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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 33266
Experience:  University of California at Davis graduate veterinarian with 45 years of experience.
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Our 8 year old German shepherd has been diagnosed with

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Our 8 year old German shepherd bitch has been diagnosed with a deformed vulva,which is trapping bacteria and causing her discomfort and to smell,over the past 5 months.She has been on various antibiotics and nappy rash cream,and also medical manuka honey.Applying these make her very agitated,to the point that we can no longer hold her down.She also wears a Buster collar to stop her licking the area.Is there another way of treating the problem,such as a spray?
Aloha! You're speaking to Dr. Michael Salkin
I'm sorry that your question wasn't answered in a timely manner. Yes, there are prescription antibiotic/antiinflammatory sprays available (gentamicin/betamethasone) but, ideally, surgical intervention (vulvoplasty) should be considered in order to remove erythematous, macerated, and malodorous vulvar folds, control excessive vulvar licking and painful urination. Secondary urinary tract infection is all too common in dogs such as she and she's likely to suffer lifelong without surgical correction .
Please respond with further questions or concerns if you wish.
Customer: replied 3 years ago.
We have been told that surgery for her condition is not straight forward and can cause complications .Because of this,we have been advised to clean the area and apply the honey.This is proving impractical because of the stress that it is causing her.As she is 8 years old,could she live comfortably with the spray?
I understand. The difficulty you're facing is that you'll still need to cleanse the area prior to administering a spray or you'll simply be spraying over pus and debris that accumulates on infected skin.
I'm afraid that I'm too far away to comment on the practicality of surgery for her. Consult with a specialist veterinary soft tissue surgeon (please see here: is recommended.
Please continue our conversation if you wish.
Customer: replied 3 years ago.
So it looks like,we can't clean it because of the excessive stress it causes her,we can't spray it because we will be spraying on top of the infection,and we can't have it surgically corrected because of the inherent dangers.Is this correct?
No, I haven't ruled out surgery unless a specialist veterinary surgeon has examined your bitch and told me that surgery isn't appropriate.
Dr. Michael Salkin and 3 other Dog Specialists are ready to help you
Thank you for your kind accept. I appreciate it.

I'm going to check back with you in a few weeks for an update. Feel free to return to our conversation - even after rating - prior to my contacting you if you wish.

Please disregard the info request.