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Flora: large ovarian cysts but should we spay?

Free Ranger

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Well it's been one of the saddest weeks ever. Gentle old George (6) died last Sunday and our lovely long-haired Louise (5) followed him over the bridge yesterday. But I'm going to put that shock and grief to one side because Flora (4) is still here and it turns out that she's got some mighty big ovaries.
This is Flora...
flora on the grass.webp
Flora, bless her, was sad to lose George but in truth not overly worried about Louise. This is fortunate because she's rattling around in a big space in the kitchen right now. This is actually the second time it's happened to Flora who came to us as a last piggy when a very bossy sow passed and the boar followed within a week. I can't imagine what Flora must be thinking. She's always played her cards very close to her chest.

Flora went to the vet a couple of weeks back because of little bouts of 'honky' breathing. It only went on for a few minutes at a time and it sounded like she was almost grunting on each outbreath. Lungs sounded OK though, and resp rate was fine. We got antibiotics and agreed that if it started to happen more frequently we'd give them a go. But it didn't. Then there's the fact that she sometimes seems to tense when she poops. A bit of hunching? But the poops looked fine. And sometimes - but only sometimes - she goes a bit wide-eyed when she pees... quiet husky under-your-breath squeaks but not the pained chirps of a UTI. No blood, no wet bottom, but often a drip round the back when she's picked up. Weight nearly 1.3 kilo, glossy coat - no shedding - and shiny eyes (that never blink - remember that penguin from Wallace and Grommit? Like that!) She's a stealthy piggy ninja who can move silently through the room and startle you. She's also a nimble slippery eel who dislikes being handled. She was the only one of the trio young enough to popcorn properly.

The last few days there's been a subtle change in behaviour. My pigs had breakfast veggies and then went to rest while they waited for the grass pile to arrive. Flora generally retreated under the same shelf with nose poking out to spy the rustling bag when it arrived with the prize. But for the last few days she'd been sitting facing the other way. This morning she'd pulled up a corner of fleece to put her head behind despite being completely covered under the shelf. Maybe it was the loss of her cage mates but she's a tough old bird and I thought that I'd rather get everything over in one go because it's been such an awful week. So we bagged the last Saturday appt with our piggy vet who immediately spotted what the previous vet hadn't - Flora has great big ovarian cysts. This came as a surprise because she's not balding or moody (and tbh the other vet didn't check anything further down than lungs whereas this vet went straight in for the full feel-over). Flora had an ultrasound - her ovaries are 3cm one side and 5cm on the other. No bladder stones (I asked for this to be checked while they were at it). She now has a shaved window on each side and a similar trap-door underneath. She was pretty brave all things considered. I had tea with her when we got home - well she had metacam - and after an hour or so to hide and recover she was popcorning round finding hay to munch and checking out the softest places to sleep. So we have a dilemma.

Flora is not old, but she's not young. She seems in pretty good nick and I think stands as good a chance as any girl of surviving a spay - which should sort this out permanently. It's quite possible that all her symptoms originate from large, painful ovaries. Vet mentioned injections and drainage options but these would not be permanent and might not work anyway. I'm no expert in cysty ovaries but she's not showing any 'hormonal' symptoms and she'd still have to have GA for the repeated injections. I asked about just taking out her ovaries through the flanks but they don't routinely do that whereas rabbits at least are regular spay customers. And I also learned something today which surprised me: I was expecting a quote of £600 or £700 for piggy abdominal surgery (like George's bladder stone) but it was £160. £160! I mean it's not buttons but it's much cheaper. Very do-able, especially as a one-off because of course Georgie reformed his big stone as soon as we'd taken out the first one but she's not going to be growing her ovaries back. And today's consult plus UltraSound was £159 already for pity's sake. And if she makes it through she should hopefully have a brighter future, whereas if we just tried to manage her discomfort she'd be getting older and with bigger, lumpier ovaries. Would they get bigger? I don't know. If we're going to do it now is the best time. But my issue is that it's a big op, it's a risk, and right now she's actually physically OK, she was popcorning again tonight. If things go wrong... but after this week I know I'm not thinking straight.

The final point is that I don't want Flora to be alone but I'm struggling with the idea of bringing in another piggy at this point in case she doesn't make it through surgery. I don't want to leave a new pig freshly bereaved. So assuming her symptoms don't suddenly become worse we're going to think about things for a little while. I'd appreciate any thoughts people might have on decisions to spay or not to spay, or things to watch out for. Then I can cogitate on everything together. Thanks for listening!
 
