My Dog's Experience With Perineal Hernia

Maria Cecilia has a passion for dogs. Peso is her dog whom she loves eternally, and she dedicates all doggie articles to him.


I cannot discuss in detail how the surgery was done, nor will I try to explain the medical procedures done to Peso. Only veterinarians can explain it. This article is about my personal experience as Peso's human. I will be sharing my dog's journey and what I did to help him. I will be writing about post-surgery care, procedures done to him (again not the surgery in detail), and the food I gave him to make his diet well-balanced.


I decided to start an article about perineal hernia so that fellow dog owners with the same experience can find a place where they can ask an existing human who has taken care of a dog with the same ailment.

When Peso was diagnosed in 2008, the Internet and Peso's veterinarians were my source of information. Although they provided good information, my heart was still yearning for something else that even I couldn't tell at that time.

Then I realized that I wanted to speak to a dog owner who took care of a dog with perineal hernia, but I was not lucky to find one on the internet. Someone shared her story, but there was no follow-up, and she did not respond when I commented on the site where the story was posted.

Now I would like to be that person to those who need enlightenment. I would like to be their emotional support. I wish to give them hope and encouragement.

So I decided to post my dog's journey. I will give my best to answer to help you understand your pet's situation.

How I Found Out About My Dog's Ailment

It was in late 2007, I never knew about this ailment until a veterinarian told me about it. Peso was 7 years old when I observed him having difficulty putting his poop out, even if I gave him a soft diet, a stool softener medicine and lots of water, still the poor dog had a hard time and at his worst, he couldn't release even a small piece. The next time I brought him to his veterinarian, an enema was performed to remove the impacted stool that stuck up in the space developed by the hernia.

Enema Procedure to Remove the Impacted Stool

Sedation Is Not Always an Option for Difficult Dogs

Difficult dogs are hyper dogs, that react violently during treatments, but depending on the style of the veterinarians, sedation may not be necessary. The second veterinarian from a different clinic was able to perform enema with Peso even though I was the only one controlling my dog. She said dogs are more threatened with too many people trying to stop him. Peso's third veterinarian, from another clinic too, just removed the stool using his finger.

Hesitation to Bring Peso to Surgery

Since the ailment was new to me, I hesitated to bring my dog to surgery. The veterinarian said only surgery can correct it and there is a possibility of recurrence. I was not convinced or I was in denial that my dog needed to undergo operation. Aside from his difficulty putting his poop out, I did not see anything wrong with him; his appetite was good and he was clever and playful.

I also fear for the possible effects of anesthesia, the veterinarians always have this waiver for the owner to sign before surgery, which frightened me more. Peso was already seven years old then and I was wondering if he was too old to withstand the possible anesthetic complications.

Instead of considering surgery, I decided to manage his ailment by changing his diet. At first I gave him oatmeal as his source of fiber. But later on I converted to red and brown rice because Peso was more of a rice eater. I also boiled squash and made it part of his diet. He was given laxative after each meal to ensure that his poop will be "paste" like in consistency not hard and dry, still he had difficulty and slowly, he was developing something at his behind. There was a discoloration from natural colors to pale pink, and when you look closer, it was like a muscle started to stretch and skin was thinning.

Photos Before His First Surgery

This is Peso before his 1st Perineal Hernia Surgery

First Surgery

Peso just turned eight years old on 27 July 2008, when I decided to bring him to surgery. Ahead of the set schedule of surgery, my dog just couldn't urinate one morning. The veterinary clinic where his surgery would be performed was still close, and unlike other clinics, it was located in a business area (all pets related) that closes at a particular time and opens late in the morning,

Suddenly, there was noticeable bulk at his behind. It was so large he looked like he developed a head right under his tail. Peso was restless and uncomfortable, walking here and there trying his luck to pea but nothing came out.

So his first surgery was performed well (First week of August 2008), the bladder went out when the Veterinarian made an opening at the bulge. The bladder was bloated and urine went out automatically filling up an ordinary size dipper. The bulge of the stretch muscles was repaired. Peso woke up and urinated without difficulty, the first surgery was a success.

First Surgery Photos

Castration After Perineal Hernia Surgery

After his first surgery, Peso was castrated to avoid further complications, like enlarge prostate and testicle.

The bulge that was develop after the 1st surgery was quite similar to this.

2nd Surgery

Days after the first surgery, I observed a small bulge at the right side of Peso's behind. It moved or threatened to enlarge whenever Peso barks. Since the left part was repaired, the hernia was like searching for another space where it can enlarge again. So it transferred to the right. We did not wait for complications like urine straining and constipation that we scheduled the surgery at least three weeks interval from the first.

Traumatic 3rd Surgery

Less than a week after his second surgery, Peso showed signs of urine straining again. I soaked small towel in hot water and and used it as hot compress to Peso's bulgy behind. I tried available home remedies because it was hard to accept then that Peso might be needing surgery again. All Fears came back, including fear of anesthetic exposure. I walked Peso in spite of the rain, walking may do a miracle and there was that hope he can urinate again, but later in the afternoon, he had difficulty putting his poop out, and in that stormy evening, as a finale, when he attempted to poop again, a red like flesh was showing from his anus instead of a poop, and it completely blocked the hole.

It was the longest night of my life. Peso was crying and whining desperately. It must be really very painful and uncomfortable to have something stuck on his anus plus the volume of urine that he can't release. I felt so disappointed and helpless asking myself over and over again why those things are happening and what have I done wrong? I cried like a child, Peso immediately went to me and hugged me as if telling me to calm down. I realized that when I cried, the more Peso cried too. Manila was already flooded and I was advised to go to the veterinary clinic as soon as the sun is up the following day. I guess it will be more devastating to get stranded with a crying dog if I insists to go to the clinic that night. At this point we (I and his veterinarian) already decided to transfer to the hospital branch of Peso's veterinary clinic, where I can always bring Peso even in the middle of the night or as early as possible.

What gave me hope that night was when Peso took a piece of meat that I offered to him while he was crying, a sign for me that in his agony, he never really lost his appetite, and that means strong fighting spirit. He will live..

After 3rd Surgery Photo

We changed veterinarian during Peso's 3rd surgery simply because, as I mentioned earlier, we decided to transfer Peso to the hospital branch of the clinic, and Peso's case was handled by equally competent veterinarian and indeed one of the best veterinarians in the Philippines.

If my memory serves me right, the side that was repaired during 3rd surgery was the right side again. Because of the space created by the hernia, bladder was displaced so, the red flesh showing on Peso's anus was his bladder. In other perineal hernia case, it was the colon that normally shows up from the anus. Probably because of exposure, his bladder had some discoloration and his veterinarian told me that if Peso can't urinate after the surgery, it could mean his bladder developed a problem. And it meant two things, he will be opened up for surgery again or put him to sleep.

When Peso woke up, he urinated and I knew the bladder did not develop anything at that moment.

4th Surgery Story

Since his 3rd surgery, everything went well, except that there were things that I needed to do to help my dog. The surgery did not correct his bowel movements, So Peso has a lifetime maintenance of laxative drug after each meal, to control the consistency of his poop. Although the stool is paste like, still it did not go out naturally and easy. And so we go on with our lives, bringing Peso out and let him poop as regularly as possible. I also observed if he can urinate because if he can't that would mean another problem. His food is always rich in fiber, and I made sure he has boiled squash in his meal. I was happy he seemed normal for months. But I observed something again from his behind.

It begun to protrude again, and it looked like both sides were bulging. Bulges were not scary big but it was noticeable. The bulks are showing when he had not urinate yet, and once he did, his behind became flat like normal again.

December 01, 2008, I brought Peso again to the hospital for fourth surgery. Honestly during those days, I could no longer observe or monitor how he was treated, so I really couldn't tell which side was repaired. But the veterinarian was very positive that he already repaired even the potential one that started to stretch. And we had a Merry Christmas.

Photos Before 5th Surgery

Photo was taken 04 January 2009

5th Surgery Story

A few days after New year of 2009, or more than one month after his 4th surgery, the bulk started to appear again, but the one at his right was the most obvious. January 7, 2009 was the exact date of Peso's 5th surgery, the bladder was displaced again resulting for Peso's urine restraining again. Although Peso was okay after the surgery, his veterinarian decided to confine him for a few more days for observation. I was told Peso's newly repaired muscles was already thinning that it can possibly give in when he moves drastically. Hyper dog Peso was discouraged to run and jump. Even excessive barking is bad for him. It was not easy to stop dog in doing things the he normally does, but I tried my best. At least he remains active and strong in spite of his surgeries and for me that is great fighting spirit.

6th Surgery Called Bladder Transfixation

The story did not end there. After another month, Peso showed signs of restraining again. The veterinarian said Peso's muscles were already thinning. A repair may not have been helpful anymore, so he decided to use another option which he called bladder transfixation. His brief explanation was that he made opening near the dog's penis, and repaired what was needed to be repaired inside like, he attached the bladder to the abdominal wall, to prevent the bladder from roaming the hernia. In medical terms, transfixation means piercing of a part of the body (as by a suture, nail, or other device) in order to fix it in position.

After Surgery Photos

Waiting for Peso to wake up

Roller Coaster Ride Feeling

Whenever Peso woke up from surgery, the feeling was always magical, Yes we survived another ordeal. But as Human of a dog with perineal hernia, I realized that I can't just relax and believe that my dog is already back to normal. The struggle did not end with the surgery, although you do your best to follow all rules so that hernia will not recur anymore, there were complications that still needs to be addressed.

Although drinking laxative is regular after every meal, there were still time that Peso developed impacted stool. They way I observed it, impacted stools are stool that went to place created by the hernia, meaning when Peso poop, not all were completely released, some went to that space and once that space was full,the behind will protrude again. In other cases, dog in this condition must undergo enema process, But I learned from Peso's veterinarian, He just used his finger doing it, of course he wore surgical gloves. I did the same later on, and Peso got used to that situation during poop time.

