cryptorchid cat surgery cost uk


cryptorchid cat surgery cost ukcryptorchid cat surgery cost uk

For more information on this subject, speak to the veterinarian who is treating your pet. Speak to your vet beforehand if you would like a soft buster collar or a body suit for your dog. If they havent dropped by this time, its extremely unlikely that they will. Cryptorchidism is a condition in which a male dog's testicles have not completely descended into the scrotum. The cryptorchid neuter is a fairly common procedure and most vets are very comfortable performing the operation. All About the Surgical Procedure to Neuter a Dog. Unilateral cryptorchidism is more common, and these dogs can be fertile. Written by vets and vet nurses. While it would seem that cryptorchidism is a fairly benign condition, a trio of problems can be related to its occurrence: affected animals are sterile in the undescended testicle(s), as the affected gonad will typically fail to develop normally outside its normal position in the scrotum, animals with only one undescended testicle (a reported 75% of cryptorchid cases) are potentially able to pass on the hereditary trait associated with cryptorchidism, and. If the cryptorchid testicle is palpated in the subcutaneous tissue, incision directly over the testicle will allow exposure and removal of the testicle. Sterility is possible and most likely in bilateral Cryptorchidism. To confirm that the testis is indeed undescended, examine the inguinal rings. In dogs weighing over 18 kg, I will clamp the spermatic cord with three hemostats, transect distal to the most distal hemostat, place a ligature using Miller's knot in the area of the spermatic cord crushed by the most proximal hemostat, and a transfixation ligature in the area of the spermatic cord crushed by the second hemostat. Heavily pregnant cats requiring mid-line incision. In most animals you can excise up to 25% of the lid without creating any problems. Wellness Rewards is offered as a supplementary, non-insurance benefit administered by Embrace Pet Insurance Agency in the United States. Great news! External examination for cryptorchidism was carried out on 5134 young male lambs carried out in 2001 at Foot and Mouth Disease disposal sites, and on farms, during the UK outbreakof the disease. The average cost of abdominal cryptorchid orchiectomy in the United States is $600. At the same level as the rectus fascia incision, bluntly create an opening into the peritoneal cavity with mosquito forceps. Another potential complication of a cryptorchid testicle may be torsion, or twisting of the blood vessels around the spermatic duct. Testicles should be easily palpated in the scrotum of dogs and cats greater than 2 - 4 months of age. The subcutaneous tissue and skin are closed routinely. The testicles are intended to be in the scrotum, as they require a lower temperature to function normally. To remove the cryptorchid testicle in pigs, an incision in made in the paralumbar fossa with the pig in lateral recumbency with the affected side up. If you expect that you will need access to the urethra (e.g., to flush urinary calculi from the urethra) thoroughly irrigate the prepuce with antiseptic solution and position the prepuce within your sterile field. 4-0 to 6-0 suture should be placed in a horizontal mattress pattern, through soft rubber stents, and split the thickness of the lids. If you cannot find what you're looking for, try a search, or contact us. Neutering is recommended to prevent future problems. Ohio Veterinarian of the Year awarded, and new president named, News wrap-up: This weeks headlines, plus Virox and NAVTA announce infection prevention program, Elective ovariectomy in guinea pigs and its role in prevention of reproductive diseases, FHO vs total hip replacement: separating fact from fiction. Ensure that the structure being ligated and removed is in fact the testis. The surgical area will be clipped and cleaned. On occasion cryptorchid testicles are trapped between the muscles layers in the inguinal canal. Dogs weighing 10 25kg. Worried about the cost of Abdominal Cryptorchid Orchiectomy treatment? Often animals with ophthalmic problems are considered unadoptable because the conditions are considered too difficult to treat, too unsightly, or too expensive. . Surgery of the scrotum, Vet Clin Food Anim 24 (2008):253266, Scolo et al. Symptoms of Cryptorchidism in Cats The cat will generally not exhibit any concerning health symptoms unless the retained testicles are left in the body until adulthood. If the testicles have not descended by 8 weeks of age, they are