Early neutering of female dogs increases incontinence risk, study finds

The age at which female dogs are neutered is associated with early-onset urinary incontinence, academics from the Royal Veterinary College (RVC) have revealed.

Urinary incontinence affects around three per cent of bitches in the UK. The condition can be distressing and costly for owners, and also harm the welfare of affected dogs due to an increased risk of urinary infection and skin sores stemming from urine-soaked skin. The link between urinary incontinence and neutering in bitches has previously been suspected, but this new study now provides real evidence on the extent of this relationship.

The new research indicates that bitches of certain breeds including Irish setters, Dalmatians, Hungarian vizslas, Dobermans and Weimaraners are more prone to early-onset urinary incontinence than other breeds.

The results identified an increased risk of 2.12 times of urinary incontinence in neutered bitches compared with entire bitches. Further to this, it identified an increased risk of 1.82 of urinary incontinence in bitches neutered before 6 months of age compared with those neutered from 6-12 months within the first two years following neuter.

Although there are many benefits to neutering bitches, these new results will help vets make evidence-based recommendations on neutering and timing of neuter, whilst taking other neutering considerations into account.

Other key findings include:

  • The average age at diagnosis of UI was 2.9 years.
  • The average time from neuter to UI was 1.9 years.
  • Bitches weighing over 30kg had 2.62 times the risk of UI compared with bitches weighing under 10 kg.
  • Increasing body weight was also associated with an increased risk of early-onset urinary incontinence.

The research was carried out by the RVC’s VetCompassTM programme, and supported by BSAVA Petsavers, and is the largest cohort study on incontinence in bitches carried out worldwide to date. The study collected data from anonymised veterinary clinical records of 72,971 bitches within VetCompassTM born from January 1st, 2010 to December 31st, 2012 until 31st March, 2018.

Camilla Pegram, VetCompassTM epidemiologist and lead researcher on the study, said:

“Neutering is something that every owner will need to consider at some stage but there has been limited information on the risks of urinary incontinence following surgery up until now. The decision to neuter a bitch is complicated but the results of this study suggest that early-age neuter should be carefully considered, particularly in high-risk breeds and bitches with larger bodyweights, unless there are major other reasons for performing it.”

The study, ‘Associations between neutering and early-onset urinary incontinence in UK bitches under primary veterinary care’, has been published by the Journal of Small Animal Practice.

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