Persistent urinary incontinence after accident

Small dog hit by car 4 months ago. Walking recovered almost completely (he basically couldn’t walk or move for 2 weeks), but urinary control did not. At first he had urinary retention. Now the bladder usually does not feel full, but he leaks urine, mainly when excited or while walking. Bethanechol made leaking much worse. One anti-inflammatory + antibiotic course helped a lot for 1–2 days, then symptoms returned. Another antibiotic/anti-inflammatory course did nothing. Urinary food did not fix it. Stool is normal, but he sometimes seems to start pooping before fully choosing where to go. Does this sound like neurogenic incontinence/storage failure rather than overflow? Would PPA be worth asking my vet about? What tests should be done next?

Thank you for shedding light on the complexities of persistent urinary incontinence after accidents. It's a challenging issue, not just for pets but also for their owners who often feel frustrated and helpless. One point I think could be further explored is the emotional impact on both the pet and the owner during this recovery phase. Additionally, discussing various management strategies like dietary adjustments or specific exercises could provide even more practical support to those facing this situation. It’s clear that compassionate care and understanding are essential, so I appreciate your efforts to highlight these aspects! space waves game

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