considered to be cryptorchid, or retained. Pain medication will most likely be sent home, sometimes along with medicine to help keep your dog calm. Inguinal Cryptorchid Feline, $32/testicle Canine, $81.50/testicle In the fetus, a structure called the gubernaculum connects the testicle to the scrotum. The surgery is often combined with medial canthoplasty and / or entropion repair. Usually, they descend to their proper place during the two weeks or so after birth, but may take up to six months. Cryptorchidism is a condition in which a male dog's testicles have not completely descended into the scrotum. The excessive nasal skin is excised with curved Metzenbaum scissors. They will still exhibit male behaviors. Abdominal cryptorcidism. Locating an abdominal testicle is generally very easy. If the tumor spreads to other organs in the body, weight loss, loss of appetite, malaise, breathing difficulties and death may occur. 2023 American Modern Insurance Group, Inc. All About the Procedure in Dogs, The 7 Best Dog Jackets of 2023, Tested and Reviewed, How to Care for a Dog After a Leg Surgery, https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4952745, Unilateral Cryptorchidism (occurring on one side), Bilateral Cryptorchidism (occurring on both sides), "Smith Jr., DVM, DiplACVIM, Francis W. K. and Tilley, DVM, DiplACVIM, Larry P. et al". One complication of cryptorchidism is spermatic cord torsion (twisting onto itself). VerticalScope Inc., 111 Peter Street, Suite 600, Toronto, Ontario, M5V 2H1, Canada. Home - Medical Articles for Pet Owners - Laparoscopic Cryptorchidectomy. Dr. Bartley Harrison is a veterinarian with more than 15 years of professional veterinary experience treating dogs, cats, rabbits, ferrets, birds, and small mammals, with a specific focus on Emergency Medicine. There are usually sutures placed underneath the skin and skin glue put on top. Remove the testis by separately ligating the testicular vessels and ductus with absorbable suture material or vascular occluding clips. Attempting ophthalmic surgery without instruments specifically designed for ophthalmic procedures can be very frustrating. Surgical removal of the normal and retained testes is the only treatment for cryptorchidism. Caudal reflection of the urinary bladder, exposing the dorsal surface of the bladder, will allow visualization of both ductus deferens. The third eyelid flap, like the temporary tarsorrhaphy, serves as a physiologic bandage in the case of corneal trauma. On the lateral half of the external rectus fascia there are 2 separate fascial sheets (the fused fascial sheets of the abdominal oblique muscles, and the fascial sheet of the transversus abdominis muscle. Pet Plan Limited is authorised and regulated by the Financial Conduct Authority. Undescended testicles can become cancerous and/or twisted, so its important to have them removed while your dog is young. Including 3 days pain relief. More importantly, the genes responsible for cryptorchidism can be carried by both sexes, so both parents should avoid further breeding. During this time, he is not aware of what is happening and feels no pain. The prognosis following neuter via laparoscopic surgery removal is excellent, provided that the abdominal testicle does not have cancer in it and that there is no spread of cancer to other organs. Whilst a male dog or cat is still a foetus (before it is born), the testicles are positioned near the kidneys inside the abdomen. This advice is for UK pets only. Postoperative care consists of topical antibiotics and E-Collar. Entropion should always be surgically corrected if it results in other ocular conditions (keratitis, corneal ulcers, conjunctivitis, epiphora). If a testicle has not descended, it can become cancerous or twisted; therefore, your vet will suggest surgically removing the testicle(s). Oh, is it not? I dropped him off at the vet this morning for his x-ray and the vet on duty managed to feel one testicle (it was very small) - yay! Call Us: (800) 511-9172 . There is widely thought to be a hereditary element to cryptorchidism in cats, as evinced by the fact that the condition tends to be more prevalent within the Persian cat breed than others. Your vet will probably recommend an operation to remove them to stop them causing problems. Allows continuation of exploration outside abdominal cavity along inguinal region to scrotum, if needed. . Most commonly it is used in an effort to save the eye after acute proptosis. Blackwell's Five-Minute Veterinary Consult: Canine and Feline 5th Edition. Typically, cryptorchidism is detected at birth or shortly