Liz Buchanan BVSc MRCVS
Keymaster
Having also consulted a 2018 article by Emi Barker, I think the main thing to try and establish would be whether a urine infection has been proven (using a culture), or simply assumed. A lot of illnesses resembling urine infections in puppies may turn out not to be; Dr. Barker lists trauma, foreign body, kidney disease, bladder stones, incontinence, behavioural anxiety, systemic diseases and vulvovaginitis amongst other possibilities. Many of these may lead to continuing problems, so a reliable diagnosis in the first place is very important when trying to figure out whether or not there is likely to be a lifelong problem.
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