Dog incompetence

Hello, my dog Male, Pomeranian, 3yrs old, 7kg had bilateral patella surgery (6 january 2024) a week after the surgery (13th) all of a sudden he has started peeing himself. We ended up getting his urine tested. The tests came back and they have detected white blood cells, red blood cells, bacteria and the ph is 6 and no crystals. He has been put on 5 days of antibiotics (cephacare) (100mg x2 a day) as they suspected he might have just got a uti. We have now finished the antibiotics and he is still peeing himself. They have not rechecked his urine as I couldn’t get an appointment until tomorrow. After surgery he was an paradale -500mg , previcox and cephacare -which was the same antibiotic they gave us for the suspected uti. What is odd is that while he was on antibiotics the first time he didn’t pee until we stopped them. Similar story this time he seemed to be getting better until we were done the course of antibiotics and then he’s started peeing himself more.

Hello - thankyou for updating us.  When did the pain releif stop and start in relation to the signs?    I look forward to hearing what your vet, who obviously has much more information available to them than I do, makes of these developments.  This truely is an interesting case; please do keep updating if you are happy to!

Thansk for the info

No problem - I'm afraid that this wasn't a very good answer because there were so many unknowns.  I have just read back through that and wonder how the pain releif coincides with the clinical signs and whether it is the pain releif or the antibiotics that appears to be helping.   I also wonder whether there is another cause, aside from the infection, because male dogs do get bacterial infection quite rarely - there is a long tube separating the bladder from the outside world.  A lot of samples caught from dogs are contaminated with bacteria from the outside world - (how was the urine caught in this case?  Might there have been bacteria on the receptical or the end of the penis? ) - but there are ways in which your vet can tell that there was definitey an infection present within the bladder (eg catching a stetile sample / seeing bacteria within white blood cells).  Has prostate disease or a bladder tumour been ruled out, for example?   Might the excessive urination have been connected to drugs, stress or pain?  In this case, your vet knows so much more information than me that it is difficult to comment.