thereafter. Lundgren, DVM, Becky. How Much Does It Cost To Spay or Neuter a Cat? He will be placed on a warming pad on his back, to help maintain his body temperature. Patients that have been seen and charged a full price examination or vaccination within the previous 12 months will receive a 20% discount. If they are in his abdomen (tummy), your vet will need to open him up to find and remove them (similar to speying a female dog), but if theyre stuck in the inguinal canal (in the groin), your vet may decide to remove them through the skin. In ruminants, cryptorchidism is supposedly generally due to an ectopic testicle eg a testicle found someplace outside of the abdominal cavity due to abnormal gonadal cell development. Inguinal or pre-scrotal testes are removed using a typical castration incision or by incising directly over the retained testis if its location is far from the standard midline incision. Please enter a valid Email address! Including 3 days pain relief. Topical antibiotics and an E-collar should be used postoperatively. Cryptorchid surgery and simple ophthalmic procedures (Proceedings) March 31, 2010. This means that the operation will be longer and more expensive than a standard cat castration, although the surgery is rarely particularly dangerous and . Only allows limited access to caudal abdomen. However, more reports are finding the testicles abdominally. When you purchase through links on our site, we may earn an affiliate commission, which supports our community. Your child's health care provider can find this during a routine exam. Large Animal Surgery - Supplemental Notes by Erin Malone, DVM, PhD is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted. The national average cost of abdominal cryptorchid orchiectomy is $600. Unilateral inguinal cryptorchid . The abdominal exposure is complete. John Wiley and Sons, Inc. 2011. However a very small number of special instruments will allow you to do orbital, conjunctival, eyelid and third eyelid surgeries with ease. Because estrogen exposure during pregnancy has also been associated with cryptorchidism, care should be taken to minimize a bitch or queen's exposure to exogenous hormones during gestation. The critical factor to remember is that both ductus deferens enter the urethra at the prostate. D. Smeak An incision is made 1 2 mm from the lid margin for the full length of the affected segment of the lid. Present an alternate approach for limited access to the caudal abdomen in male dogs. Generally, this process will be fully completed by the time the dog is two months old, but occasionally later- up to four or six months is not considered abnormal. For a better experience, please enable JavaScript in your browser before proceeding. Cryptorchidism is much less common in cats than in dogs. Allianz Insurance plc is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. A total of 29 cases of cryptorchism [0.56%] were detected; 86% of cases were unilateral. Cryptorchidism, or 'hidden testicles, is a condition where one or both of the dog or cats testicles has failed to move to its proper position in the scrotum. These tumors can cause feminization of a male dog, as they produce excessive amounts of estrogen. An elliptical section of skin and muscle is removed depending on the extent of the entropion. But once it is found, the process is similar to a normal neuter. The midline incision can be extended with less tissue trauma if the testis is not easily identified. General approach to surgery and anesthesia in large animals, Practice: Adjusting drug frequency and doses for neonates, Equine General Anesthesia Protocols and Procedures, Practice: Selecting equine drugs and protocols, Food Animal General Anesthesia Protocols and Procedures, Small ruminant analgesia, sedation and anesthesia, Camelid Analgesia, Sedation and Anesthesia, For Future Reference - Create a drug reference table, Exercise 3 Illegal and restricted use drugs, Exercise 6 Extrapolating withholding data, Suturing- intradermal/subcuticular pattern, Suturing - tension relieving suture patterns, Suturing - split thickness and corner stitch, Evaluation for factors that impair wound healing, Skin loss and exuberant granulation tissue, The field colic - approach and management, Surgical Complications and Post-Operative Care, Impactions - Cecal, colon and small colon, How to - Right flank omentopexy/antropexy, How to - Rectal prolapse submucosal resection, How to - Bovine Abdominal Exploratory- Right, How to - Bovine Abdominal Exploratory- Left, Tendon and ligament structure and function, Lacerations Involving Synovial