Seri the Brave Pug:
Bladder Stone Surgery

Seri was brought into Casey and Cranbourne Veterinary Hospital after her owner noticed blood in her urine and straining to urinate. For any dog, these signs are concerning, but in pugs and other brachycephalic breeds, careful assessment and planning are even more important.

Seri had a history of urinary tract infections, which raised early concern for bladder stones. On examination, large, firm stones were palpable in her bladder, and she was clearly uncomfortable. Diagnostic testing began immediately to understand exactly what was going on and what Seri would need next.

Urinalysis confirmed significant inflammation and infection, with crystals present. X-rays showed multiple bladder stones – some small, and some very large. With this information, the diagnosis was clear: multiple bladder stones (urolithiasis) alongside a urinary tract infection.

At this point, surgery was recommended. The aim wasn’t just to relieve Seri’s pain, but to remove every stone safely and reduce the risk of future complications. For brachycephalic dogs like Seri, surgical and recovery planning is always approached with extra care.

Seri underwent a cystotomy (bladder surgery) the same day. During the procedure, 16 bladder stones were removed, including one measuring 3 × 4 cm. The bladder wall was thickened and inflamed but otherwise healthy, with a good blood supply.

A urinary catheter was passed to ensure no stones were lodged in the urethra, and the bladder was pressure-tested  to confirm there were no leaks. Throughout surgery and recovery, Seri was closely monitored by our nursing team, with special attention to her breathing as she woke from anaesthesia.

Seri recovered smoothly from surgery and was urinating comfortably straight away – often the most telling sign that a dog is feeling relief. She was discharged with a course of antibiotics while stone analysis was completed.

The stones were confirmed as struvite stones, which are diet-responsive. Seri was transitioned onto a prescription urinary diet to help prevent recurrence.

At the same time, her existing skin allergies were addressed, with treatment adjusted over time to keep her comfortable long-term.

Bladder stones don’t appear overnight, and symptoms like blood in urine or straining are never “wait and see” signs. In dogs – especially smaller breeds and those with a history of UTIs – early investigation can prevent prolonged pain and more serious complications.

In brachycephalic breeds, experienced anaesthetic monitoring and nursing care play a significant role in achieving safe outcomes. Seri’s case highlights how thoughtful surgery, careful recovery, and long-term planning can significantly improve quality of life.