A 13-year-old Holsteiner gelding named Fender presented to the Large Animal Internal Medicine service at the MSU Veterinary Medical Center for evaluation of apparent abdominal discomfort and agitation.

Sugar, a 4.5-month-old intact female Labrador Retriever, had dribbled urine her entire life. The incontinence was frequent, occurring both while sleeping and awake. Also of concern, Sugar developed urinary tract infections. Her veterinarian treated the infection with antibiotics, but unfortunately, antibiotic treatment did not improve her urinary incontinence.