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Pollakiuria in Veterinary Patients: Clinical Approach and Management
Pollakiuria, characterized by frequent, small-volume urination, is a common clinical sign in small animal medicine. This article explores the underlying etiologies, diagnostic approach, and management strategies for this frequent indicator of urinary tract dysfunction.
Clinical summary
- Clinical signs
- Frequent attempts to urinate, small volumes of urine per attempt, stranguria, periuria (inappropriate urination), and potential hematuria.
- Possible causes
- Cystitis (infectious or sterile), urolithiasis, neoplasia (e.g., transitional cell carcinoma), prostatic disease in males, feline idiopathic cystitis, behavioral disorders, or neurologic dysfunction.
- Diagnostic approach
- Comprehensive physical examination including rectal examination, urinalysis (sediment and culture/sensitivity), abdominal radiography, and abdominal ultrasonography.
- Management
- Treatment depends on etiology; includes antimicrobial therapy for UTIs, surgical or medical management of uroliths, pain management for FIC, and chemotherapy or surgery for neoplasia.
References
- [1]Carl Osborne. Textbook of Veterinary Internal Medicine (2017)
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