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Desexing/spaying when there’s asymptomatic ovarian cysts

ceciliaxdee

Junior Guinea Pig
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Hello all after some advice or if anyone has had experience with small ovarian cysts when there are no symptoms and whether you should desex/spay.
I’ve had two other females spayed as they had symptoms eg. regularly spotting blood and cysts.

Today I took one of my girls as she’s been getting a fair bit of sludge/strong smelling urine and they did an ultrasound and found her bladder was fine and no infection but that she had a small (~5mm) cyst on one of her ovaries. Vet recommended spaying as sometimes they don’t cause issues but sometimes they do. He’s an experienced exotic vet and has spayed many Guinea pigs (has done my other two with no issues). Would you spay in this case?
My piggie pictured is 2.5 years old.
 

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Hi, I’m sorry that your piggy has a cyst. My late Emma had a walnut sized cyst on her ovary but as it wasn’t causing her any problems, my vet chose to just monitor it. But she was almost 6 years old and your piggy is much younger.

If you do decide to spay her, I’d do it now why she is still young and healthy but I’m afraid that only you can make the decision as you know your piggy best but a lot of piggies have ovarian cysts that cause no problems
 
Hello all after some advice or if anyone has had experience with small ovarian cysts when there are no symptoms and whether you should desex/spay.
I’ve had two other females spayed as they had symptoms eg. regularly spotting blood and cysts.

Today I took one of my girls as she’s been getting a fair bit of sludge/strong smelling urine and they did an ultrasound and found her bladder was fine and no infection but that she had a small (~5mm) cyst on one of her ovaries. Vet recommended spaying as sometimes they don’t cause issues but sometimes they do. He’s an experienced exotic vet and has spayed many Guinea pigs (has done my other two with no issues). Would you spay in this case?
My piggie pictured is 2.5 years old.

Hi

Ovarian cysts in sows are very common; especially the older they get. Guinea pig sows are biologically only laid out for a life span of around 3 years but as very few sows would survive for longer there was no biological need for a menopause. This means that in our pet piggies high hormone output never stops all life long - hence the propensity for cysts.

The majority of ovarian cysts are non-hormonal fluid filled ones. They are generally harmless and do not cause any symptoms but they can grow massively in older age and can cause secondary problems by pressing on other organs or - if you are very unlucky - causing gut adhesions. These cysts appear, grow and become the more common the older sows get. Most older sows are likely to have them although the majority will go unnoticed because they do not cause any problems.
The second largest groups but actually a minority of cysts are the 'classic' hormonal ones that cause the visible and behavioural issues. They can appear earlier and later but they are most typically active around age 2-4 years.
A very few cysts can grow cancerous. If you have bleeding from the anus in a sow, please always see a vet because it is generally from a cyst gone rogue. Cysts that feel hard to the touch in an examination (i.e. not fluid filled) can also turn cancerous in older age.

There are four ways that ovarian cysts can be tackled:
- full spaying operation (i.e. removal of the complete reproductive tract, including the womb, which can occasionally go wrong as well although not as often as cysts)
- ovarectomy (the removal of just the ovaries from the back)
- hormone treatment by injection (more commonly used in the UK) or implants (preferred treatment method in the USA). May need 1-2 rounds of treatment.
- draining of large fluid filled cysts in frail older sows (needs to be done carefully, ideally under a scan) but is not as invasive and the effect will last for a good number of months although it is not a permanent solution.

At the moment, our own stance is still a bit on the fence since operative removal is a major operation that can go wrong so the risk/benefit balance in elective early removal is not quite right for many of our members. It is currently an area that is still debated and researched so things may change in the future.
Once you have an acute cyst problem, either through disruptive behaviour or from large cysts, then intervention will be a matter of necessity. In the case of bleeding or infection in reproductive tract (strongly stale smelling fluid can point to an infection in reproductive tract and not always in the urinary tract), potentially life-saving action needs to be taken promptly.
So far, the sows needing medical or operative intervention in older age are still in the minority and the situation has relaxed a little with the advent of hormone treatment some years ago.

We can't tell you whether to operate or not; we can only lay out the pros and cons for you to make as informed a decision as possible. Crucial is how much you trust your vet.
Sows: Behaviour and female health problems (including ovarian cysts)

PS: Is your vet treating with an antibiotic as very smelly urine is a sign of infection?
As to the sludge in the urine, please review your diet and keep in mind that vegetables make only about 15-20% of the daily food intake, so you need to look at all food groups from the water, pellet amount to veg choice as there is little you can do with the staple hay (which makes around 75-80% of the daily food intake).
Long Term Balanced General And Special Needs Guinea Pig Diets
 
Hi, I’m sorry that your piggy has a cyst. My late Emma had a walnut sized cyst on her ovary but as it wasn’t causing her any problems, my vet chose to just monitor it. But she was almost 6 years old and your piggy is much younger.

