Balanoposthitis

My pup is suffering Balanoposthitis = inflammation of the penis & prepuce....he had 20 days of antibiotics and 9 saline flushes and packing with medication to clear up the infection. This did not work. Vet suggested a neuter as he had a testie that was in his abdomen. The neuter took place on friday. This morning he work up with his penis extended and it would not retract.....he was screaming and scared....we calmed him down and he penis retracted.....this happened 2 more times..... the vet said the surgical areas were fine, not swollen, clean and not infected....he believes it is the infection still lingering..... this is a gram negative bacteria that is causing the issue, how should it be treated

Hello!   The usual trick with antibiotics is, to sample the infected area, in order that the vet knows which bacteria they are trying to kill.   Looking at the bacteria under a microscope should give clues to their identity (rods, cones etc) but wiping them onto a swab and growing them on a petri-dish - perhaps with antibiotic circles thrown onto the culture in order to illustrate which antibiotics stop the bacteria from growing -  will point your vets in the direction of killing the correct microbeasts.  This has a name;  it is called 'culture and sensitivity' (the bacteria are cultured and then sensitivity-to-antibiotics testing takes place).  Microbiology laboratories do the testing.  If your vet believes that there is a difficult-to-clear infection, they can call the microbiology lab, speak to the relevant microbiologist and to take their advice as to whether infection is the likely culprit and HOW to sample the area if so.  I have always found clinical microbiologists to be very understanding;  they will usually give good reliable advice as to what to do next.   Sometimes, this advice is 'call a surgeon in case infection isn't the problem' and indeed, it may be that there turn out to be other issues causing pain that have not yet been addressed.  I do not know what is going on in your dog's particular case, but we GP vets can't be experts in every area and speaking to a specialist - either surgical or microbiological - might prove a good way to find out.

You should continue to work closely with your veterinarian to address your pup's persistent condition of Balanoposthitis.

Moreover, a consultation with a veterinary specialist and exploring targeted antibiotic treatments based on bacterial culture and sensitivity testing could provide a more effective approach to resolving the infection and ensuring your pup's well-being.

I agree that a consultation with a veterinary specialist could provide a more effective approach to resolving the infection and ensuring your pup's well-being.

Many etiologies exist, but it can generally classify as either infectious, irritant, or traumatic in origin.