Peso wore a muzzle to prevent snapping or biting during treatment

Bladder Topper Procedure

A few days after the surgery, Peso was returned to the clinic because of difficulty urinating again. His veterinarians and other senior vets were already planning for another surgery just in case there was no other options left. That surgery would be about repair of muscles at his behind using a silicon mesh, to support the thinning pelvis muscles, but while planning for it (because mesh was not available yet in the Philippines in 2009), procedures were tried so Peso can urinate. Catheter was not effective to him so bladder topper device was used instead. This device has a sharp needle like object attached to the tube in which the other end was connected to a container. The veterinarian tried to find Peso's bladder by touching his stomach. He then slowly pierced the sharp object to where the bladder was, then he pushed one button and the device automatically collected the urine from the bladder and went to the Jar like container. It went on for days and After a few series of bladder tapper procedure, Thank God! Peso was able to urinate naturally on his own, and his vet said, "At least there is no need for us to put Peso to another immediate surgery", and I was so happy we did not return to his vet for surgery since then.

Another Complication

I mentioned that probably Peso's case was the worst case of Perineal Hernia, why because he experienced all the possible complications of Perineal hernia. Repaired muscle suddenly showed wounds with surgical thread, and his veterinarian prescribe an ointment for wound which was quite expensive but very effective. It can dry up even the open weeping wounds.

What you see in the picture was an open wound, and yes that was where he was opened in his last surgery the called bladder transifixation. That wound came out years after his 6th surgeries. The veterinarian did not find it serious, but he recommend another remedy for wound which is very natural but expensive, I looked for Manuka honey, and I used it like ointment to Peso's wound. It was effective but when the wound dried up, the bulge at his behind became noticeable again, quite big if he had not urinated yet, but in spite of Peso was just okay. Urine straining never happened again, but when it comes to putting his poop out, he really needed my help.

How to Help Your Dog

Surgical Gloves

Helping your dog to poop is not clean so it is recommended to have a stock of surgical gloves at home.

The Lamp Shade Collar or E Collar

This is very important for this will prevent your dog from licking his wound or stitches. Without this the dog has the tendency to remove the stitches by himself causing the reopening of wound and possible exposure to infection.

At first the dog will surely resist it, but as his master you must insist and show him you are the boss... The dog will soon get use to it and even sleep with it or play with it. Once the wound is dry, and not that itchy anymore, you can remove this from your dog's neck anytime.

I remember when Peso got used to it, he ran around our subdivision while wearing it, and it was a funny sight to my neighbors.

Lessons Learned

Once your dogs were diagnosed with Perineal hernia don't hesitate to bring them to surgery, my fears and doubts made me delay Peso's surgery, and in this type of ailment prolonging it means worsening it.If in case it reaches the case of Peso, don't deny them the chance to life, believe me once you see them surviving the feeling is very magical.

Indeed my dog had experienced so much, but I can't just give up on him because I know he wanted to live, and I will never deny that chance to him.

An Update About My Dog's Ailment

A dog's perineal hernia, never stop in the success of the surgery. Peso's sixth surgery, the Bladder transfixation was considered a success because it kept the bladder in place, at least at the right side of his behind, which prevented it from blocking his intestine. After his sixth surgery, in case the hernia recurred, There was another option for surgery, which will need the use of "Surgical Mesh". In 2009, the mesh was not yet available in the Philippines, but my dog's veterinarians were determined to get one for Peso, if in case Peso did not respond well to his last surgery. This mesh will be added to the dogs thinning muscles at his behind, making it stronger to hold the organs like bladder in place, this is 95% non recurring.

But since Peso managed without the mesh transplant and considering his age, that would be enough to consider him in a very good condition. You can expect more impacted stool, in spite of taking a maintenance stool softener drug. You can still observe your dog's behind getting extra ordinarily bulky. There was a time that I sent Peso to the clinic for stool removal, and after more than three months, there was the impacted stool again but this time, I successfully managed to help him bring it out using my hands wearing the surgical glove. You can use your imagination for what I did to help him, and I know Peso was just so grateful

Picture Years After His Last Surgery

Peso Died on June 7, 2016

Peso's last surgery was in 2009, and since then he lived actively for seven long years. He died a month before his 16th birthday, and the cause of death was old age complications. Meaning, if properly treated combined with tender loving care of the owner, dogs with perineal hernia can live longer. I think dogs dying from this ailment is rare.

Mario Peso will always stay in my heart. For me, this is his legacy.

Questions & Answers

Question: My foster dog is going for the surgery on Tuesday, can you tell me what the name of the ointment is that you have used?

Answer: I used Solcoseryl Jelly, but I also used Manuka Honey as advised by his vet.

Question: What did Peso's diet consist of post hernia surgery?

Answer: We converted from white rice to brown rice, his food almost always have squash and or other vegetables. His food is always wet to maintain a paste-like poop consistency. He needs fiber but we need to control giving it to them too cause it also produces the bulk of stool. He took lactulose twice a day after meal. Water is always available.

Question: How did you afford all of these surgeries? My grand-dog has bilateral or double perianal hernias plus what sounds like a cyst, a fluid-filled structure. He is 11-years-old, 11 pounds, and a Shih Tzu mix. His surgery was estimated to cost at least $3,000, but we haven't moved forward with this. Were Peso's surgeries this expensive?

Answer: Peso's surgery was almost ten years ago, so I think it was a lot cheaper then, and because he was a local dog, he got a lot a sympathy, and CARA, an animal welfare organization supported me. I was also endorsed by a good clinic that did not charge me for my dog's confinement, just the surgery cost. If I converted your $3,000 to pesos, it would cost a lot more money in the Philippines. When it comes to dogs, it is more expensive in the U.S.

Question: My dog is 10 years old and I just found out he has a perineal hernia. Due to his age, his vet said he`d not operate him because it`s too risky. I took him to another vet and he said he should be operated. I`m not really considering surgery because I don`t want to see him suffer needlessly. I haven`t tried stool softeners or laxatives in general. Do stool softeners and laxatives really help perineal hernias much? He can`t poop.

Answer: You must talk to the vet that said he would not operate and ask his options. It is a no-no for a dog with a perineal hernia to have a hard stool so we must add softener to maintain a paste-like texture of the poop. If you can't bring him to surgery you will still need to do something to make him feel relieved. If he can't poop you can bring him to a vet clinic if an enema is possible. If he can't urinate you can bring him to vet for bladder tapper. Caring for a dog with perineal hernia requires too much love and strength for the owner. a surgery cannot guarantee the problem is over. Post-surgery cares portrays the big role. if your dog still loves to eat in spite of his ailment, it means he wants to continue living so give him a chance to live.

Question: My dog just got this perineal hernia, and his vet advised me to feed him Pro plan from Purina..but he was used to eating rice and chicken, so he refused to eat that dry food. Is chicken and rice was bad in this time?

Answer: Chicken and rice is not bad for dogs with perineal hernia what is bad for them are dry foods that may cause hard bulky stool which is a "no no for their ailment. My dog is a rice eater but I decided to convert to brown rice. His diet is always moist or with soup and I gave him a laxative that was prescribed by his vet, after eating. The poop of the dog with perineal hernia must be paste-like.

Question: I just want to thank you for sharing your story. My Yorkie just had perineal hernia surgery last month and discovered today that there's another lump. Can my Yorkie being active cause the tear from her perineal hernia surgery to become bigger?

Answer: I am always happy to help. During Peso's time, his vet told me to refrain him from being too active. It can contribute to the tear yes. even a simple bark can contribute to the tear.

Question: Do you know how long Peso might have lived without urinating if you didn’t do surgery? My Miller, isn’t a candidate for surgery because he has congestive heart failure. He just stopped urinating about two hours ago and been trying like Peso.

Answer: If Peso cannot urinate I took it as a sign that I needed to rush him to the veterinary clinic, If your dog cannot urinate yet, you need to bring him to vet clinic for bladder tapper procedure, this procedure was used to Peso when he can't urinate. Manual urine collection helps if surgery is no longer an option for a dog.

Question: Are infections a common issue with perineal hernia surgeries in dogs?

Answer: In Peso's case infections were minor issues, like it happened a few days after surgery, the one with stitches developed into a weeping wound, that is why aside from antibiotic intake he also had this ointment called Solcoseryl Gel, as prescribed by his vet. This makes wound heals faster, especially the weeping ones.

Question: Were you under the assumption that your dog would only need one surgery or did they tell you ahead of time that he may need multiple surgeries?

Answer: I got most of the information online and it mentioned about possible recurrence so I prepared myself for the possibility, but I don't think it happens to all dogs with perineal hernia. Peso's case is I think is the most difficult case so far.. This caused his post-surgery care to be absolutely crucial. It can also be life-altering for the dog: don't expect your dog to still poop normally after the surgery. From time to time you will need to assist them.

© 2010 Maria Cecilia

Maria Cecilia (author) from Philippines on August 10, 2020:

you weigh things, did your Vet said he is still fit for surgery inspite of age and other complications? I know some vet will say it is risky. If surgery is not possible ask you vet how to manage it. You can also search for a group of dog owners whose dogs have common aimentl which is Perineal Hernia.

Janice Kennedy on August 10, 2020:

I have a shihtzu who is 15 years old and was diagnosed with a inguinal hernia. He also has a gum infection. Lab work was done and all is normal. The vet wants to operate and clean his teeth - only 4.. My dog can no longer use stairs and has to be carried. He is on pain meds for severe arthritis. Would you put him through the surgery. Comments please

Maria Cecilia (author) from Philippines on July 16, 2020:

HI Helen, make sure his poop is soft so he will need to exert too much effort that may cause pain. After surgery there must not be an obvious pain. Peso was always very active right after surgery. and he wanted to eat right away

Helen mikhael on July 15, 2020:

Hi my dog just had Perineal hernia surgery, castration, cytopexy, colopexy and 1 - 2 days hospitilisation without complications. now he is at home it’s day 6 of surgery. He only poops and pees once a day with pain. He starts making crying sound until he is able to poo and pee. Is that ok ?

Tina Dickes on June 29, 2020:

I`m a human and can;`t find a diet for my Pernial Hernia. Surgery is not too successful.

Maria Cecilia (author) from Philippines on June 26, 2020:

sorry for late reply, did you read the whole article? always give your dog a wet diet. because the goal is to make his poop paste like always.He needs fiber but you need to balance too, fiber can lead to production of more poops.

you can include squash boiled squash to his diet. Don't give him dry kibble, maybe once in a while but not regular. In Peso's case we always have boiled meat with veggies. you should also ask your vet about lactulose or laxative meds. it is part of peso's life. after meal he is given 5ml lactulose.

just message me here for concerns, just a little busy with work. thanks for visiting here

Aida Cepeda on June 22, 2020:

Hi, my dog just had a bilateral perianal hernia repair. Dr recommended a bland diet. Do you have any recipes or anything to share regarding this. I’ve looked everywhere but the diets lead to giving him dry food again which I know we can’t do. I would really appreciate it!

