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The Geriatric Dog: Urinary Incontinence

When I was younger and before I was in the veterinary field my dog Bella, who was roughly nine years old, developed a urinary incontinence. I remember her having accidents around the house. We assumed she was just “old” and it was part of her advanced age. However, it was not quite the case. I will come back to Bella, but first I would like to discuss urinary incontinence in dogs and cats as well as share some important insight.

Many of our older pets develop urinary incontinence as they age. Owners often fear the worst, assuming incontinence implies senility or irreparable change due to age. However, that is usually not the case. In fact, in most cases, we can solve the issue with the assistance of your trusted veterinarian.

The most common reason for urinary incontinence is an infection of the urinary tract, in particular, a bladder infection. This condition is readily treated with the right choice of medication.

The second most common reason is excessive consumption of water. In this case, the dog or cat drinks so much water that their bladder overflow easily. In cases of excessive consumption of water, the underlying cause needs to be investigated. Diseases such as diabetes, Cushing’s syndrome, hyperthyroidism, and kidney disease need to be considered and ruled out with diagnostics.

Another cause of urinary incontinence is a weak bladder sphincter. This condition typically affects older females. Ageing, obesity, reduced sensitivity of neurologic receptors in the sphincter, and possibly other factors all contribute to this condition which is especially common. Although it might be impossible to reverse these changes, with medication, we can minimise and eliminate the symptoms.

There are some other unusual and rare conditions such as spinal disease or ectopic ureters that can lead to incontinence. These conditions are rare and again can be treated.

Now that I have shared some causes of incontinence let us return to my dog, Bella. After taking Bella to our veterinary clinic, the doctor recommended blood work and a urine test. Sequentially, Bella was diagnosed with diabetes. Once her diabetes was under control, her incontinence was resolved. She lived another happy three years after her diagnosis.

Please speak to your veterinarian if your pet is incontinent, remember most of the time the condition can be treated!

Written by Arik Vishnevsky, DVM 


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North Town Veterinary Hospital is committed to doing everything possible to combat the COVID-19 (coronavirus) outbreak.

As part of this commitment, effective immediately, North Town Veterinary Hospital will be instituting the following precautionary protocol to minimize the risk of COVID-19 transmission.

For the safety of yourself, our staff, and the community, clients will not be allowed to enter the building. We have initiated a Closed-Door Policy, we have locked our front doors. Please call 905-451-2000 when you arrive for your appointment. We will meet you outside to get your pet. The exam will take place in our hospital and our Doctor will communicate the results of the examination via telephone. You can also place an order for pet food through our Online Store by visiting our website.


- If possible, please call us at 905-451-2000 to let us know you are on the way so that we can be prepared to meet you upon your arrival at the hospital.

- When you arrive, please stay in your vehicle in our parking lot and call 905-451-2000, and we'll come to you.

- If you do not have a phone or your pet's emergency is immediately life-threatening, please come to the front door and ring the bell.

Online consultations are now available!

- If you wish to connect with a veterinarian via message, phone or video, visit our website and follow the "Online Consultation" link.

Thank you in advance for your understanding.