Glandular cystic hyperplasia of endometrium/pyometra complex (GCHE-PC) in bitches is a disease which presents several diagnostic and prognostic challenges. The complex pathological process and systemic manifestations of the disease, the potential need for emergency treatment and the owner's desire to maintain the breeding performance of the bitch, are all factors that should be taken into consideration. This review aimed at conducting a thorough diagnostic plan in order to achieve several parameters related to the monitoring and the subsequent treatment of cystic glandular hyperplasia of endometrium pyometra complex. Detailed information on the history and the clinical findings of sick bitches facilitated making an initial selection into two groups: those referred for surgical treatment and those referred for medical treatment. This selection was further clarified by ultrasonographic imaging procedure. USG was found to be an accurate diagnostic tool because of its high level of correlation to patho-anatomical findings. USG facilitates distinguishing densities of the uterine content, internal uterine wall structures and uterine wall thickness.In this study it was found to be a valuable tool in determining the ideal treatment programme and estimating the prognosis for each given case. Ultrasonography proved to be more precise and conclusive than roentgenology in determining the type and location of the pathological process and the extent of the lesion. This review recommends the most potent antibiotics that may be used either concurrently with prostaglandin therapy or in cases when emergency treatment is indicated in bitches with advanced GCHE-PC.
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