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Worried Bullmastiff mom - puppy with large umbilical hernia and cryptorchidism

Effie

Active Member
Hi! I was hoping to get some information and advice here -- we recently bought a Bullmastiff puppy, the breeder told us that he had a "large umbilical hernia" that would need surgery when he was neutered and they gave us a sizeable discount to cover the cost of the surgery, along with a stipulation that he was to be neutered. The breeder gave us his vet record, which also mentioned that he had "very mild suture lines in the left eye." We brought him home three weeks ago, he's now 12 weeks old, and we absolutely love him dearly. He is the sweetest, smartest, happiest little puppy we've ever had, he's eating well and growing like a weed. Our two older female Bullmastiffs absolutely ADORE him, and we are all just head over heels in love with him. We brought him to our veterinary clinic within days after we got him, and the vet there told us that we could have the hernia repaired when he is neutered at six months old. However, she also noted that his testicles had not descended, but said not to worry, they could still come down, but so far there is no sign of them at 12 weeks. She asked me what the previous vet record meant by "suture lines" in his eyes, as she had no idea what they were, so I had to explain to her what I found on Google (I had Googled "suture lines" and found a site that said breeders have puppy eye exams as a precaution, and mild suture lines are perfectly normal and should clear up as he gets older) and she just said "oh, okay."

After I learned he was cryptorchid of course I consulted Dr. Google yet again, and found several sites that said puppies with umbilical hernias are often cryptorchid, and also may have other associated problems, such as "luxated patella," but mostly that occurs in small dogs. So now I have several concerns. He is due back at the vets next week and I plan to address all my concerns, but just wanted to make sure I have all my facts straight before I talk to her.

First of all -- if his testicles don't descend, will it be safe to have the cryptorchid surgery to remove them along with the umbilical hernia surgery at the same time? Also, my main concern right now is that his umbilical hernia is quite large -- it measures a good two inches from end to end, and bulges out a good inch when he stretches or strains. The vet said "oh that's just fat" but I'm really worried about it -- should we be careful picking him up? I check it every night when he is sleeping and when I roll him on his back, it goes right back in. Is it really okay to wait until he's neutered to repair such a large hernia? Also, is it safe to wait until he's six months old to neuter him if his testicles haven't descended? I've seen Bullmastiff puppies with six month testicles before and they can be quite large. Also, should I have them check his knees out for luxating patellas? Is there a way to tell at this age if his knees are or will have problems? And what about the suture lines in his eyes? And is there anything else I should be worrying about? I just want to be prepared, and make sure we do everything right and don't miss anything.

Anyway -- I would really appreciate any input from anyone who has been through this or some of these things before, rather than relying on Google for my information! thanks!
 

vadersmom

Well-Known Member
I am no expert on hernias but the cryptorchidism was present in my male BM. I would be concerned if both haven't descended. We waited to neuter my boy until he was almost 2 and his testicle was sitting on his bladder. He had a huge jump in being able to hold "it" after the surgery.
My advise to you is you need to feel utterly supported by your vet. It seems like they need to be educated in alot of things and may be a bit dismissive???? I have had a concerned feeling leaving out of a vet office that they were not listening to me or my concerns only for my almost 3 year old girl die at the emergency vet 2 days later. If it doesn't make sense to me and I don't feel listened to then I'd move on-no matter what the health issue is.
 

Max's mom

Well-Known Member
If the bulge is soft/squishy/not hard/not painful and goes right back in when you roll him on his back, good. IF it gets big, oddly shaped, hard, painful, hot, discolored...go to the vet right away. In people, a large hernia can have issues. I don't know about puppies, but anatomy is anatomy. If the soft squishy stuff inside twists while it is bulging, sometimes it won't go back in and the twist can cut off or severely restrict blood flow. Incarcerated hernia in case you want to look it up. Again...I do people medical problems and have no idea how frequently this happens with dogs.
 

Boxergirl

Well-Known Member
What Max's Mom says makes sense to me. We had my daughter in for a suspected hernia a few months ago and the surgeon said that hernias don't have to be fixed - unless they become restricted. Her description was exactly what was said above. As for the undescended testicles - I adopted a boy with one retained testicle when he was around six years old. He had cancer in that testicle. Clearly symptoms had been overlooked, as it was a Sertoli cell tumor that causes feminization. Leo had huge nipples like a female and other issues caused by hormones. He was neutered and we had him for a year and nine months before he passed unexpectedly from a heart issue. He did leak urine and pus and I made him diapers. We couldn't clear his prostate infection, unfortunately. Like I said though, he was six and his cancer had been let go. I would think that you'd be fine to wait until he's a little older to neuter, but definitely get him neutered sooner if you notice any symptoms or issues with the hernia. Then again, I have no medical experience at all, and the hernia might freak me out. Lol. Wising you the best of luck with whatever you decide.
 

Effie

Active Member
If the bulge is soft/squishy/not hard/not painful and goes right back in when you roll him on his back, good. IF it gets big, oddly shaped, hard, painful, hot, discolored...go to the vet right away. In people, a large hernia can have issues. I don't know about puppies, but anatomy is anatomy. If the soft squishy stuff inside twists while it is bulging, sometimes it won't go back in and the twist can cut off or severely restrict blood flow. Incarcerated hernia in case you want to look it up. Again...I do people medical problems and have no idea how frequently this happens with dogs.

Thanks, Max's mom! That was very helpful -- I have our emergency veterinarian's number on the fridge, they are open 24/7, so if I see the symptoms you described, I'll get him in immediately. Thanks, too, Boxergirl -- I am definitely going to talk to the vet when he goes next week, I guess my main concern with the vet is that they assigned us a brand new very young vet right out of school, so I just don't feel really confident that she will catch any problems, but I'll definitely mention all my concerns to her, and if I still don't feel comfortable I'll ask for one of the more experienced vets to take a look at him. They have some wonderful veterinarians there, so I know who to ask for. Our emergency vets are even better, so if I do have to take him in on an emergency basis for the hernia, I'll feel confident that they can handle the situation. I just don't want it to get to that point, and hopefully it won't. :)
 

Max's mom

Well-Known Member
Just like with your kids, you have the right to establish your wishes with the vets. If you are not confident in the vet, simply ask that one of the other vets "assist" or collaborate with the newer vet. Let them know that you are becoming more educated about the special needs and medical consideration for the larger breeds. Encourage that the new vet work with your pup (how else will she get experience) but that you always want the vet with the most large breed experience to examine/review test results and offer his/her opinion on the plan of care. A second opinion at another vet wouldn't hurt either.

I have developed a great relationship with my vets and the vet techs. I can speak very freely and ask a million questions. They are really willing to work with me and I think it's because I try to go in educated, listen to what they say and become educated by them and I am super respectful when I ask/question/disagree.

Good luck with that little guy and I'm so glad the emergency vets are experienced and that you trust them. That's always a good feeling!
 

hrossen11

New Member
My yorkie had a crypt orchid and hernia. We had no complications from surgery, but the surgery was more difficult since they had to go through the abdomen to find his hidden testicle. He was neutered at 10 months and will be two in a few weeks. You would never know.
 

karennj

Well-Known Member
My vet manipulates the legs at every exam so ask your vet when they do it. It is routine at our practice.