Text book of veterinary medicine, Volume 3 (of 5)

Chapter 111: HERNIA OF THE BLADDER.

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Comprehensive clinical manual detailing disorders of the nervous, genitourinary, ocular, and integumentary systems in domestic animals. It begins with principles of neural control and general symptomatology, classifying motor, sensory, and psychic disturbances and methods for localizing lesions. The text describes specific conditions such as seizures, paralysis, meningitis, intracranial hemorrhage, tumors, and toxicoses, and outlines diagnostic signs and pathological causes. Later sections address urine analysis and renal disease, urinary tract inflammation and calculi, and diseases of the eye, skin, and constitutional systems, combining pathological description with clinical signs, differential diagnosis, and practical guidance for examination and interpretation.

HERNIA OF THE BLADDER.

This is commonly seen in the mammalian female in connection with rupture of the floor of the vagina during dystokia. It has also been observed without such lesion in both male and female dogs and horses, the bladder forming a cystocele of the vagina, or bulging between the anus and the ischium.

Diagnosis is confirmed by careful palpation through the rectum. The folding of the bladder backward obstructs the exit of urine.

Treatment, essentially surgical, might include replacing of the organ and suturing of the wound, or, in the absence of a wound, evacuation of the bladder by a hypodermic needle, and replacing by palpation through the vagina or rectum. Sometimes suture of the vulva is desirable.