Structures, For Future Reference I Castration planning, For Future Reference I Postcastration Instructions, Urine pooling, perineal body transection and urethral extension, How to - 3rd degree rectovaginal tear repair, Pregnant anesthesia animal sedation and anesthesia. Intra-abdominal surgery (laparotomy) is required unless the testicle is positioned just beneath the skin). A temporary tarsorrhaphy is performed simply by suturing the upper and lower lids together. Grasp two mosquito forceps, one in each hand, place the tips of the forceps in the wound, and spread the forceps in the direction of the muscle fibers. The following fees are all-inclusive procedures. Repairing a lacerated eyelid uses the same principles as the V-lid resection. If necessary, you may need to keep your dog on a lead, crate them, or confine them to one room. Before your dog is neutered, aveterinarianwill perform a head-to-paw exam, and may also suggest bloodwork to make sure all of the vital organs are in order. About 2/3 the width of the rectus muscle from the linea, make a stab incision parallel to the linea in the external rectus fascia. I hope they find them both, but 5.5 months is not early for a ped, and whether he's a ped or not makes no difference really. This issue is found in about 3 or 4 out of 100 newborns (and up to 21 out of 100 premature newborns). An estimated 13% of all dogs are affected at least unilaterally. Affected animals are otherwise normal. Including 3 days pain relief. Additional surgical supplies should include, Weck Cell surgical sponges, irrigation solution, and 2-0 to 8-0 absorbable and non-absorbable suture material. But sometimes it is the only option left for animals with blind, painful eyes, intraocular neoplasia, phthisis bulbi, or ocular proptosis. Including 3 days pain relief. and the op was a bit nasty quite a long scar, but he didn't need a cage, just kept in. However, some may have to stay in the hospital overnight. Fingers crossed they can find them. Nevertheless, affected animals should never be bred from and shouldalwaysbe castrated. Neuters are performed under general anesthesia, so if he is deemed healthy, a sedative and pain medication will be given. The cost of cryptorchid surgery may add $150 to $300 in addition to the regular cost of a neuter in cats and dogs. Other symptoms include loss of hair along trunk and flank, and hyperpigmentation of inguinal skin. A condition, known as feminizing paraneoplastic syndrome is another symptom that can arise. Cryptorchid dog being prepared for surgery - only one testicle in the scrotum. Urinary Calculi Removal through Paramedian Approach. Prolapse of the gland of the third eyelid can be corrected by the Morgan pocket-flap technique. In dogs, the most commonly affected breeds are: When it comes to cats, Persians are the breed seemingly most affected. Subcutaneous cryptorcidism. This paper describes features of a study of different aspects of cryptorchidism in sheep in different parts of England. Tying the suture in a bow over a stent allows for temporary release of the flap and visualization of the cornea. Removing retained testicles is more complex and usually takes longer than a normal castration, especially if they are difficult to find. Cost of treatment. In dogs and cats, cryptorchidism is a condition in which one or both testicles have failed to descend into the scrotum generally by 2 to 4 months of age. When this occurs gentle tension on the ductus deferens will allow visualization of the ductus deferens entering the inguinal canal. He's so cute! A figure 8 suture can be placed at the eyelid margin. Some veterinarians may also place a catheter in the vein to administer fluids. $10 CAT $100 DOG $50 CAT TERMINATION OF PREGNANCY LATE $40 DOG $20 CAT $150 DOG $75 CAT SHAVE DOWN $30 $50 CRYPTORCHID SINGLE $20 $50 CRYPTORCHID DOUBLE $40 $75 DOG LOW-COST VACCINATIONS MEDICAL CARD OR TARGETED ZIP CODES LOW COST GENERAL PUBLIC 1 Year Rabies Vaccine Every dog and cat over 3 months of age must be vaccinated yearly by county . Animals are easily identified via palpation of the scrotum. When the vet confirms there is no bleeding, the incision will be closed. Closures and postoperative care are essentially the same as with the lateral canthoplasty. But they did find it. I wasn't too worried as I know cats can be done really early without ill effects, was more worried about his regular anaesthetic doses. The eyelid margins are incised for 3 4 mm. Is your dog or cat susceptible to Cryptorchidism? He looks like a cheeky scamp!! These muscles are transected at their insertions and the optic