The Dog Mobility Project

One of the most commonly asked questions by pet parents with newly paralyzed dogs is, “How do I express my dog’s bladder?” It’s also one of the tasks that many struggle with at first. The good news? Like anything new, it becomes easier with time and practice. Once you’ve mastered the technique, it will become a natural part of your routine and a vital way to care for your pet.

Not every paralyzed dog needs to have its bladder expressed. Your dog’s bladder should only be expressed if they cannot pee without help. Paralyzed dogs that have no control over their bladder and need to wear diapers are expressing their bladder on their own.

Why Expressing the Bladder is Important

Paralyzed dogs often lose control of their bladder and are unable to pee on their own, which can lead to serious health issues if not managed properly. A full bladder that isn’t emptied can cause infections, discomfort, or even damage to the kidneys. Regularly expressing your dog’s bladder ensures their comfort, prevents infections, and helps maintain your dog’s overall health.

Preparing to Express Your Dog’s Bladder

Before starting, gather the necessary supplies:

• Disposable gloves (optional, but helpful for hygiene).
• Towels or pads to place under your dog.
• Access to a sink or a designated cleanup area.
• A calm and quiet environment to help your dog feel at ease.

If this is your first time, it’s a good idea to have your veterinarian or veterinary technician demonstrate the process. They can guide you on the best technique for your dog’s specific needs.

Step-by-Step Guide

1. Position Your Dog: Place your dog in a comfortable position. Smaller dogs can be held over a sink or potty pad, while larger dogs may need to lie on their side or be supported in a standing position. Some parents will use their dog’s cart or a sling to help keep their dog upright. This may be a two-person job for bigger dogs, one to hold the dog and a second to express the bladder.
2. Locate the Bladder: Gently feel your dog’s abdomen, just in front of the pelvis. The bladder will feel like a small, water-filled balloon. A full bladder will stick out a bit, and you should be able to feel it with your fingertips. It may take time to identify it, so don’t get discouraged if it’s hard to find at first.
3. Apply Gentle Pressure: Once you locate the bladder, use your fingers and thumbs to apply gentle, steady pressure. The urine should start to flow. Be patient, as it may take a few moments.
4. Empty Completely: Continue applying pressure until the bladder feels empty. This step is crucial to avoid infections. A small amount of pee left in the bladder can lead to a UTI or bladder infection.
5. Clean Up: Wipe your dog’s fur with a damp cloth; urine left on your dog’s skin may cause irritation or urine burns. Dispose of any used pads or towels. Wash your hands thoroughly.

Troubleshooting Common Challenges

• Difficulty Finding the Bladder: If you can’t locate the bladder, try changing your dog’s position or asking your vet for additional tips.
• No Urine Flow: This could indicate a urinary blockage or infection. Contact your vet immediately.
• Your Dog Resists: Keep the environment calm and offer reassurance. Over time, your dog will likely become more comfortable with the process. The relief your dog feels after being expressed will help them understand that you are helping them, it won’t take long for them to adjust.

Tips for Success

• Establish a Routine: Express your dog’s bladder at the same times each day to prevent overfilling. This should be done multiple times a day, definitely when your dog first gets up in the morning and before your dog goes to bed. Ideally, your dog’s bladder expression should be the same times that you usually take your dog outside to relieve themselves. A small dog will likely need their bladder expressed more often than a larger dog, but dogs need to be expressed at least once every 6 hours. Toy dogs may be as frequent as every two hours – your vet can help guide you on what should be right for your dog.
• Monitor for Signs of Infection: Paralyzed dog parents need to be observant. Paralyzed dogs are more prone to UTIs and other infections. Watch for symptoms like blood in the urine, foul smell, or signs of discomfort. Regular vet check-ups are essential.
• Be Patient with Yourself and Your Dog: It’s normal to feel overwhelmed at first. With practice, you’ll gain confidence, and your dog will adapt to the routine. You’ll be surprised how quickly this will become part of your everyday routine. I’ve seen pet parents express their dog’s bladders over a toilet in an airport – there is no reason to be concerned that your dog can’t live a normal active life.

FAQ: Common Questions About Expressing a Dog’s Bladder

How often does a dog’s bladder need to be expressed? 

Most dogs need their bladder expressed three to four times a day. The frequency depends on your dog’s size, diet, and water intake. Consult with your veterinarian to determine the best schedule for your dog. As a general rule of thumb, the frequency you use to bring your dog outside to pee should align with your dog’s bladder expression schedule.

How do you know the bladder is fully expressed? 

You’ll know the bladder is fully expressed when it feels small and firm, like a deflated balloon. If you’re unsure, gently run your hand over the abdomen to check for any remaining fullness. Over time, you’ll develop a sense for when the bladder is completely empty.

What should I do if my dog seems uncomfortable during the process? 

If your dog shows signs of discomfort, stop and try again later in a calm environment. You might be squeezing too hard or pressing in the wrong spot. Ensure you’re using gentle pressure and consult with your vet to rule out any underlying issues.

Is it safe to express a dog’s bladder?

Yes, when done correctly, expressing a dog’s bladder is generally safe. Be sure to use gentle pressure and follow guidance from your veterinarian. Your vet can walk you through the process the first time, help you find the bladder, and guide you through expression. Stop and consult your vet immediately if you notice any signs of pain, discomfort, or unusual symptoms.

Can I use a harness or sling to help position my dog? 

Yes, a harness or sling can provide additional support, especially for larger dogs. These tools can help you safely position your dog while keeping them comfortable. Make sure that you choose a harness that will support your dog’s mid-section or front legs; avoid one that supports your dog’s hind legs, as this can get in your way when you express.

What are signs that my dog might have a urinary tract infection (UTI)? 

Signs of a UTI include blood in the urine, a foul smell, straining to urinate, or changes in your dog’s behavior, such as increased irritability or lethargy. If you notice these symptoms, contact your vet immediately.

You’re Not Alone

Many pet parents have navigated this learning curve and come out the other side feeling empowered and more connected to their dogs. Remember, your efforts make a world of difference in your pet’s quality of life. With time, expressing your dog’s bladder will feel like second nature—just another way you’re showing your love and commitment to their well-being.