Well it's been one of the saddest weeks ever. Gentle old George (6) died last Sunday and our lovely long-haired Louise (5) followed him over the bridge yesterday. But I'm going to put that shock and grief to one side because Flora (4) is still here and it turns out that she's got some mighty big ovaries.
This is Flora...
View attachment 223258
Flora, bless her, was sad to lose George but in truth not overly worried about Louise. This is fortunate because she's rattling around in a big space in the kitchen right now. This is actually the second time it's happened to Flora who came to us as a last piggy when a very bossy sow passed and the boar followed within a week. I can't imagine what Flora must be thinking. She's always played her cards very close to her chest.

Flora went to the vet a couple of weeks back because of little bouts of 'honky' breathing. It only went on for a few minutes at a time and it sounded like she was almost grunting on each outbreath. Lungs sounded OK though, and resp rate was fine. We got antibiotics and agreed that if it started to happen more frequently we'd give them a go. But it didn't. Then there's the fact that she sometimes seems to tense when she poops. A bit of hunching? But the poops looked fine. And sometimes - but only sometimes - she goes a bit wide-eyed when she pees... quiet husky under-your-breath squeaks but not the pained chirps of a UTI. No blood, no wet bottom, but often a drip round the back when she's picked up. Weight nearly 1.3 kilo, glossy coat - no shedding - and shiny eyes (that never blink - remember that penguin from Wallace and Grommit? Like that!) She's a stealthy piggy ninja who can move silently through the room and startle you. She's also a nimble slippery eel who dislikes being handled. She was the only one of the trio young enough to popcorn properly.

The last few days there's been a subtle change in behaviour. My pigs had breakfast veggies and then went to rest while they waited for the grass pile to arrive. Flora generally retreated under the same shelf with nose poking out to spy the rustling bag when it arrived with the prize. But for the last few days she'd been sitting facing the other way. This morning she'd pulled up a corner of fleece to put her head behind despite being completely covered under the shelf. Maybe it was the loss of her cage mates but she's a tough old bird and I thought that I'd rather get everything over in one go because it's been such an awful week. So we bagged the last Saturday appt with our piggy vet who immediately spotted what the previous vet hadn't - Flora has great big ovarian cysts. This came as a surprise because she's not balding or moody (and tbh the other vet didn't check anything further down than lungs whereas this vet went straight in for the full feel-over). Flora had an ultrasound - her ovaries are 3cm one side and 5cm on the other. No bladder stones (I asked for this to be checked while they were at it). She now has a shaved window on each side and a similar trap-door underneath. She was pretty brave all things considered. I had tea with her when we got home - well she had metacam - and after an hour or so to hide and recover she was popcorning round finding hay to munch and checking out the softest places to sleep. So we have a dilemma.

Flora is not old, but she's not young. She seems in pretty good nick and I think stands as good a chance as any girl of surviving a spay - which should sort this out permanently. It's quite possible that all her symptoms originate from large, painful ovaries. Vet mentioned injections and drainage options but these would not be permanent and might not work anyway. I'm no expert in cysty ovaries but she's not showing any 'hormonal' symptoms and she'd still have to have GA for the repeated injections. I asked about just taking out her ovaries through the flanks but they don't routinely do that whereas rabbits at least are regular spay customers. And I also learned something today which surprised me: I was expecting a quote of £600 or £700 for piggy abdominal surgery (like George's bladder stone) but it was £160. £160! I mean it's not buttons but it's much cheaper. Very do-able, especially as a one-off because of course Georgie reformed his big stone as soon as we'd taken out the first one but she's not going to be growing her ovaries back. And today's consult plus UltraSound was £159 already for pity's sake. And if she makes it through she should hopefully have a brighter future, whereas if we just tried to manage her discomfort she'd be getting older and with bigger, lumpier ovaries. Would they get bigger? I don't know. If we're going to do it now is the best time. But my issue is that it's a big op, it's a risk, and right now she's actually physically OK, she was popcorning again tonight. If things go wrong... but after this week I know I'm not thinking straight.

The final point is that I don't want Flora to be alone but I'm struggling with the idea of bringing in another piggy at this point in case she doesn't make it through surgery. I don't want to leave a new pig freshly bereaved. So assuming her symptoms don't suddenly become worse we're going to think about things for a little while. I'd appreciate any thoughts people might have on decisions to spay or not to spay, or things to watch out for. Then I can cogitate on everything together. Thanks for listening!