Maria Cecilia (author) from Philippines on May 01, 2020:

HI Esther, you mean he can get to surgery because he can no longer bear the anesthetic and oxygen effect, then if surgery is no longer possible for him considering his age, just manage the food he eats, give him laxative and in case you think he can't poop and you know he is full bring him to vet for enema. those are temporary relief. If you want you go to facebook and searched for Dogs with Perineal Hernia groups, most members are owners with dogs having the same ailment. I will approve you immediately

Esther on May 01, 2020:

Thank you very much for sharing your experience with Peso. I know it has been a very long time since you wrote that but it is helping me today! My dog was diagnosed with a perineal hernia two months ago, and we were about to do his surgery A day ago, sadly they tried twice and both times he was not being able to get oxygenated correctly, they said his breathing was off and he was turning blue. So they stopped both times. I was left with an expensive bill and nothing was done. My pup is still not able to poop, but they did remove what was in there and they said that he did poop while he stayed the night, but now I’m balling my eyes out because I don’t know if this will kill him or what will happen. I bought all the fruits and veggies to make him a purée daily and mix it with his moist food. But I plan on making him soup like food from now on. I hope he can give me a couple more years! He is about 12 years old, he’s a small chihuahua who was full of energy just 4 days ago! he’s been a joy in my life And I am not ready if his time comes. Especially with all the stress of the corona virus :(

Maria Cecilia (author) from Philippines on January 19, 2020:

Earl not all intact can have it, but if an in tact male has this ailment, vets usually suggests castration to prevent more complication that may affect the testicles.

Earl on January 18, 2020:

Can dog that are not intact have these kind of hernias

Maria Cecilia (author) from Philippines on April 19, 2019:

Laxative will help in making a paste like poop which is the ideal for dogs with perineal hernia. but normally after 3 months it developed into impacted stool, sometimes it helps if you push the bulky side as if pushing the poop to the hole. if the stool is hard, you can gently use your finger to get a little of poop until the bulk is smaller enough to come out. use a glove of course, the surgical one the you can buy from the drugstore. do it gently the and you will get use to it.

MJ Thomson on April 19, 2019:

Can i please ask how you can help your dog to poop? My dog has a small perineal hernia and surgery is not an option as he has a serious heart murmur. He is 8 years old so is getting old for his breed. I am so worried as the vet prescribed laxative is not helping so much. I can see the hernia only when he is pushing to poop it bulges slightly on his left side. he is peeing normal so luckily not such a severe case as yours

Maria Cecilia (author) from Philippines on April 08, 2019:

Hi I am so sorry for the comments I failed to answer. Ms Menchu Fadul How is your dog?

Alesia Barnes, you r dog is 15 years of surgery is not advice able anymore. I think the pain only occurs when poop is hard and he can't put it out. He may have stomach ache at a time but that is when he can't poop. Just bring him to walk always

Jackie, sorry about the situation of the dog.. although this is 2 months late I still wish him well

everyone having a hard time posting thier comments here, you can also check me at Facebook.

Jackie on January 20, 2019:

You are amazing! I am in Miami, FL. There’s is a chihuahua in a shelter who needs this surgery. I want to adopt him. This is the only place I can find real information about this kind of hernia! It’s very expensive surgery ($5,000 US dollars!). I can’t adopt him because I can’t afford the surgery. The dog shelter is going to kill him in a few days. I wish I could help him, but this problem is serious. Thank you for posting about complications. I would remove the stool and do all the things you didn’t for your dog, but the surgery is so expensive here. You really loved your dog. What a good dog mom!!

Alesia Barnes on November 24, 2018:

Petey is 15yrs a mixed breed and he is my heart, he has a hernia that makes it look like he has one huge but cheek, last year my vet just recommended to just watch it and make sure he able to poop, which he doesnt have a problem with; Thank God! But I am worried that he is in pain sometimes. Is there anything other than high fiber diet, I can give him for pain? He absolutely hates the vet and they aren't fond of him, so we avoid that. Do you have any advice, thank you.

Maria Cecilia (author) from Philippines on September 09, 2018:

HI if you don't want him to undergo surgery at least bring to vet for enema to remove the impacted stool. that happens regularly to dogs with perineal hernia. but learning to do it manually was not easy. first you need to have so much love and patience, and determination to help your dogs. Removing his stool using a finger is not easy. but you can try it slowly using your point finger, try to start breaking the impacted stool if you get a small piece slowly it will become smaller enough to go out from the anus hole. it sounds disgusting but you need to do everything to help him. thanks for reading this hub and hope I can help you with the information.

Allehs on September 08, 2018:

First, I want to commend your braveness for letting your dog undergo the procedure. I hope I also have that courage. I have a 10 year old dog who also have a perineal hernia. It breaks my heart to see him having a hard time to defecate. We were advised for surgery but Im still skeptical about it. My dog is aggressive to other people and it is only me who can touch him. There are many questions on my mind right now. How did the vet anesthesize your dog? Do they gave an oral medication or gave an injection? Right now, I give my dog boiled squash for his diet or canned dog food with fibrosine sachet. At first, he will have soft stool but after some time he will have a hard time to defecate again :( How did you do the manual evacuation of stool using gloved finger? I somehow want to help him. I will be very thankful for your answers.

Maria Cecilia (author) from Philippines on August 27, 2018:

I really wish your and you well. I am praying for the best. The Vet knows best, some would not operate on dog that is 11 years old but probably they saw that in spite of his age he is strong... I know you treat your dog well so I guess he is strong enough for the procedure. I wish that you extend your patience and love because that is lifetime caring.

I will try to email you soon but please find this group at FB Dogs with perineal hernia group, members are all owners of dogs with the same ailment. all of them can share their experiences that can help you.

cinthia miranda on August 27, 2018:

My Maltese Male dog is having surgery today. The same as your dog. My dog is 11 years and the hernia come from one day to another. The good thing is that he can do number 1 and 1 with no problems and he eats well. So after going to many Vet for best prices and opinion, I found a perfect vet that the surgeon have me confident. He is also getting his teeth clean , which he has only like 3. Is a very expensive procedure. God bless you for taking care of your dog. I hope my dog Casper comes out well and he can recuperate fast. I bought him soft food and dogs soups . Also a very comfortable collar so he wont bite his stitches . If you have any advice for me on what else to do, please email me [email protected]

Maria Cecilia (author) from Philippines on March 10, 2018:

ok Peso's vet is Doc. Nielsen Donato, I think may branch ang clinic nila sa Alabang.Do you hear about SAW's animal welfare try to get in touch with them baka may mairefer sila sa iyo..

aivhee on March 09, 2018:

Hi po. We need help. Our dog kobe was diagnosed with perineal hernia.. He is 7yrs old. We badly needed vet for his surgery. We are located in Cavite so we prefer vet hospital within or nearest in our area. Thanku so much.

Maria Cecilia (author) from Philippines on February 21, 2018:

I hope you can post picture at the comment box.. sure would like to see him...

Maria Cecilia (author) from Philippines on February 21, 2018:

have patience he is not feeling well or probably hungry..

Warren on February 16, 2018:

To be honest peso and my dog nacho look very alike I would love to send you a pic.

Warren on February 16, 2018:

Thanks Maria this give me hope and I don't think it was as bad as peso's the vet never told me there could be comps in later life witbout the snip.we got him home tonight but think I'm in the bad books he's growling at me and that's not like him.

Maria Cecilia (author) from Philippines on February 16, 2018:

Warren , thanks for reading, I am praying for your strength and don't give up

Warren on February 15, 2018:

Thank you I'm going through it now with my wee dog and it breaking my heart thanks this helps a bit.

Maria Cecilia (author) from Philippines on February 06, 2018:

Angelic Joy thanks for visiting, hope this helps you with your dog

Angelic Joy on February 04, 2018:

It was finally , answered after i read your post .Thank you & God bless

Maria Cecilia (author) from Philippines on January 17, 2018:

Jean thanks for your time, and don't worry, Perineal hernia looks manageable in smaller breed, let's consider Peso's case as the worst... Your chihuahua will be better soon.

Maria Cecilia (author) from Philippines on January 11, 2018:

Hi Heartbroken I am sorry about that. I am not sure about the price range in USA but in the Philippines, the most expensive perineal hernia charged was around 40k in Peso. but if they charged that much, you mean 15k or 20k dollarsm there must be a development on your dog.Wish you can transfer him in a vet clinic like ASPCA.

heart broken on January 11, 2018:

my dog had a perineal hernia and needed to be neutered as well..he developed a fever and bacterial infection from his enlarged prostate which needed emergency surgery...he was in major pain and on pain killers...the hospital charged well over 15k -20k to do all of this not including meds and hospital stay...i couldnt afford it and my dog was to weak to be transported to another hospital this price range normal in the usa ,new jersey? they kept on inflating the prices as my dog kept getting sixker and i couldnt take him home.where justice in all of this?

Maria Cecilia (author) from Philippines on December 13, 2017:

Humberto thanks so much for letting me know you visited here. You need to have more patience and love for the dog, you need to ask his vet if it is ok for him not to have a surgery. Anyways post surgery care portrays a big role. you just need to manage everything. Let his poop paste like or soft. If he can't urinate you can always go to the vet clinic for urine removal of bladder topper. Good luck to you and God Bless you for taking care of a needy dog...

Humberto on December 12, 2017:

Maria, I read your article, thanks for posting and sharing your experience. My dog Draco has a perineal hernia. 2 years after the first surgery the problem has come back. I'm afraid a second surgery is not the right way to do it but that means we'll have to help him poop almost every other day. Anyways, I read your story, thank you, I learned a lot.