nerve is transected posterior to the globe. Cryptorchism is defined as the failure of one or both testicles to descend into the scrotum. "Cryptorchidism (Retained Testicles) In Dogs And Cats - Veterinary Partner - VIN". Perform routine castration for testicle in normal scrotal location. Abdominal testes can vary in size and shape. Sutures should be removed in 7 to 10 days. Create a skin incision about 1 cm parallel and lateral to the nipples from the level of the cranial aspect of the prepuce to about 34 cm cranial to the pubic bone (palpate this landmark under the skin). When a dog is born, the testicles are generally located near the inguinal ring, an area around the groin, and are guided by the gubernaculum, a structure that . A parapreputial skin incision with midline abdominal wall incision is preferred; this approach requires more tissue dissection but leads to decreased hemorrhage and better visualization. From UK: 01-45-222-6154; From anywhere: (1)-530-756-4881; From Australia: 02-6145-2357 Testicles located within the abdomen are prone to developing cancer and this is believed to be due to the increased testicular temperature. Cryptorchidism is when one or both testicles fail to drop into the scrotum (ball sack). Perform a sponge count and remove all pads and instruments from the abdomen. There are no reliable data for pigs, but subcutaneous locations might predominate. Thus a cryptorchid testicle can be located in the abdominal cavity, in the inguinal canal, or in the subcutaneous tissue between the external inguinal ring and the scrotum. Generally, the cost ranges from $200 to $500. Cryptorchidism/neuter surgery. Frequently cryptorchid testicles are smaller than normal and it is possible that the cryptorchid testicle will be in the subcutaneous tissue but not be palpable. Postpubertal abnormalities associated with cryptorchidism (e.g., testis tumors, atypical concentrations of reproductive hormones, altered Incising the linea alba allows exposure of the urinary bladder. It tends to cost more to castrate a cryptorchidic dog than is does to castrate a normal dog because the operation is more complex and takes longer. Avoid putting tension on the optic nerve. 84638), Registered office: 57 Ladymead, Guildford, Surrey GU1 1DB. The production of testosterone, however, is not affected by the intra-abdominal location of the testicle. Gentle retraction of the ductus of the cryptorchid testicle will allow delivery of the testicle into the surgical site, ligation of the testicular vessels and excision of the testicle. Prolonged absorbable sutures are recommended for closure. Atotal of 83 crytorchid testes (57 unilateral and 13 bilateral) were recognised in 70 animals post-slaughter at three abattoirs in the south west of England between June 2000-January 2004. A pocket is created for the gland using tenotomy scissors. In both situations the right testis was more commonly affected than the left. All prices are subject to change without notice. Cryptorchidism in common eutherian mammals. Dr. Patty Khuly, VMD MBA. The cost to neuter a dog with cryptorchidism can vary depending on the severity of the condition and the veterinarian performing the procedure. Want to create or adapt books like this? Minimal debridement is required and the lid margins must be precisely apposed. If the testicles have not descended by 8 weeks of age, they are considered to be cryptorchid, or retained. In the dog the skin incision is made in the caudal abdominal skin just lateral to the prepuce on the side of the cryptorchid testicle. When a puppy is born, the testicles reside in the abdomen, near the kidneys. This condition does have some genetic predisposition, but the exact mode is unknown. Most cases can be resolved for under $1000. The procedures described are simple, straightforward, not very time consuming and very rewarding. The simplest method is the transconjunctival technique. Cryptorchid horses have lowered fertility. 