What Is an Ectopic Ureter: Frankie’s Urinary Incontinence and Reconstructive Surgery
If your puppy keeps having pee accidents and nothing is working, it is time to consider a plumbing problem.
Your veterinarian ruled out or treated for urinary tract infection and the problem seems to go far beyond a house training problem—what is going on?
In a healthy dog, urine travels from kidneys to the bladder which allows urine storage until the puppy goes to pee. During normal urination, the pee travels from the bladder onto your lawn. The plumbing that facilitates this system includes
- ureters, which connect the kidneys to the bladder,
- and urethra, which connects the bladder to the outside world
In some puppies, this plumbing doesn’t develop properly—the urine travels from kidneys bypassing the bladder to places where it cannot be stored. As a result, your puppy cannot control the flow or urine.
Further information: Ectopic Ureters in Dogs

Frankie’s story
Her mom, brought Frankie home from a breeder when Frankie was 10 weeks old. Frankie was a lovable, adorable puppy but she had a problem—she was continuously dribbling urine. It was obvious the problem went far beyond potty accidents. Frankie did go potty outside, squatted and peed like a good girl. But on top of that, she was constantly leaking. Her private areas were constantly wet and so was her bed.
Frankie’s mom also noticed that Frankie was thirstier than you’d expect from a healthy puppy. She took Frankie to see a veterinarian.
At the veterinarian
As soon as her mom described Frankie’s problem, the veterinarian suspected an ectopic ureter. It was the only thing that explain the constant leakage. The abnormality can involve one or both ureters. Frankie needed her plumbing surgically rerouted.
Frankie’s mom had the option to return the Frankie to the breeder for a refund. However, she was horrified to learn that they would not treat Frankie. The would take Frankie back to euthanize her. Frankie was such as sweet girl, she didn’t deserve such a fate. Her mom decided to keep her and see what their options were.
Frankie’s reconstructive surgery
Part of the problem is that surgical repair is not only expensive but it doesn’t always work out either. Which is the optimal procedure depends on the exact abnormality. In other words, it is an uncertain and complicated business.
Frankie, however was lucky. Her veterinarian referred her to a specialty hospital that had a fund to discount rare surgeries. Together with a refund from the breeder, even though she kept Frankie, her mom was able to afford the procedure.
Frankie’s surgery went well and the surgeons were able to fix her plumbing successfully.
Source story:
Lulu the 10 year old Border Terrier
Related articles:
Changes in Urination/Urinary Accidents: Why Is My Dog Peeing in the House?
Potty Accidents in Dogs: Incontinence versus UTIs
Urinary Incontinence in Dogs: Living with an Incontinent Dog
Further reading:
Dog is Having Accidents in the House, But Why?
Ectopic Ureters in Dogs