ON presentation of an adult bitch with urinary incontinence, the most common diagnosis, urethral sphincter mechanism incontinence, is often assumed and medical treatment initiated without further investigation. However, there are a number of other potential diagnoses and alternative treatments which must be eliminated before a final diagnosis is reached and a treatment option chosen. This article reviews the principal causes of urinary incontinence in the adult bitch and outlines an approach to treatment. An article in the previous issue discussed the investigation of the condition.
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