The most plausible explanation for recurrence of calcium oxalate uroliths within days to weeks following cystotomy is incomplete surgical removal of all uroliths during the previous surgery. Recurrence of small uroliths in the urinary bladder can be removed non-surgically by voiding urohydropropulsion. Most clients lack the training and experience to appropriately collect urine at home. Don't waste time relying on these inappropriate samples for making accurate medical decisions. Dogs at risk for both struvite and calcium oxalate uroliths can be successfully managed by modifying the diet to minimize calcium oxalate and by controlling urinary tract infection to minimize struvite.
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