Maria Cecilia (author) from Philippines on January 03, 2015:

Tins so sorry I came to answer you only now, i was surprised to see this gosh 5 months ago and tracing back the months i was so busy with my work at that time so sorry, wish my response wont be too late madam and in case I cant answer you right away here at hubpages, please see me at my fb account [email protected], madali aong makita I have mine and peso's photo at my timeline.....ok to answer your questions. First I would like to believe Peso's case is the worst because I see changes in his case from time to time . Well how's that tearing part now? It's normal with dogs with perineal hernia.... Before or lately I can see stitches showing out from Peso's behind which means nagloloosen na yung former surgeries, bu before that, he had open wound near his birdied, that wound waswhere he wad opened for bladder transfixation, it was weeping wound pa nga. i always havevthis glycoseryl jelly, which is ointment for weeping wounds. lately I was told Manuka honey is alsobest forvthe wound yung mas mataas angpotency ang best for weeping wound. but it is quite expensive. ngayon wala na ang weeping wound near his birdie but I can see his behind getting loose... What I am telling you is not bad news at all. These are things you need to get used too so you wont feel hopeless woth yor dog... dogs when treated well can survived surgeries...he is still young... Observe his appetite always...If he loves to eat it means inspite of everything he is ok..... I will pray for you to have more patience. Minsan natataranta ang amo pag tingin niya she cant do anything.... We need to be determine for our dogs to live. Kun nakakdiri, believe me kaya mo iyan. Gusto mo mabuhay dog mo eh... Please get in touch... i am praying you will read this.. Sorry for late response.

Tins on July 31, 2014:

Hi Maria, I'm really grateful for your very informative posts on hernia and for taking time to answer our questions. I got to your page because I've been looking for details about the ailment ever since our dog, who just turned 8 years old last month, was diagnosed with one. I was hesitant at first about surgery but after reading your post, I decided to go for it. I understood the risks and know that it is a recurring kind so I just hoped for the best. The surgery for our dog happened 3 months ago. It was a success but then last week we noticed a bulge in his behind. We took him back to the vet where we were told that, "may butas nga na maliit. Kasing liit ng daliri. Sign of tearing." They said it was just small which didn't require surgery yet but we were told to put our dog on laxatives for life to prevent the hole getting bigger from his straining when defecating. We're worried that the recurrence happened so soon and wondered what it meant so I found myself in your blog again, rereading your posts and the questions of the people here. I hope you also take time to answer ours. Will the hole eventually get big and so should I bring him to the vet every month for monitoring? Is another surgery inevitable? Is it a bad sign that his surgery is showing signs of tear this early? I know Peso had his surgeries one after another in such a short time so I was wondering what it means. Does it mean that their muscles are really that weak or the operation wasn't good? Or recurrence really just happens despite being careful and meticulous? Do you think our dogs will eventually be free from hernia? I've been scouring the net for answers to no avail. Thanks in advance!

Maria Cecilia (author) from Philippines on January 22, 2014:

Ms jo sorry what is that.?

jo on January 21, 2014:

Have u ever heard of a Truss for dogs?

Maria Cecilia (author) from Philippines on March 12, 2013:

parang maraming sakit ang aso mo. akala ako iaadd mo ako sa fb? i post mo picture ng aso mo

Altian on March 11, 2013:

ah ganun pala. .ahm. .my heartworm dn sya microfilaria lng ang napatay sa kanya. .pero ung adult hindi pa. .kasi wla kming pera. .ang mahal2x ng treatment 10k. .tsk. .kaya hindi ko alam ang gagawin ko. .sana ma tulungan nyo po ako kung ano ang gagawin ko. .hai. .

Maria Cecilia (author) from Philippines on March 11, 2013:

ok answer kita later, maria cecilia arrogante ako sa FB, [email protected], nagka erlichia din si Peso, dapat magamot muna iyan. basta i add mo ako sa fb may group ako ng mga dog owners na may perineal hernia ang dogs nila most of them foreigners...

Altian on March 11, 2013:

add kta po sa fb. .anong pangalan mo sa fb?.sana matulungan ako ng vet mo. .kya lang ang layo ko. .tga bacolod kasi ako. .talagang hindi ko na alam ang gagawin ko.

Altian on March 11, 2013:

hindi na tuloy ung surgery nya. .kasi mblis dw ung heartbeat nya. .tpos kpag ini injectionan ung kmay nya. .lumalaki kaagad ung inenjectionan nga part. .sabi ng vet nya. .bka my ehrlichia sya. .sabi nya. .e ehrlichia test mo na sya dw. .tpos pg positive. .e treat mo na ang ehrlichia. .nag woworry talaga ako sa aso ko. .pro nagng maliit ung hernia nya. .kasi bnutasan ng vet nya ung bulk. .maraming lumabas na ihi. .at ngaun ok na. .pro kung hindi sya mka ihi lumalaki nmn. .pro umiihi na sya ngaun. .pro nag woworry prin ako. .baka bumalik ulit. .at lumala pa. .gusto ko pang mabuhay ung aso ko. .kya lng wla na akong pera. .nag papatulong lng ako sa vet nya. .ilan lahat ung na gasto mo?. .troper pla pngalan ng aso ko. .sna ma payuhan mo ako. .kasi hindi ko na talaga alam ang gagawin ko. .hai.

Maria Cecilia (author) from Philippines on March 07, 2013:

Kasi mukhang worst case siya, kaya nga payo ko once nadiscover na may hernia ang dog kung pwede ipasurgery na kagad para di lumalala, well kasi first nirepair yung left side, after that yung bulk went back to the right, so para di na maworsen pa pinaoperahan ko na rin to repair the right, mahirap kasi kay peso kaya siya nase surgery, hindi siya maihi, sign kasi yun eh, pag di maihi ang dog kailangan siya operahan or lalong lalaki yung bulk niya. ang tingin ko effective yung huling surgery niya kasi di na kami nagkaproblem sa ihi niya since then, but I wish na maging matiyaga ka, pag nagka hernia ang dog mo, kahit pa malambot ang poop niya minsan mahirap na lumabas, if you are reading this hub, makikita mo how I help my dog pag nagpopoop siya....pag nakaya mo yung tinutulungan ang dog mo pag nagpopo nang di ka nandidiri, tingin ko malaki chance ng dog mo to survive... si Peso will turn 13 sa July, 8 siya nung mafirst surgery. importante ang post surgery care.... pag ok ito mas malamang di na bumalik ang hernia.... I will pray for your dog and for your patience too... please update me what happened... Si Peso ko ang doctor niya si Doc Nielsen Donato, please watch born to be wild para makita mo siya...good luck..

Altian on March 07, 2013:

dito lang po sa bacolod. tga bacolod po ako. .si doc.tisha canson at doc.castaneda. .tanong ko sana bkt nka 6 na surgery ung aso nyo?.

Maria Cecilia (author) from Philippines on March 05, 2013:

sure anytime, this is for dog owners talaga na ang aso may hernia...san siya ooperahan and sino ang vet?

Altian on March 04, 2013:

pwedeng mg tanong tungkol sa hernia. .kasi my perineal hernia ang aso ko. .e surgery sya this sat. .

Maria Cecilia (author) from Philippines on July 11, 2012:

Thanks Ms. Linda for dropping by Peso is ok but still needs proper attention..

linda on July 11, 2012:

Poor dog.hope peso feels better by hottie

Maria Cecilia (author) from Philippines on May 23, 2012:

Angie, I am praying for your patience.... hope I can see you soon with your dog would that be possible...there are lots of stories that I will need to tell you.... you know I have gone too far in taking care of Peso, hope you'll do it too for your maltese in the future just in case.. who is his doctor by the way?

Angie on May 22, 2012:

Hi Maria! It's me Angie with the maltese dog hehe. Yeah, I know what you mean. We do our best to keep his stools soft (bland diet, stool softener, etc), but the weird thing is that when it comes out, his poop looks soft; I don't know if this is just like a bad habit of just eating his poop. I'll take him to the vet and see what he says. Yeah, he had his 1st surgery last Novemember, but unfortunately that annoying, little bulge came out again :(

Maria Cecilia (author) from Philippines on May 14, 2012:

oh is this angie with a maltese dog? well I think it sometimes hurt that is why you need to give him stool softener, anyway did he undergo surgery already? about him eating poops just clean up right away after he poops so he won't have time eating them heheheh I guess that's unavoidable... well I have gone a long way when it comes to helping Peso with his poop, I learned what his vet did the last time he had impacted stool.... you just can't imagine what else I did for love..

Angie on May 14, 2012:

Hi Maria

I have finally learned to push the bulge; and although he gets very restless when I do it (but he is a bit of a spoiled 'don't touch me, or I'll bite you type of dog. hehe), I think it helps him to poop better. I do notice, though that when I push the bulge, he sometimes yelps. I wonder if it's painful for him when I do it...Oh, and I know this is gross, but I have caught him a couple of times trying to eat his own poop. :(

Maria Cecilia (author) from Philippines on April 01, 2012:

Sorry Pamela for your lost I feel broken Hearted as well. This only means I still need to take care of Peso in spite of his successful surgeries, but the truth is, taking care of dogs with Perineal Hernia is never-ending

pamela on March 30, 2012:

hi maria,my poor boy bobby lost his fight for life on wednesday, my heart is broken loved that boy so much

,after his hernia op complications set in 3 days later the hole that they closed in his rectom opened twice the size and was really badley infected so they operated again but when they tried to repair the rectom it started disintergrating it would not hold a stich, he died on the operating theatre ,,

the damage had been done on the very first operation with badley inserted mesh with a good hearted vet but not a specialist in hernia operations,he was in a recue centre at the time before i met him..

because dogs can not speak he had sufferd for a year and learned to live with the pain he was a strong domiant dog, and i will miss him and i hope i brought him as much happiness as he brought me xxx R.I.P BOBBY

Maria Cecilia (author) from Philippines on March 26, 2012:

pamela, Peso had the flap method on this 3rd and 4th surgery but the hernia returned after a month, silicon mesh method is the next option, if his vet, did not do the bladder transfixation.... up to now Peso still constipate and I really help him a lot while he poops. Hope your dogs get better, and I'll pray for you to have more patience... if you have a facebook account you can invite me and I'll introduce you to two dog owners who had perineal hernia too. I'll expect you will update me and thanks

pamela on March 24, 2012:

hi maria,,bobby went through his operation on friday, when the surgeon openend him up , the left side the mesh that had been fitted the first time had dislodged into his rectom causing the infection and constipation not to mention the pain he has been in without complaining poor boy, so they have removed the mesh from both sides , the right side had been fitted in the wrong place.( the first operation was done by a vet not a specialist in that field,)they have repaired both sides with the flap method,he is still in the animal hospital they have got him on a lot of pain relief and giving him ice packs to take the swelling down,,i hope to get him home on monday, so iwill keep you posted how he gets on ...