Hi

I am so very sorry that your problems continue.

Non-hormonal fluid-filled cysts that do not cause any classic hormonal symptoms become prevalent in older age (from about 4 years onward) and are actually the most common type of ovarian cyst but they very often go unnoticed because they are 'silent'. It is usually only those cysts that put on a growth spurt and can grow to a massive size and impact on the gut and other organs that get noticed.

Treatment for those cysts:
- Draining under GA and with a scan: This is only temporary but the effect does last a fair number of months but it is not invasive (just a hollow needle being injected into the cyst through the skin) and may be considered for older and frailer sows.
- Ovariectomy (removal of the ovaries from the back, it is a newer and less invasive method for removing ovarian cysts and for spaying sows)
- Full spay (removal of the womb and ovaries from the belly side. This is the most invasive method but comes into play if the the womb is going wrong or there are concerns over cancer or potential cancer in the reproductive tract.
- Hormone treatment: It can help reduce the size of cysts but its effectiveness is not always quite as reliable as with hormonal cysts which are more common earlier in life (typically around 2-4 years but they can happen earlier and some later).

Treatment options usually reflect the age/fitness of the sow (which are usually no longer young) and also the size and impact of the ovarian cysts on other organs as well as the growth rate. Some of these cysts can grow very quickly to a massive size - even larger than poor Flora's, as I know from my own experiences.
Both Iola and Mererid needed an emergency spay because of massive fast growing cysts aged 5 years. One of Iola's huge cysts had started to adhere to the gut but she lived for another year before she had to be pts because of a combination of unrelated health issues aged 6 and Mererid passed away shortly before her 8th birthday.

Most of my sows have been fully spayed at the Cat &Rabbit Care Clinic because of large non-hormonal cysts except for two with hard ovarian cysts where future ovarian cancer concerns were the reason for the spay and one where the womb had gone wrong but she was also found to have some pretty nasty looking cysts.

A full spay is a major operation but it removes entirely any problems with the reproductive tract. My sows have all been spayed from the front.
 
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I know that the situation in the UK is quite different to the situation in Austria. Around here spays are still high risk operations and a lot of vets (even or maybe especially those who think that they are no problem) don't have a very high success rate. So I guess it really comes down to the fact if your vet is "qualified" enough for the operation.
I wouldn't spay a sow just because of large ovarian cysts, but would always go for the alternative, if the cysts cause problems. Most of them don't.

In Flora's case it could be that the cysts are the explanation for her change in behaviour. Or they were the easiest thing to spot. (Because big avarian cysts are really hard to miss for a vet.)

If Metacam makes a difference to Flora's behaviour, the cause of her behaviour change is pain related. Could be connected to the ovarial cysts, if they painfully press on other organs, but my older sows with ovarian cysts - I don't think I ever had a sow without them - never showed pain related to them.

I know this post probably won't help you much in your decision finding, but I would have a look if Metacam works long(er) time and maybe go for the draining option to see if the reduction of size helps or doesn't change anything because the cysts are there, but not the cause of Flora's pain.
But of course that's speaking from my point of view in Austria.
 
I’m so sorry you are having such an awfully sad week, sending hugs :hug:
 
Sorry to hear you are having such a tough time with your pigs.
I cant give any advice but wish you and flora all the best x

Rest easy over the bridge George and Louise🌈❤️
 
So we've decided to hold fire just for now as Flora is taking her little bit of metacam nicely twice a day and has perked up a bit. She's hiding away a lot during the day but seems fine to come out to see me if there's food on offer. We've not had any more loud breathing sessions and she's toileting better. The search for a new companion has begun. In fact the only unexpected thing is that Flora's shaved 'windows' on either side where the vet used US to see her ovaries don't seem to be growing back(!) Maybe I'm just used to clippering long-haired Louise whose fur grew at turbo speed, but 10 days on and Flora's still feeling the breeze (and I haven't even turned her over to look at the 'trapdoor' on her tum). I'm going to try and get a pic at the 2 week mark and maybe make a separate thread for pigs who've been shaved for ops etc because this seems really slow regrowth to me. No wonder she's been wrapping herself in the fleece blanket!
 
poor Flora.
I hope everything goes well,
and I'm very sorry to hear about George and Louise may they rest in peace
 
So Flora's actually doing OK and the hunt is on for a new companion. She did a few popcorns yesterday! Two weeks after her ultrasound 'windows' were shaved I had a look at her tummy and that bald patch had grown back completely. But her sides still look like this:
Flora windows.jpg

Which is a bit of a shame for her. I wonder if draining the cysts will help it grow back? She's not actually shedding at all. There are a few stray black hairs growing lonely in the gap and a bit of white stubble on the other side. We're keeping her warm!
 
