[anonymously]

Re: Neutering, in today’s Boston Herald

Dear Dr. John,

In the last month, my 10-year-old Akita has developed two growths on his anal area. They have started to bleed, and they cause him to drag his behind on the ground. My veterinarian has suggested they be removed and that my dog get neutered because the growths are affected by hormones. My dog has been healthy other than a little arthritis and some bad teeth. What would you suggest? I hate the thought of neutering him at such an old age. Do you think I should also get his teeth cleaned at the same time, or would that be too much for him?

One of the benefits of neutering male dogs when they are younger is the prevention of perianal masses, which are usually benign but can progress to malignant masses. Your veterinarian was correct in advising you to neuter the dog. These growths are responsive to levels of testosterone produced by the testicles. Sometimes, if the masses are much smaller, one might try to neuter the dog first without surgically removing the growths to avoid compromising the integrity of the anal sphincter, but since they are causing the dog discomfort, removal is often done at the same time. Do be sure to also have the growth biopsied to see what you are dealing with.

As for the teeth, I would probably add that on to the procedure since it is better to anesthetize a patient once instead of twice, and since your dog is older, there is added risk due to age. I am sure that pre-surgical blood work will be done to assess risk by specifically looking at liver and kidney values, and if all looks good, go for it. Your dog will be more comfortable, have better breath and probably increase his overall health outlook and lifespan. http://www.bostonherald.com/lifestyle/2016/07/owner_worries_about_neutering_older_dog