Maria Cecilia (author) from Philippines on March 23, 2012:

Bot thanks for visiting, replied to you at facebook

bot on March 23, 2012:

hi gud am po miss maria cecilia, 1 of our shihtzu eh parang may ganan din pong case he is 1yr 4months old. npansin lng namin na may namamaga sa bandang left ng pwet nya down to sa mejo malapit na sa balls, could this be it n nga kaya?. pero wla naman po sya hard time sa pag poop or urinate everything is ok. its just that nakakaawa lng sya tignan kasi pag naglalaro silang magkakapatid, 4 po sila kasi + yung mother nila. eh ayun po pag natakbo sya bigla uupo tpos parang naiirita sya sa nasa pwet nya parang hindi sya comfortable. plan po namin sya dalhin sa vet later. sana po mura lng hayyzz kasi pag surgery tlga ang paraan d po namin alam ng gf ko kung panu kukuha ng large amount for that. yung mother nya po may hernia din malapit sa singit pero hindi naman sya sagabal kasi push back lng wla n and minsan lng lumalabas na maliit parang marble balls lng po ang size. iba po kasi vet ng mga magkakapatid kesa sa vet nung mother. may possibility kayang hereditary? ty po.

Maria Cecilia (author) from Philippines on March 22, 2012:

Lizz I am very sorry for your dog, looks like he still wants to live and yet his owner already gave up on him. He is very hungry and obviously wants to eat to survive... that is why taking care of dogs require greater responsibilities, because you don't only take care of them when they are healthy, the more you take care of them when they are sick... If you still have time hope you can find him another owner first who can take in the responsibilities... In spite of peso's pooping problem, He is a very active and smart dog,his life style maybe is different but not really that pathetic, there are sacrifices yes, but loving your dog is a part of can feel it if there owners are giving up on them, you know what the veterinarians said about Peso, His fighting spirit to live is great that is why he survived all surgeries. but I can't blame you, I just suggest if your job is to go from one country to another, don't try to get a dog unless you are truly setted, this is to save yourself from broken heart and to save the dogs from pitiful situation...

Lizz on March 22, 2012:

Thanks Maria for your support and your optimist! Unfortunately i have no choice. I took my dog to the vet and they took the poop out of him, did X-rays and it showed colon or other parts out of his body. the vet said it was quite large and the only choice option was surgery. they contact the surgeon and he said it can be done but he wouldn't promise anything for so many reason, such is age, his heart murmur and the complex surgery. Right now my dog is with pain killers, laxative and antibiotic, he is hungry and i am afraid to feed him too much because he cant poop, today i tried helping him and as much a try to push it, nothing come out. as much as it hurst me to put my little guy to sleep, i have not choice to do it. he is going breaks my heart to see him suffering, without be able to poop or peep. after i took him to the vet he seems better and normal but it is very obvious the lump he has in his back and he is breathing heavy without not reason. To be honest i didn't contact several surgeons available but after reading about all the cases of dogs with perinial hernia i wouldn't be able to see my dog suffering that much. I already feel sad for him. i wouldn't be able to see him having such a life style. Another big concern is that i might be moving to another country and it might take 26 hours to get there, and i dont think my little guy would have the medical help while he is being shipped or being accepted to be shipped after all his issues... I am already devastated...he was fine a week ago, i cant believe none of his vets could have found this earlier...

Maria Cecilia (author) from Philippines on March 22, 2012:

Lizz if your dog has heart problem, ask your vet if it is still ok for your dog to undergo surgery. Perineal Hernia is a complicated ailment but it really depends on the capability of the vet. Perineal Hernia is a recurring kind and often leave owners of no choice but to bring the dog to surgery. In case your dog cannot poop, you need to bring him to veterinary clinic for enema..Your dog's vet should have suggested to you that so that your dog will have temporary relief, then feed him food rich in fiber and always give him wet soft food. did the vet advised you to give him stool softener drug? I would like to share with you something, Peso is ok but he can no longer poop on his own...meaning not all poop will come out if he is doing it without my help, so as his owner I totally committed myself in helping him poop, no matter how weird or disgusting it can be.. this ailment includes production of impacted stool, so at times when Peso can't bring it out, I also help him by pushing the bulk on his behind gently... In worst situation when even pushing did not help, I even did what his veterinarian did to him, inserted my finger to the anus hole and tried to get the impacted stool, it was hard at first but I learned to live with it...of course I used surgical gloves when I used that.... in your dog's condition, I guess he needed to undergo enema first for immediate relief... he is a small dog therefore the vet to do the enema must not suggest sedation... hope I can help you and a piece of advice try to look for more vets for 2nd opinion thanks you

Maria Cecilia (author) from Philippines on March 22, 2012:

Pamela, I am sorry about your dog, but you really have to have more patience because there are so many things you have to consider in daling with dog with perineal hernia. But I am surprise with the mesh thing... I thought using a mesh is almost 95% non recurrence, anyway let us discuss some of your issues

1. still constipated though you tried lactulose or other stool softener, you know why? is it because of the space created by the hernia so even if the stool is soft still when the dog poops it did not go directly to the anus hole, so to solv this issue, I tried to help peso by pushing the bulky part gently when he poops, i pushed it towards the anus hole.

2. infections after surgery, you mean he developed weeping wounds? yes it happened to Peso in fact until now he has it, I guess it's part of complication but it has remedy. His veterinarian gave me this ointment Solcoseryl jelly, this is good for weeping wounds, but clean the wound first with betadine paints, let it dry first then add the ointment, try it and see if this helps. sometimes antibiotic intake is not enough or sometimes the ointment is enough, peso is no longer taking antibiotic pills but the ointment is a big help

3. the flap method was also done to Peso, and the mesh method must be the last resort if his behind needed to be repaired. I can't undrstand why the mesh method seemed ineffective, but have more patience please.

4. there are still other options, Peso's last surgery was called bladder transfixation or colopexy defending on what's more affected is it his colon or his bladder. in Peso's case when he can't urinate it's a sign that he needed to be operated immediately. Putting him to sleep should never be an option

4. is your dog still active in spite of his hernia? how is his appetite? does he love to eat? in this case I suggest you find another vet for 2nd opinion... perineal hernia surgery done from the inside of the belly is more effective than repair of the muscles from behind.

5. he has no bulging at he rear end but as small holes - what are these small holes? wounds caused by the surgery? if it;s the wound then it's normal. he should not have any other wound aside from the one with stiches

please update me about your dog, he is still young, Peso was 8 when he had his surgery, your dog must surviv this, just be more patience and try to look for other vets for 2nd opinion. someone who will not threat you or tell you to resort to mercy killing... perineal hernia is not the type of ailment that will need dogs to be put to sleep unless the owner can not take long term medication and treatment thank and pleas keep in touch

Maria Cecilia (author) from Philippines on March 22, 2012:

Goodlouck Junie invite me to facebook if you have it

Lizz on March 21, 2012:

My other concern is that the vet said it is not a common surgery, it is complicated and the risks are high...I wouldn't like my dog to be a practice or training for the surgeon either...I can't see my dog suffering...

Lizz on March 21, 2012:

Hi Maria, I Just found out my 10 years old Pekingese has right and left perineal hernia. He was fine until 3 days ago and suddenly he showed the lump in his bumb and he couldn't poop, he tried a whole day and he couldn't he even got a lot of blood out. His vet said he needed surgery, he contact a surgeon but he doesn't promise he will be ok after surgery. My dog has hearth mumurs and was showing some paralysis a couple months ago. I feel so sad to see him suffer and so sad to let him go but your story about peso makes me understand my dogs hearth problem are a big issue... Thanks for sharing your story. It verifies what the vet told me.

pamela on March 21, 2012:

Hi Maria, my sammoyed dog Bobby is a recue dog i brought back from portugal to the uk in jan 12, he has already undergone a double perenial hernia operation done with the mesh method, he has suffered with infections in the bowel since the op, first done in feb last year, still has constipation problems,he spends half his life trying to do a poop, tried lactalouse, aloe vera, stool softners, he is constantley on antibiotics!!. my vet is recommended he as another operation to the left side with the flap method, my vet as told me if he doesn't have the operation i have to put him to sleep.... he has no bulging at he rear end but as small holes around his anus with leaks either blood or brown mucus ,,he is only about 3 or 4 years old very young for a perenial hernia, he as had such a bad life before i met him ( i found him in a donkey santuary in portugal ..they saved his life)..he is due to go for his op on friday i just hope iam doing the right thing and not putting him through more pain ,,all i want him to have is a good quality of life i love him to bits ,did peso suffer with infections after his operations?? and thank you so much for writing this page as there is very little of information of dog owners who has the experience of perenial hernias..

junie01 on March 21, 2012:

i sure will. thank you again

Maria Cecilia (author) from Philippines on March 20, 2012:

Junie basta matreat lang siya at magtiyaga ka lang your dog will surely survive it... Mas madali pa rin siyang ipagamot as compared sa mga ailments na related sa liver, kidney and heart.... ok just get in touch I would like to see another dog surviving the ailment

junie01 on March 20, 2012:

yes, i think that's one of the two hernias his vet mentioned at iba nga raw ang symptoms nun. i forgot the name of the other hernia.

thank you for the number and for all the info. perineal hernia is kinda scary really.