Oh Flora what a modern, edgy haircut! Looking like a rebel teenage girl there ❤️
I hope the draining will help her. I don't know anything about sows, only here to send hugs and well-wishes.
The lateral procedure to remove ovaries is what they do here, my vet mentioned that they tend to do a lot more of that rather than neuter boars nowadays, as it's 10 minutes vs 20. Useless bit of information as I am in Finland though, and my boys all got to keep the family jewels, sorry.
 
So Flora's actually doing OK and the hunt is on for a new companion. She did a few popcorns yesterday! Two weeks after her ultrasound 'windows' were shaved I had a look at her tummy and that bald patch had grown back completely. But her sides still look like this:
View attachment 224206

Which is a bit of a shame for her. I wonder if draining the cysts will help it grow back? She's not actually shedding at all. There are a few stray black hairs growing lonely in the gap and a bit of white stubble on the other side. We're keeping her warm!

No idea whether the hair will grow back in due time or not but I am glad that Flora is popcorning and wish you all the best for finding her a new friend.
 
The lateral procedure to remove ovaries is what they do here, my vet mentioned that they tend to do a lot more of that rather than neuter boars nowadays, as it's 10 minutes vs 20.
That's really interesting - it sounds simpler than I had imagined. It might be worth me exploring that possibility a little more...
One thing I was worried about was that by going in underneath you end up with a wound they lie on, but going in from the sides would leave wounds up and hopefully away from the bedding. I know it's not something my own vets have done but they'd be up for referrals, they've been brilliant for my piggies.
 
That's really interesting - it sounds simpler than I had imagined. It might be worth me exploring that possibility a little more...
One thing I was worried about was that by going in underneath you end up with a wound they lie on, but going in from the sides would leave wounds up and hopefully away from the bedding. I know it's not something my own vets have done but they'd be up for referrals, they've been brilliant for my piggies.

It depends on how the wound is dealt with. The Cat&Rabbit now use a special technique to sew the wound closed without the seam showing, so there is no infection risk. Things have moved on a lot in recent years from simple stapling. ;)

But it is certainly worth enquiring. Please keep in mind that things are rather rapidly and constantly developing in the veterinary world; especially what can be transferred to small animals. Your vet has to feel confident and happy about operating in the first place, whatever way they go.
 
That's really interesting - it sounds simpler than I had imagined. It might be worth me exploring that possibility a little more...
One thing I was worried about was that by going in underneath you end up with a wound they lie on, but going in from the sides would leave wounds up and hopefully away from the bedding. I know it's not something my own vets have done but they'd be up for referrals, they've been brilliant for my piggies.
It does, I was surprised to hear this too. She does that routinely unless for some reason they have to remove the uterus too, and in a mixed sex pair instead of neutering the boy. This was 2 years ago when Tony had just passed and I was considering neutering Geezer to find him a girlfriend, as he was in full teenage madness. But as I said, take it with a grain of salt cos I have no experience with sows (and barely any with boars, as these guys are my first piggies). I don't know what the risks would be even for such a short procedure with a not-so-young girl, you definitely can judge this better.
It's good to know that she has options with a minimally invasive surgery should the need arise though.
 
Well, no luck finding someone confident to whip those ovaries out through her sides and considering the size of them now it's probably not going to help. She's actually looking even more bulgy. I gently touched one of her swellings and she leapt and shot off. So after a conflab with lovely vet I'm afraid it's going to have to be a full spay... and probably a sizeable incision. But it'll be a team effort I think, there's a lot of experience there. June 5th is provisionally booked in so like a true realist I'm going to be spending as much quality time with Flora as possible (big breath)... just in case. My poor little lady, we'll do all we can x
 
Poor Flora, good luck for the 5t(, I hope it goes really well for you all x
 
Good luck to you and Flora, I hope all goes well.
If it helps, I had my nearly four year old sow spayed for very large ovarian cysts a few years ago and she became almost a different guinea pig, so much happier, healthier, friendlier and more active. She is now 6.5 and still going.
 
