My dog has a uterine infection. What to expect from surgery?

Hello, sorry to hear about Laika. Success ratios for pyometras (infected uterus) may differ between regions. However, most pyometra surgeries are up to 90% successful. Complications associated with this surgery include bleeding, peritonitis, spread of infection and abnormal heart rhythms. In a paper published in 2014, they found that these complications can be seen post-operatively in about 25% of cases.

Post surgery Laika should be exercise restricted for 2 weeks until her stitches (if any) are removed. She should wear a cone to avoid her licking at her own incision and your veterinarian will likely give you antibiotics and pain medications to give her at home. Not following strict exercise restriction and wearing a cone may lead to her incision re-opening up or becoming infected. Post the 2 week period, Laika may resume her normal lifestyle.

The only way to avoid this disease is by spaying her in her early age. This is generally a big surgery, we are going into the abdomen to remove infected friable tissue. So therefore, it is no longer considered a routine spay and as previously discussed, there are some complications that can be associated wth this procedure.

Unfortunately, the other option to treat medically has only been proven to be about 60% effective in one paper and 25% on most other papers with a high re-currence rate. Ultimately the complication for not treating the pyometra or failed medical treatment includes a widespread infection which could lead to death.

I would recommend moving forward with the surgery as soon as possible as it is the best way to treat this disease.

Hope this helps and best of luck.