Maria Cecilia (author) from Philippines on March 20, 2012:

Bigyan mo rin siya ng lactulose muna, mas maganda kung ang poop niya is paste like, pacheck up mo na dog mo para maconfirm mo, the other type of hernia na alam ko is ambilical hernia common ito sa mga shihtzu, and di rin kasing hirap itreat as hernia... sa perineal hernia, may mga case na ang mas affected yun colon or blqadder, sa casee ni peso bladder niya ang affected lagi in fact kaya siya na operahan for the 3rd time yung bladder niya muntik na lumabas sa anus, in other case, yung intestine daw ang lumalabas, so yun ang medyo iiwasan nating mangyari sa dog mo. Heto number ng PSPCA 7339427

junie01 on March 20, 2012:

actually hindi pa confirmed na confirmed na perineal hernia. it's a 50-50 thing. you see, it's like this. about 2 weeks ago he seem to have difficulty pooping and i saw this bulge on his side. i had no idea what it was. i have this friend who has a very good vet but they are based in the province. via webcam lang niya nakita ung dog ko. he asked some questions, told me to feel for this and that. he said it could be perineal hernia but it's better if his vet sees it.

i had him checked by his vet but it seems the doctor is not familiar with the ailment. i asked about him it but he mentioned only two other hernias that afflicts dogs and perineal hernia is not one of them. iba rin ang symptoms nung two hernias na binanggit niya. instead he prescribed antiobiotics and anti-inflammatory for a week. after that, the bulge is still there. and it was around that time that i read your article about peso's surgery and i got scared bec the symptoms you mentioned and what the other vet asked me about, were the same. bulge that moves and recedes when pushed, etc. I need a third vet's opinion and it's better if he's an expert so I asked for your vet's name.

the constipation was bad for a while. only small pieces of poop coming out and he poops frequently. i gave him milk accd to the vet's intructions and so far he is able to poop.

yes, i'm familiar with pspca. i am going to inquire there like you suggested.

thanks, thanks. you have been very helpful

Maria Cecilia (author) from Philippines on March 19, 2012:

Junie few more question, when did you confirm na he has hernia? How severe is his constipation? walang lumalabas kahit anong gawin ng dog and your dog really want to bring it out? pag may ganitong scenario kayo baka you can bring your dog to enema or labatiba, vet clinic knows this. I hope your dog is nice so he wont be needed to be sedated during the processs? si Peso kasi medyo nagwawala so sedated siya thou sa Vets in practise and sa Pendragon vet clinic hindi kailangan isedate you juswt need to be there to control your dog. Minsan kasi ang hernia will leave you at no choice, lalo na kung nagkakaron na ng complications, like in Peso's case hindi na siya maihi e punong puno na bladder niya ng ihi so you will see the bugle.. in that case emergency surgery na talaga kailangan.. I found out about his hernia October 2007 pero I had hesitation sa surgery, ang ginawa ko I give him high fiber foods and lactulose, then walk lagi kami every morning pampalakas din yun ng resistensiya niya. First surgery niya was July of 2008 medyo natagalan kasi nagkasakit pa kasi siya ng iba kaya pinagaling muna (well I hope Peso's case was the worst na since he is the first one to come out with this ailment)di na kami nakaabot swa schedule kasi nga di na siya maihi... Perineal hernia is a recurring kind so I wish you have more patience... pero baka naman mas may alam na silang remedy to prevent it.. ako based on my observation if the surgery is done sa loob, I mean just like what Doc. Nielsen did in Peso's olast surgery, parang di na nagrerecur or naglilead to emergency surgery. if you have a facebook account invite mo ako. Let me see your dog.. sabi sa akin nung isa sa mga first vet na tumingin kay Peso, pag daw pinagtatagal ang hernia mas lumalala di kita tinatakot ha... pero hanap pa tayo ng clinic like sa PSPCA sa Recto are familiar with it? try to call the clinic din and ask how much they charge.... but of course VIP is the best din pero malay natin baka mayron pang iba.

junie01 on March 19, 2012:

Good morning. My dog is considered medium-sized daw. He weighs aroung 24 lbs. He had been constipated for a while but i gave him milk and yesterday his stools had been soft. i'll keep lactulose in mind if ever he needs it.

wow, it costs a lot pala to have surgery. but of course, he's worth it so i'll have to save up big time. thanks for the info about who to ask help from. you have been a big help not only with the knowledge you have shared but also just knowing about someone who had been through a lot for the sake of her dog.

yes, he's an aspin and he's turning ten in a few months. that's another reservation his vet expressed. he's kinda old na daw so surgery is risky.

i'll be sure to update you about him and to ask for additional info. thanks, thanks so much. hugs and kisses to your two dogs esp to peso. i first learned about him through your article in Animal Scene and that's the only time I suspected that my dog could have the same condition bec of the symptoms you described.

how fast did peso's hernia worsen from the time you discovered it?

anyway thank you again.

Maria Cecilia (author) from Philippines on March 19, 2012:

Junie how big is your dog? is he constipated? if he is give him lactulose muna startwith 3ml sa syringe, et him drink it after meal twice a day. This is a stool softener. His first 5 surgeries were around 6,000.00 I am not sure if it was discounted pero parang ganon, his olast surgery cost around 8,500. I'm not also good financially speaking, but some dog lovers supported me, most of them volunteered to help because they read Peso's story at Animal Scene Magazine. I have a suggestion, try to write CARA and Paws, and tell them your dog's problem, ask them if they can endorse you to Doc. Nielsen Donato or any vet in Vets in Practice (though siya talaga ang the best sa ganong ailment, I am sure they trained their junior vets to be very skillful in their fields). Pag sumulat ka sa CARA or PAWS,enclose your dog's photo.. ASPIN ba siya? If he is I will try to show his photo to our ASPIN Club, mas maganda kasi pag may endorsement eh.OK goodluck to you please update me always

junie001 on March 18, 2012:

thank you so much. yes i am from the phils. oh wow, your dog's vet is a celebrity pala. kinda scary to think of his fees. don't get me wrong i love my dog very much. finances are just a bit strained. i hope you don't mind again if i ask how much the operation cost so that i can prepare for it.

you have been so helpful and i can't help but think that peso is so lucky to have you. i have read about him a lot and i am happy to know he's thriving so well.

i have tried the technique you mentioned (pushing the bulky part) to help my dog poop but it isn't working so far. maybe i haven't gotten the technique right yet.

anyway, thank you again so much.

Maria Cecilia (author) from Philippines on March 18, 2012:

Junie I wish you are from Philippines, well of course I will tell you who is doctor is, He is Doc. Nielsen Donato of Vets in Practice in Mandaluyong, the clinec location is near the mandaluyong municipal hall. If you are watching Born to be wild every Wednesday PM he is one of the hosts there, he replaces doc. Ferds.

Peso is fine, he is a bit overweight, loves to eat and play with my two year old dog...but of course there are still some problem as result of his ailment, In fact he still needs another repair on his behind, which might be needing a transplant of silicon mesh but after 6 surgeries and considering that he is 12 years old, I decided not to bring him anymore. well Junie a dog with perineal hernia will have immpacted stool from time to time, this can be removed thru enema, but in my case I have learned to help him poop by pushing the bulk part of his behind. Peso is still taking stool softener drug. please get in touch with me in case you decided to bring your dogs to surgery.

junie001 on March 18, 2012:

hi there, i have been reading about your dog. my dog is 10 yrs. old and he has perineal hernia. i am not very confident about his vet because he doesn't seem familiar with the ailment. is it ok to ask for the name of the vet who did peso's surgery? thanks so much.

how is your dog doing by the way?

Maria Cecilia (author) from Philippines on February 29, 2012:

That could be the impacted stool. don't worry vet knows how to remove it, your dog is just a small dog, it won't be necessary to sedate him just to collect the impacted stool. In a veterinary near my home, they want to sedate peso before doing enema to him, but his vet whose clinic is very far from us just collected it using his finger...I know it's kind a disgusting but I learned to do it for peso.. again goodluck to you and please update me about it... I would like to know more dogs surviving the ailment... if you have a facebook accout pls. invite me and I'll introduce you to other dog owners whose dogs have hernia too..

Angie on February 29, 2012:

Yes, it's a perinneal hernia, but only to one side. I;m actually taking him to the vet tomorrow; last Saturday he torn one of his toenails, and he had to take antibiotics, this of course has cause him to get constipated making the whole thing worse. I've tried to push the bulge; but the thing is it's get way too hard to push and he starts crying whenever I try. I will definitely take him to the vet first thing tomorrow.

Maria Cecilia (author) from Philippines on February 29, 2012:

Hi Angie, I am not familiar with unilateral hernia, is it almost the same as Perineal hernia?anyway if your vet hesitated to put him under anesthesia because of age issue, you can ask other vets who can have more courage to tell you what else can they do. the mesh thing will strenthen that muscles that became thin because of the bulge...anyway try to help your dog whenever he poops. you know I help peso poop by pressing gently the bulge where the feces maybe located... you know because of the space created by the hernia, some of the feces went there and not directly to the anus hole... Peso too needs one more surgery but this pushing and helping makes him survived. always use a surgical gloves.

Please keep in touch and may I be able to help you..

Angie on February 28, 2012:

Hi Maria.

I also have a dog, 13 year old Maltese with an unilaterial hernia.He had surgery last November, unfortunately, the hernia came back a month after; despite of the fact he has a special diet and all. He was also neutered in that surgery; and I feel he has less trouble pooping now than before; however, I just want to get this thing fixed once and for all. It's extremely frustrating seeing him struggle again when pooping :( His vet told me that because of his age we have to think about putting him under anesthesia again; however, I'm looking for a third opinion now and see if they can use the mesh thing. I'm just too confused and freaked out of putting under knife so soon.

Maria Cecilia (author) from Philippines on February 05, 2012:

Joyce nice to see you are right, I really went more than extra mile for Peso...there are decisions in life that some will think I am impractical but I am happy to choose Peso... thanks for visiting

Joyce on February 05, 2012:

It is REALLY wonderful to see another human being who will go the extra mile for her loyal canine. Thanks SO much for sharing your dog's story because it gives other dog lovers, who are going thru the same thing, knowledge and comfort. It gives them ammunition to fight. Congratulations!

Maria Cecilia (author) from Philippines on January 16, 2012:

Shana, first thanks for taking the time reading my hub, anyway in case of perineal hernia, yes it is necessary really for the dog to be neutered because it will add in the complications if not. and you know what, it is really adviceable for the dogs to be neutered, meaning if you are not planning to breed them, it is best to have them neuter so that they can be protected from other prostate related ailment.... I do believe neutering of spaying helps in prolonging a dog's life... but I am not sure if you neutering will prevent perineal hernia in the future. but I am sure that in case your dog has already acquired the ailment, the vet will definitely advise you to have your dog neutered... I hope I was able to answer your question. Don't worry about neutering, it is less complicated than spaying, and dogs recover easily

Shana on January 16, 2012:

Maria---was your doggie neutered? I am having a really tough time deciding whether I should neuter my dogs or not. My dogs are always on leashes so they will never get a dog pregnant and prostate cancer is supposed to be rare in dogs. The one thing I am concerned about his perineal hernias. Supposedly neutering protects dogs from getting them. Do you think this is true? Please help.

