Hello I am Dr. Joey. Thanks for trusting me to help you and your pet today. I am a licensed veterinarian with over 15 years of experience. I look forward to working with you.
There are no other easy medications to use like loxicom, which is a good choice. At this point you must make a decision to work with an an oncologist and surgeon to consider surgical debulking of the tumor and reconstruction of the bladder (can be done by a good surgeon) and/or chemotherapy (carboplatin, mitoxantrone, vinblastine, doxorubicin, or cisplatin).
If you chose to do nothing further as far as chemotherapy or surgery, then we only have this drug and other medications that might decrease urinary straining, but nothing else that will slow down the tumor's progression. Even with the therapy mentioned we may not expect a cure, but to delay onset of inability to urinate or intense urinary pain for much longer (with surgery and chemo).
If she is having more urinary accidents, it is always important for her vet to do the easy step and perform a urinalysis and urine culture to be sure she does not have a bacterial infection (easily treated); she is at higher risk with this issue in her bladder.
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