If you do decide to spay her, I’d do it now why she is still young and healthy but I’m afraid that only you can make the decision as you know your piggy best but a lot of piggies have ovarian cysts that cause no problems

Thanks for sharing your experience. Yes my thoughts are that she’s young and healthy right now and I’ve had this same vet spay two of my females who unfortunately had bleeding from the bottom caused by hormones/cysts without any issues. However as she’s not showing symptoms I’m weighing up the risk of surgery but also don’t want to leave it and have issues when she’s older.
 
Hi

Ovarian cysts in sows are very common; especially the older they get. Guinea pig sows are biologically only laid out for a life span of around 3 years but as very few sows would survive for longer there was no biological need for a menopause. This means that in our pet piggies high hormone output never stops all life long - hence the propensity for cysts.

The majority of ovarian cysts are non-hormonal fluid filled ones. They are generally harmless and do not cause any symptoms but they can grow massively in older age and can cause secondary problems by pressing on other organs or - if you are very unlucky - causing gut adhesions. These cysts appear, grow and become the more common the older sows get. Most older sows are likely to have them although the majority will go unnoticed because they do not cause any problems.
The second largest groups but actually a minority of cysts are the 'classic' hormonal ones that cause the visible and behavioural issues. They can appear earlier and later but they are most typically active around age 2-4 years.
A very few cysts can grow cancerous. If you have bleeding from the anus in a sow, please always see a vet because it is generally from a cyst gone rogue. Cysts that feel hard to the touch in an examination (i.e. not fluid filled) can also turn cancerous in older age.

There are four ways that ovarian cysts can be tackled:
- full spaying operation (i.e. removal of the complete reproductive tract, including the womb, which can occasionally go wrong as well although not as often as cysts)
- ovarectomy (the removal of just the ovaries from the back)
- hormone treatment by injection (more commonly used in the UK) or implants (preferred treatment method in the USA). May need 1-2 rounds of treatment.
- draining of large fluid filled cysts in frail older sows (needs to be done carefully, ideally under a scan) but is not as invasive and the effect will last for a good number of months although it is not a permanent solution.

At the moment, our own stance is still a bit on the fence since operative removal is a major operation that can go wrong so the risk/benefit balance in elective early removal is not quite right for many of our members. It is currently an area that is still debated and researched so things may change in the future.
Once you have an acute cyst problem, either through disruptive behaviour or from large cysts, then intervention will be a matter of necessity. In the case of bleeding or infection in reproductive tract (strongly stale smelling fluid can point to an infection in reproductive tract and not always in the urinary tract), potentially life-saving action needs to be taken promptly.
So far, the sows needing medical or operative intervention in older age are still in the minority and the situation has relaxed a little with the advent of hormone treatment some years ago.

We can't tell you whether to operate or not; we can only lay out the pros and cons for you to make as informed a decision as possible. Crucial is how much you trust your vet.
Sows: Behaviour and female health problems (including ovarian cysts)

PS: Is your vet treating with an antibiotic as very smelly urine is a sign of infection?
As to the sludge in the urine, please review your diet and keep in mind that vegetables make only about 15-20% of the daily food intake, so you need to look at all food groups from the water, pellet amount to veg choice as there is little you can do with the staple hay (which makes around 75-80% of the daily food intake).
Long Term Balanced General And Special Needs Guinea Pig Diets

Thank you for all the information, really helpful. My vet specialises in ovarectomy (key hole surgery to remove the ovaries through the back) and that’s what was performed on my two sows who unfortunately had bleeding from the bottom due to hormones/cysts. My vet recommended spaying but said it’s really hard to predict which way it’ll go if left. I’m really on the fence as she isn’t showing any symptoms aside from being a dominant piggie but this has always been her personality. I’ve attached a photo of the last sow I had spayed due to bleeding caused by cysts (taken morning after surgery).

For the smelly urine (not infection smelly but definitely a stronger smell than my others) he took a sterile sample and analysed it. He said he didn’t see any signs of infection but did see a fair amount of calcium crystals. I am pretty careful with their food and rotate with variety but will review again.
 

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Thank you for all the information, really helpful. My vet specialises in ovarectomy (key hole surgery to remove the ovaries through the back) and that’s what was performed on my two sows who unfortunately had bleeding from the bottom due to hormones/cysts. My vet recommended spaying but said it’s really hard to predict which way it’ll go if left. I’m really on the fence as she isn’t showing any symptoms aside from being a dominant piggie but this has always been her personality. I’ve attached a photo of the last sow I had spayed due to bleeding caused by cysts (taken morning after surgery).

For the smelly urine (not infection smelly but definitely a stronger smell than my others) he took a sterile sample and analysed it. He said he didn’t see any signs of infection but did see a fair amount of calcium crystals. I am pretty careful with their food and rotate with variety but will review again.

All the best!

I am lucky to have access to a good vet; with them, I haven't had any fatalities in my emergency spays of older sows and a couple of preventative spays in sows that were likely to develop complications/cancer later in life. Sadly because of the pandemic and spate of losses in the last half year, I am somewhat behind in this respect.

If you have an experienced vet with a good record, then that is always a huge plus on the books. In this case, you want to go with the treatment method they are most comfortable with for best results.
 
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