Maria Cecilia (author) from Philippines on January 09, 2012:

First you need to see a vet who is compassionate and the one you trust, the one who will tell you honestly the perineal hernia surgery won't complicate with his heart ailment, I guess it's not the surgery but the anaesthesia that will be given to him before surgery can give the 50/50 condition.. If the vet said that he cannot recommend surgery this is what I suggest you to do, always feed your dogs wet food, it's ok to feed him rice but in your dog's case brown rice or red rice is ok. ask your vet to prescribe a stool softener medicine like lactulose, Peso took it twice a day and I just adjusted the quantity depending on the softness of the stool. Which side is the hernia located? left or right? in that case help you dog poop by pressing that part gently slowly going toward the anus hole... if surgery is not the answer, these can be of help so you will need to observe a lot when your dog poops. sometime perineal hernia will lead you to point of no choice but surgery when either of the colon or bladder partly went out to the anus hole, and in case the dog can't urinate anymore, that means emergency surgery is necessary.... but hope your dog won't reach the part, but it is a possibility.. please update me of what you have decided to do and goodluck to you

Patrick L on January 09, 2012:

Hi Maria,

I'm very glad to hear that Peso is doing great. This blog that you set up is excellent and I'm sure many people appreciate what you've done :)

I have an 11 year old male chihuahua (not castrated) named Simba and he has a Perineal Hernia. We took him to the vet a couple days ago because he wasn't able to excrete his stool. The vet was able to extract the stool, but only when he was sedated. In addition to the Perineal Hernia, Simba has an enlarged heart (heart murmur). The vet has given us lactulose to soften his stool and another medication for his enlarged heart. The vet said that it would be a 50/50 chance of survival if Simba has surgery because of his hear condition. Simba is a very healthy and active dog...he runs around and plays as if he's only 6. The only problem was that we fed him chicken and rice his whole life and this has resulted in him being constipated thus resulting in the formation of a hernia. Do you think that Simba should have surgery to get the hernia removed given his hear condition and what the vet said? Or do you suggest we consult with an ACVS Vet Surgeon first?

Thank you very much for any kind of advice you can provide.


Muhammad Tariq on October 26, 2011:

Ok done pictures are very nice wish all the best.M.T.AFRIDI

Maria Cecilia (author) from Philippines on August 20, 2011:

Ranjit thanks for taking the time visiting here... As long as he can eliminate I think he is OK, but the problem is if he can no longer eliminate even if you push the bulk side? but I suggest or at least try in case you haven't done this yet, bring your dog to stroll as often as possible especially at night, and allow him to urinate as often as possible so that he will not need to stock volume of urine in his bladder and just wait to go out in the morning to urinate. maybe if he has lesser urine in his bladder, it will not bulk that much so even if the bladder got stuck in the space created by hernia, he can still urinate without difficulty. How about his stool, does he also have difficulty putting it out? in case yes ask the vet if it is alright to give your dog lactulose so that his stool will be softer. also ask your vet's opinion, if in that stage of your dog's life, is it still ok to bring him to surgery. ?

In Peso's case, most of the time he just can't urinate so I really don't have a choice but to bring him to his vet for surgery.

Perineal hernia when treated well, dog's recovers right away...

Ranjit on August 19, 2011:

Hi my 11 yr old boxer Bruno suffers from Perennial Hernia right side. He was having difficulty in passing stools so he was neutered 3 months ago, so that his prostate could shrink. He now has a problem passing urine in the mornings. I have to push the bulge in and as soon as I push it he can urinate. He is OK through the day but it is the same every morning. Given his age what is the way out ?

Sue88888 on May 02, 2011:

Sorry to hear that someone like yourself wasn't out there in your tiMe of need.....well u are doing great!!...sure introduce me to both of them, thank u again!

Maria Cecilia (author) from Philippines on May 02, 2011:

Ok sue I will accept you now, I really created this hub for fellow doglovers, you know during Peso's struggle I had no one to ask, I mean I don't know who to ask for I can't find anyone in the net who talked about their dogs who have perineal hernia, so I made a promise to myself, that I will make myself available for fellow dog lovers who may need my help with regards to this ailment, sue I will introduce you to Renee and Renae both of them have dogs with Perineal hernia and had undergone surgery too. See you on FB

Sue88888 on May 02, 2011:

I just sent u a request on fb..unfortunately i don't have pictures before the surgery with the fact I don't even have any pictures of the hernia,...I had 2dogs, unfortunately I only have 1 now..I only have the brown one now..u can tell he's been thru a lot, I tried to give him the best and will do anything for my boy....MARIA, THANK U sooo much for your replys and quick responses, I will keep u posted and also keep us posted with peso too....really appreciate u taking the time to write back! Thank u so so much!

Maria Cecilia (author) from Philippines on May 02, 2011:

Sue you are doing the right thing giving him laxative using your judgement or depending on his poop size. You did the right thing, it's just that hernia is really a recurring kind but, i think hernia in small dogs are more manageable.

I can share you a tip, peso still has hernia but his vet did not encourage another surgery simply because he can eliminate well and the bladder seemed to stay at the right and the colon at the left so they no longer complicate each other... You know because of the space created by hernia, sometime even if the poop is soft, instead of going to the hole when the dog poop it goes the the hernia, so what I am doing in this case is i gently push the part where I know his poop (I know and I can tell after years of taking care of Peso), meaning help him poop so he won't really need to exert the hard..

I have a facebook account and you can add me if you have one. [email protected], another friend I met thru this, is Renae, her dog is small breed also a Chiuaua, just this year Peanut had his first surgery, he seemed ok, and he is 11 yrs old. You can ask Renae for after care too since her dog is a small breed too. Yes I want to have his picture showing of him with his hernia and if you have his picture during his first surgery much better... and it's much better to if you will send me picture of you with your dogs of course.. thanks.

Sue88888 on May 02, 2011:

I give him a laxative everyday since his surgery two years ago....I also have to be careful cuz u can't give him too much or too little, too much he gets diarhea and too little he gets u give him bout a sringe full, he weighs about 7 pounds, small dog......I ve been monitoring his poopin since the surgery, I watch everyday if he is constipated, and it's not good if he is....I see the consistency of his poop and I also have to check the size of his poop....I remembered before the surgery his poop was very thin, very stringy like pen now I know what size of poop is normal to him, so when it gets thin I get scared....

I haven't taken to the vet yet since the recurring hernia came back...the doc had told me that it might come back and after the surgery I was hoping and praying it won't ...

Nowadays most of the time he doesn't look like he is having trouble pooping at all, he poops when he wants when we walk him....

I can send u a picture of him, what kind of picture do u want? Do u want to pics of his hernia? Also what is your email?

Maria Cecilia (author) from Philippines on May 02, 2011:

Hi sue, Peso is doing ok, but he needs extra attention, I am careful with the food he eats, monitor his poop without a miss, and there are times when he can't poop on his own meaning, he can't bring out all his poop because of the hernia but when I pushed the bulk, the poops automatically went out from the anus hole, anything I can do for my love for him.... in that condition, that is manageable and fine. Hernia will definitely hurt them if it already prevented the feces from coming out,in some occasions, it was the bladder that roams in the space created by the hernia and once got stuck, will prevent him from bringin out his urine, and that means you need to bring him immediately to the vet, you see the photos above with peso having this bloated behind? that is because his bladder is filled with urine that he can't bring out. talking about pain, having a hard time bringing out the waste is painful to them...

Just keep on asking Sue, and send me picture thru email and I might include you and your dog in my article. Your dog is luckier it took him two years before another hernia developed, in Peso's case in a matter of months. control the consistency of his poop, it must be paste like always...

Sue88888 on May 02, 2011:

Sorry there was some typos ...I meant he had a perineal surgery two years ago and now another one has developed on the other's not that big but it's visible enough to see that another one has come u know if the hernia hurts them? Bother them or anything like that?,...thank u for getting back so soon, and I will keep u is peso doing now??

Maria Cecilia (author) from Philippines on May 02, 2011:

When Peso had his first surgery he was only 8 years old, to some that's already old but I took the risk because I had no choice but to bring him to surgery than see him suffer but letting the hernia to get worst. If you will read comment from above, you will see Renae here, her dog is eleven years old but still survive the operation. Please have a strong heart and determination for your dog, Perineal hernia is a recurring kind, and bringing him to surgery will help lessen or will stop his misery. if another hernia develops on the opposite side,you will need to wait for 3 weeks before another surgery. Well I think there is no age limit in this ailment but more on the quality of strength that your dog has. Dogs normally survived perineal hernia surgery. talk to your vets always. don't lose hope, remember Peso had six surgeries and her survived. Let's consider his case as the worst perineal hernia case. Please don't forget to update me, I'll truly appreciate it.

Perineal Hernia

What is a perineal hernia?

A perineal hernia is a condition seen in dogs and cats in which the pelvic diaphragm becomes weakened. This results in displacement of pelvic and abdominal organs (rectum, prostate, bladder, or fat) into the region surrounding the anus.

The cause of this condition is not completely understood. The vast majority of cases occur in intact male dogs that are middle-aged or older. It has been hypothesized that anatomic factors, hormonal imbalances, damage to the nerves of the pelvic diaphragm, and straining due to prostate gland enlargement may contribute to the development of a perineal hernia.

Signs and Diagnosis

The first signs of a perineal hernia include straining during bowel movements, constipation and swelling around the anal region. Subsequently, the pet may have a loss of appetite. Straining to urinate may be seen if the bladder has become displaced into the hernia. If the small intestine gets trapped in the hernial sac, vomiting and depression may be seen if the bowel’s blood supply is compromised.

The diagnosis of a perineal hernia is made by digital rectal palpation performed by a veterinarian. Additional diagnostic procedures may include X-rays and ultrasound of the abdomen and hernia to make sure that the bladder is not displaced into the hernial sac. A complete blood count, chemistry profile and urine testing are performed prior to surgery to allow us to select the best anesthetic protocol for your pet.


Prior to surgery, the surgeon will determine if the bladder is trapped within the hernial sac. If this is the case, a catheter is placed into the bladder to relieve the build-up of urine. The perineal hernia is repaired using the internal obturator muscle flap technique. This surgical procedure creates a new pelvic diaphragm with the transposed muscle flap. Castration is always performed in conjunction with perineal hernia surgery, so that the prostate will shrink.

Below is the back end of a dog before and after surgery. Sometimes the abdomen also needs to be opened in dogs that have a severe perineal hernia, so that the rectum can be surgically fused to the abdominal wall to permanently pull it out of the hernial sac.


Overall, about 85% of the dogs that have surgery to repair a perineal hernia will have a successful outcome.

It can be difficult to differentiate between this and hemorrhoids. It is important to tell the difference as risks, treatments, and surgeries are very different.

What are perineal hernia symptoms in humans?

