Problem
Recurrent anal gland sacculitis. Fetid anal sac discharge, patient self trauma (scooting) and inflammation and abrasion of the anal tissues. The patient was non-responsive to medical therapy (oral antibiotics and cortisone) and anal sac flushing and packing.
Signalment
“Roy”, Bassett, 7 yr, M, 60 lb.
Procedure
Class IV therapy laser treatment of the anus and anal gland sacs was performed three times a week for two weeks. Prior to each treatment the sacs were emptied for evaluation of the secretions.
Companion Laser Settings
The entire anal area was treated with 3 W / 1 min / CW. The anal sacs were treated trans-cutaneous with 6 W / 1 min / 10,000 Hz.
Rationale
Treatment of this patient utilized non-pulsed (CW) laser energy for the reduction of pain, swelling and edema, and, pulsed (10,000 Hz) ) laser energy for anti-microbial effect. Both applications delivered 3.5 J /CM2.
Results
Twenty-four hours after the initial treatment the owner reported decreased anal irritation and discharge. After two treatments the anal sac secretions returned to normal color, consistency, and odor.
Comments
This treatment was remarkably successful in the first week. Treatment was continued over two weeks in an attempt to delay future recurrence.
Presentation
Anus and perianal area 72 hours after initial treatment. Redness, swelling, abrasion, and patient self trauma have subsided and anal sac secretions have returned to normal.