Oh Flora, good luck! We'll keep fingers, toes and paws crossed for you. I'm so sorry, it must be scary. But surely she won't mind at all being pampered & spoiled these next few weeks!
 
Flora was spayed about lunchtime. She's still with us and she's had syringe and eaten some bits of salad, but not much, and I've not seen any poops yet. Waiting...

It was the right decision. Lovely vet had to make a 2 inch central incision as both ovaries were now 6cm. She also had to drain them in order to get them out, one actually popped as they touched it. Leaving it wouldn't have been a viable option for Flora. Womb looked normal, thank goodness. She had started to shed hair although from all over rather than just the flanks - some of it was doubtless hormonal but some I think was general discomfort and stress. I stroked her and touched her flanks last week and she leapt and shot off. I think we've been lucky to catch this in time. The balancing act was that lovely vet had to gently lift her guts (using damp swabs apparently) in order to get everything else out. That means that the tender gut has been disturbed, hence the little-and-often syringing and anxious wait for poops. She's peeing though, and wound looks clean. She seems very swollen and heavy overall, perhaps not surprising, but at least she's not as spacey as poor George was. As soon as we got her box back in the car she started with the loud, honky breathing that originally alerted me to something being wrong back in April - I think it was pain to be honest, or panic, but she'd been completely silent in the vets. It's quietened down now she's in her snuggle tunnel with heat pads. She's due more metacam at 10 and another bit of syringe food. We just have to be patient and see which way this will go.
 
Oh poor darling Flora, I hope she recovers well. Thankfully you got there on time. If you like hugs, here's an encouragement hug, as I can imagine you're going to have a long night. Hopefully there will be poops soon! 🤞
 
Hope that Flora is feeling better this morning. Fingers and paws crossed here for her.❤️
 
Good luck Flora. Hope you are feeling a little better today.
 
Syringing and salad at 10pm last night: her little body felt swollen and warm, a bit like a water balloon. Wound seeping, as a wet patch where she'd been lying down, but it was clear and didn't smell. Poor girl 😔
At 3 am she cheered me up by taking 11ml CC willingly with a little grass and salad. Breathing audible but not so scary. Staying in her tunnel - 3 tiny poops. Wound seemed drier too. Re-did heat pad and water bottle which went down very well in the middle of a chill night.

But at 7:30 this morning I found her sprawled flat on her face in the tunnel with loud breathing (both in and out) and my heart dropped. Her resp rate was about normal and it didn't look especially laboured and I know the gas anaesthetic dries the lungs anyway... but this sounded louder than ever and it hadn't really stopped since we got in the car yesterday. Sounded like she needed to cough but didn't cough. Her eyes looked bright but very wide. So she was started on Baytril, got another wallop of metacam and some more CC - less keen this time but still took enough with a side of salad and a little grass. Unloaded a backlog of sticky poops (thank goodness). Then she curled up in the tunnel and I couldn't convince myself she was sleeping so I called work and took another day off. Lady boss has been very kind. I've been nursing her through all day...

Incredibly by tea-time her breathing was virtually silent - she's started eating grass by herself and pooping regularly (although she still stinks). She's had CC during the day but only 5ml at a time. I'm leaving some in the cage overnight. She's been out in the cage twice and I saw her eating her first piece of hay tonight. If she gets through she's had a lucky escape - lovely vet said it was a horrendous surgery. Another little forum sow with cysts hasn't been so lucky this week 😔
They used the same regime for Flora as with my George apparently - just the gas to put them under but 'pre-oxygenating' (whatever that means) and buprenorphine for pain before the op begins. Lots of fluids. I'm just going to top up her bottles and heat pads and see how she fares without me waking her tonight (because she wasn't that impressed). Thanks for all the good wishes x
 
Fingers tightly crossed for Flora. If it helps, my little Daisy had to have a spay op and the first few days were really tough but she got through ok. That was 2 years ago now and she is one very happy girl at 6 years old. The cysts we’re making her horrendously hormonal, chasing her cage mates to exhaustion, hair loss etc. it was the best thing I ever did for her. once Flora has recovered I am sure she will be very happy.

thinking of you x
 
poor little Flora 🤞she pulls through, you are doing amazing giving lots of care x
 
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