Hernias are generally accompanied by a tender lump, pain, and discomfort at the site of the protrusion. The symptoms of a perineal hernia in humans have this swelling located near the anus. This can be experienced by men and women.

You may notice the pain as you defecate or bend over. The main cause behind this occurrence in humans is surgery around this region of the body with sloppy reconstruction. Compromised rectal prolapse surgery can be to blame. This causes the insides to cave in a bit.

What are the perineal hernia treatment options?

There are some things you can do to temporarily relieve the pains it’s associated with. Sadly, surgery is the only real option. In a majority of cases, a prosthetic mesh is needed to complete it. For the time being, this has come with a high rate of failures due to flaws in the anchoring techniques, but research is looking to improve it. A gluteus maximus muscle flap and acellular grafts from the human dermis and pig collagen are hoping to fix these numbers for rectal hernia surgery.

Is a perineal hernia in dogs possible?

Many diseases and conditions found in humans can be found in canines. The same is true for an anal hernia in dogs. A perineal hernia in dogs is not only a possibility, it is not uncommon! They have a similar enough structure to their internal bodies that it shouldn’t come as a surprise. It is most common in geriatric, intact males (old and not neutered). There is an innate predisposition to formation according to breed. Breeds of dogs most susceptible to this diagnosis are Boston Terriers, Boxers, Welsh Corgis, Pekingese, and Dachshunds. Because a dog can’t write a note and explain their problems, you will need to notice changes in behavior that indicate something is wrong. Coughing, refusing to eat (anorexia), excessive drooling, shortness of breath, and vomiting are all signs your pet doesn’t feel normal. Pets should be taken to their veterinarians when symptoms seem severe or don’t improve after a couple of days. It can be difficult to recognize an anal hernia in dogs as the rectal region is generally covered up.

Are perineal hernia repair surgeries different in pets?

Whether you are operating on a man or a Pug, the ultimate goal of the procedure is the same. Obviously, you would take the pet to a veterinary surgeon for consultation and operation. There are slight changes in the anatomy and metabolic activities which must be considered when anesthetizing and performing surgery on a pet. Precautions must also be taken as the pet doesn’t have the conscious cognitive ability to adhere to restrictions following surgeries. Your canine companion doesn’t understand he can’t run around and play. They don’t know the dangers of salivating or chewing at stitches (in fact, it’s a natural defensive response to lick wounds).

They don’t understand why they need medication or what happened. Consider viewing their knowledge and awareness of the event akin to if you put an infant through surgery -but then give them, even more, motor function and potentially larger sizes. Fitting a cone around their neck or making them wear some outfits can make disable them from reaching back and irritating the surgical site. Careful watch or preventative antibiotic interventions are possible in cases where redness and irritation indicate an early sign of infection. This is also why it’s important to address early as a ruptured hernia is a possibility for a hyperactive and stressed dog.

Complications with dogs being administered anesthesia is a problem. Vets may encourage preanesthetic tests be carried out to determine if this is a viable option. The laboratory chemical analysis measures the function of the kidney, liver, and pancreas in addition to sugar levels, electrolytes, and overall blood health. The final complication of pet surgery is price. A vet visit is expensive, and unfortunately, when a veterinarian performs surgery, that cost rises. There are insurances which you can apply for in advance in case of future emergencies like this. Otherwise, the event can take a toll on your finances. There is no standardized bill so discuss this with the proper advisor.

Can other animals experience hernias?

The short answer is yes. Animals that have a physiological structure here can have the same problems. While their symptoms may manifest slightly differently or their risk factors may diverge from how we think about people, it’s not just Fido you need to worry about.

Under the right circumstances, other household friends such as cats and horses can suffer from this malady.

Animal models and hernias

The similarities between hernia expression between human beings and other mammals are quite big. A mammal with anatomically comparable features makes a great model organism for research improvements. In pharmacological regulations, this is a necessary step before human clinical trials and subsequent availability on the market. Some of the species which have been used in past publications were pigs, rats, mice, guinea pigs, and rabbits. All experiments much meet certain demands which consider ethical standards and well as meeting a special degree of living. Experimentation has led to groundbreaking results in the field which have saved the lives of billions of people. It offers an option to explore treatment and surgical possibilities without forcing sick humans to undergo shaky treatments.

Recovery of Hernia in Dogs

In the case of a hiatal hernia, pet owners may have to feed a dog more frequently than normal due to slower digestion. Eventually, the dog should heal as usual, but times may vary.

As long as the surgery is successful, the dog should be able to go back to a healthy lifestyle. However, due to genetics, veterinarians will more often than not strongly recommend that the dog be spayed or neutered to avoid potential puppies having the same hernia problem as the parents.

Like other genetic disorders, there is currently no medical way to stop a genetic disorder that can easily be transmitted to offspring. If a pregnant female dog's hernia is found, the puppies and the mother should all be spayed or neutered as soon as possible to prevent the disorder from continuing to spread.

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Perineal Hernias

Caudal Hernia, Colopexy, Ventral Hernia, Dorsal Hernia, Sciatic Hernia

The term "ACVS Diplomate" refers to a veterinarian who has been board certified in veterinary surgery. Only veterinarians who have successfully completed the certification requirements of the ACVS are Diplomates of the American College of Veterinary Surgeons and have earned the right to be called specialists in veterinary surgery.

Your ACVS board-certified veterinary surgeon completed a three-year residency program, met specific training and caseload requirements, performed research and had research published. This process was supervised by ACVS Diplomates, ensuring consistency in training and adherence to high standards. After completing the residency program, the individual passed a rigorous examination. Only then did your veterinary surgeon earn the title of ACVS Diplomate.

Perineal hernias result from weakening or complete failure of the muscular diaphragm of the pelvis. Normally, the pelvic diaphragm allows for rectal support and keeps the abdominal contents from encroaching on the rectum. Pets with perineal hernias will demonstrate a swelling adjacent to the rectum on one or both sides coupled with signs of constipation, difficulty defacating, lethargy, difficulty urinating, and altered tail carriage.

The underlying cause for weakening or failure of the pelvic diaphragm is unclear at this time. However, many theories are proposed, all of which may be working separately or in unison to allow for pelvic diaphragm weakening or failure. The disease primarily affects older pets, usually between the ages of 7 to 9 years. Non-castrated male dogs and cats are also over-represented.

Pets with perineal hernias typically demonstrate a swelling adjacent to the anus on one or both sides (Figure 1). The swelling may contain herniated abdominal and pelvic canal contents, such as a dilated rectum, prostate, urinary bladder, fat, omentum, and small intestine. Clinical signs seen in pets with perineal hernias are related to the organs entrapped in the hernia. Typically, these signs include:

  • constipation
  • straining to defecate
  • straining to urinate
  • inability to urinate
  • urinary incontinence
  • abdominal pain
  • lethargy
  • depression
  • anorexia
  • altered tail carriage

To diagnose perineal hernia your veterinarian will perform a thorough rectal examination. This will help to determine the presence or absence of a mass-like lesion, prostate disease, contents of the hernia, and to determine unilateral or bilateral disease. Some patients may require analgesic or sedative administration for completion of a rectal exam. Once the diagnosis of perineal hernia has been made, a thorough metabolic and abdominal work-up should be instituted. Your primary care veterinarian will likely recommend a complete blood count, biochemical profile, and urinalysis to determine any concurrent systemic illness. Advanced diagnostic imaging (ultrasound and abdominal radiographs) may be recommended to help determine hernia contents, bladder position and size, colon position and size, prostate disease, or the presence of cancer (Figure 2).

Patients demonstrating any swelling adjacent to the rectum along with the clinical signs mentioned above should seek veterinary advice as soon as possible. Organ entrapment into the perineal hernia may be life threatening and necessitate emergency stabilization prior to definitive surgical intervention. Your veterinarian may wish to refer you and your pet to an ACVS board certified veterinary surgeon for surgical repair of a perineal hernia.

Perineal hernias, by themselves, may cause constipation, which in turn, may damage the motility function of the colon. Perineal hernias may also disrupt your pet’s ability to urinate. Occasionally excessive straining may cause the urinary bladder to retroflex (flip over backwards into the pelvic canal) leading to urinary obstruction and potentially loss of blood supply to the bladder. Entrapment of a loop of intestine into the hernia may cause significant pain and loss of the blood supply. Emergency surgery is indicated for pets with signs of abdominal pain, inability to urinate, and a strangulated loop of small intestine.

Treatment of non-emergency perineal hernia may consist of either medical or elective surgical therapy. Medical therapy is indicated for preparing a patient for surgery, but is generally unsuccessful at permanently controlling the disease process. Medical management will consist of a combination of enemas, stool softeners, IV fluid therapy, dietary management, and analgesics. Surgery is aimed at repairing the pelvic diaphragm and potentially suturing or tacking the colon and the bladder to the abdominal wall to help prevent reoccurrence and colon or bladder entrapment. The surgery typically involves placing sutures to restore the pelvic diaphragm and the incorporation of an internal obturator muscle flap to bolster the repair. The internal obturator is a muscle that is elevated from the floor of the pelvis plastic-Surgical mesh may be implanted in more severe case. It may also be necessary to transfer a flap of muscle from one of the rear legs to aid in closure of the hernia defect in severe cases or cases that have failed initial repair. It is recommended that all patients be castrated during the surgical procedure to help decrease the risk of reoccurrence.

During initial hospitalization, all patients are monitored for complications. Should complications arise, medical or surgical intervention may be recommended.

After surgery, your pet may be placed on a broad-spectrum antibiotic. All patients will receive pain medications to reduce their post-operative discomfort. Dietary modification with a high fiber diet coupled with stool softeners are sometimes used to help with reducing the pain and straining associated with defecation. In addition, it helps to reduce the potential for breakdown of the repaired tissue. Your pet should be kept calm and quiet for the first two weeks after surgery to allow for tissue healing. Elizabethan collars are warranted to prevent patient damage to the surgical repair. Cold compresses applied to the surgical site may be recommended to help diminish swelling and perineal irritation.

The prognosis is good for the majority of cases however, in 10-15% of the cases, recurrence of the hernia may occur within a year. Prevention of over activity and self-trauma may help lower this recurrence rate.

There is no proven means to prevent perineal hernias from forming. The problem is rarely seen in castrated male dogs so early castration in dogs not intended for breeding purposes is recommended.

Watch the video: Final Video: A 10-year-old maltese has a right perineal hernia again

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