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Recessed Vulva with Chronic Intermittent Irritation/Infection

Published on: January 04, 2023 • By: aymi · In Forum: Dogs
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aymi
Participant
January 04, 2023 at 06:23pm
Hello! I have a 14 year old Australian Shepherd mix - Reese. I have had her since the age of 10 months when I rescued her. She has come a long way from the abuse/neglect she experienced prior to me. She developed a chronic condition at some point over the past several years which involves a recessed vulva with intermittent bacterial and fungal infections. I have yet to determine a pattern whether food or seasonal-related. Vet typically tape-preps to view organism. She was most recently treated with 14 days of antibiotics and required 6 weeks of an antifungal, plus we trialed Cytopoint injection again. The irritation has already returned and usually involves goopy drainage near the vulva and crustiness/ulcerations in the crease around the vulva. I have tried all different kinds of prophylactic and remediation to prevent worsening including Betagen, Dermalone, keto-C wipes, antibacterial/antifungal shampoo, drying the area after urination, keeping the area trimmed, etc. I feel the infections are becoming more chronic. She very rarely licks the area, so this is not a source of futher irritation. She has access to a grassy backyard, no brush. I am desperate to give this girl the best last years of her life without irritation or discomfort. She takes a great walk every day and is still doing very well for her age. Obviously, I wish there was some minor non-invasive procedure like a little silicone or saline ring that could be implanted to raise the vulva. I am grateful for any alternative suggestions! Thank you in advance!
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Liz Buchanan BVSc MRCVS
Keymaster
January 04, 2023 at 09:11pm
Aw, your poor girl - that sounds painful! - and it's great that you sound committed to getting the best possible answer.   It sounds as though she has benefitted from the input of a regular vet- perhaps like me but who can actually see the area -  so if their ideas don't seem to be working, I wonder if it's time to refer to a skin specialist?  - who may be able to access histories of similar cases and use their skin knowledge to help you to find the best prophylactic / treatment regeime.
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Liz Buchanan BVSc MRCVS
Keymaster
January 04, 2023 at 09:11pm
Aw, your poor girl - that sounds painful! - and it's great that you sound committed to getting the best possible answer.   It sounds as though she has benefitted from the input of a regular vet- perhaps like me but who can actually see the area -  so if their ideas don't seem to be working, I wonder if it's time to refer to a skin specialist?  - who may be able to access histories of similar cases and use their skin knowledge to help you to find the best prophylactic / treatment regeime.
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Liz Buchanan BVSc MRCVS
Keymaster
January 05, 2023 at 12:46am
There is a surgical option available for extreme examples of this condition - and the vets involved would be the best people to advise you on their success rates and potential side effects, as I have no experience of it. It would be worth looking for someone who has performed the operation frequently.
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