound great.....

http://www.murrayvilleanimalhospital.ca/ovary-sparing-spay.html

(would I recommend it - no. Would I do it at owner's specific request - yes).