
On the day of surgery, we ask that you bring your pet to the clinic between 8-8:30AM. What should I expect on the day of my dog’s surgery? The anal sacs are removed via two small incisions on either side of the anus. The anal sacs are removed while your dog is under general anesthesia with the use of our CO2 laser. What is involved with an anal sac removal?

The anal sacs are not an essential organ, so removal is warranted if they are causing recurrent or serious problems. When is removal of the anal sacs necessary?Ī veterinarian may recommend removal of the anal sacs if they are recurrently becoming infected or impacted, if there is significant scar tissue following an anal sac infection so that the ability for the anal sacs to be expressed is reduced, or if a cancerous process is suspected. Once the anal sac has been sufficiently flushed, an antibiotic ointment is instilled into the anal sac and left to treat infection. The anal sac is then flushed to remove anal gland liquid, debris, and infection. A catheter will be passed along the anal sac duct and into the anal sac on each side. If you have a long-haired dog, we may clip the hair around your dog’s anus to allow for better visualization. Your dog will be sedated and anesthetized for an anal sac flush. They will also likely recommend your dog’s anal sacs be flushed under anesthesia. Often, a veterinarian will prescribe an antibiotic and pain medication. If the sacs become infected and inflamed, they may not be able to expressed normally.

This leads to swelling of the anal sacs and associated pain and discomfort. Your dog’s anal sacs can become infected if fluid accumulates without being expressed routinely. What happens if my dog’s anal sacs become infected? If you are noticing signs of discomfort, you should schedule an appointment for anal sac expression. Some dogs can be maintained with the external expression performed by a groomer however, other dogs may require internal expression by a veterinarian. This is different from the way in which a veterinary technician or veterinarian applies internal pressure via rectal manipulation. Most groomers will express the anal sacs by applying external pressure on the sacs. If my dog’s anal sacs are expressed by the groomer, does a veterinarian need to express them as well? A veterinary technician or veterinarian will apply gentle pressure to the anal sac from within the rectum which will express the contained liquid. The anal sacs are expressed via digital manipulation within the rectum. If the veterinary technician or veterinarian who performs the expression notices abnormalities with your dog’s anal sacs, they may recommend more frequent expressions. If you notice signs of discomfort in your pet, such as frequent licking of the bottom, scooting of the bottom on the ground, or a stiff-legged or hunched posture, they may need their anal sacs expressed.
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Some dogs never require manual expression of their anal sacs, while other dogs require expression every 3-4 weeks. How often should my dog’s anal sacs be expressed? The anal sacs may need to be flushed to correct the problem or in some cases completely removed. Anal sacs can even rupture, causing a draining ulcer on your dog’s bottom. If the anal sacs are not appropriately emptied, they may become infected or impacted this can cause pain and discomfort for your pet. You may notice your pet frequently licking their bottom, scooting their bottom on the ground, or walking with a stiff-legged or hunched appearance. Consequently, the sacs can become overfilled which leads to discomfort. As dogs age, this liquid can start to have a thicker consistency, which is more difficult to express during normal defection.

The glands inside of the sac produce an aromatic liquid that is typically expressed during defecation. Small ducts pass from the sacs to the rectum and empty just inside the anal opening. Anal sacs (or anal glands) are located just inside the anus at the 4 o'clock and 8 o'clock positions.