121849. If, however, they are still in the abdomen, your vet will need to operate on your pet to find and remove them. If you are concerned about your pets health, please contact your vet directly. To begin with, when a male puppy born, his testicles are inside his body. I don't have any experience on this. For cats, we recommend surgery before 4 months of age. DO NOT USE Betadine scrub as it is toxic to the cornea. JavaScript is disabled. Petplan is a trading name of Pet Plan Limited (Registered in England No. Cryptorchidism in Cats Cryptorchidism is a condition characterized by incomplete or nonexistent descent of the testes. The testes develop near the kidneys within the abdomen and normally descend into the scrotum by two months of age. West Sussex, UK. The following pages detail most of our fees. Dont hesitate to contact your vet if you have concerns before their check-up. The caudal abdominal skin incision is of value here, as from that incision you can undermine the skin between the incision and the external inguinal ring. The surgical site requires time to heal before the pet returns to normal activity. Retroflexion of the bladder generally facilitates the identification of the ductus at the level of the prostate. R P Amann and D N R Veeramachaneni. For cats, dogs and horses, 50, 92 and 47-60% of retained testes were in the abdominal cavity, although 1 report for horses gave 33% abdominal (see Table 1 in Amann and Veeramachaneni, 2007). Come join the discussion about breeding, health, behaviour, housing, adopting, care, classifieds, and more! The sutures should be tied with only enough tension to provide good lid apposition. The Veterinary Record, Vol 152, Issue 16, 502-504 Copyright (c) 2003 by British Veterinary Association, Incidence of cryptorchidism in dogs and cats D. Yates BVSc1, G. Hayes MA1, M. Heffernan MVB1, and R. Beynon BVSc1. If this occurs, there . 5-0 or 6-0 suture is placed in a continuous pattern in the conjunctive and in an interrupted pattern in the skin. The incision is extended for 360 degrees around the limbus and dissected posteriorly to expose the insertions of the extraocular muscles. Its likely that they will recommend an operation to remove them. Postoperative care consists of topical antibiotics and placement of an E-Collar. Its likely that your dog will be given a protective cone/buster collar to stop them licking and nibbling at their wound. When one or both testicles do not reach their intended destination the resulting condition is called "undescended testicle(s)" or cryptorchidism. This will bluntly open the abdominal cavity without cutting muscle tissue, which will reduce tissue trauma and bleeding. Reported incidences in dogs range from 1.2 to 10 % [16-18]. If the ductus deferens exits through the ring, the testis is not abdominal. Yes, cryptorchidism is covered by pet insurance in the UK. Even with recent advances in DNA testing, the genetics of cryptorchidism are still not fully understood. The caudal superficial epigastric vessel runs medial to the nipples as it runs forward to supply the prepuce, superficial inguinal lymph node, and mammary skin. In dogs, cryptorchidism is believed to be a sex-limited autosomal recessive trait, though the mode of inheritance may differ from breed to breed. Then over a period of approximately two weeks, they start dropping into the scrotum through a narrow channel called the 'inguinal canal'. When your dog first comes home, they might be a bit sleepy and disorientated. A lateral canthoplasty is used to permanently reduce the palpebral fissure. Both testicles will be removed at the same time, even if one is in its normal position, so your pet may have two wounds at the same time. Cryptorchid testicles are commonly found abdominally in swine. Speak to your vet practice for exact costs. Oops! To begin with, when a male puppy born, his testicles are inside his body. Retained testicles can cause problems such as becoming cancerous or twisted (both potentially life-threatening conditions), so its important to have them removed while your dog is young. Because cryptorchidism requires sterilization and because cryptorchid sterilization is not considered routine, the expense associated with treating cryptorchid animals is . The following breeds seem to be the most predisposed: Treatment is undertaken via sterilization. Gentle traction on the abdominal ductus will allow you to locate the ductus deferens as it exits the inguinal canal and will lead you to the cryptorchid testicle. The paramedian approach can be messy due to muscular hemorrhage and provides limited access to the abdominal cavity. Please give our office a call for a surgical quote. Coverage is subject to policy terms, conditions, limitations, exclusions, underwriting review, and approval, and may not be available for all risks or in all states. Anim. they include a routine general anaesthetic, antibiotic, and post-operative pain-relief for 24 hours in every case, and 3 days in the case of bitch spays, provided as medication to be administered at home. The cost of abdominal cryptorchid orchiectomy will vary based on standards of living and additional costs incurred, but typically ranges from $300 to $1,000. Sutures can be removed in two weeks. 1282939) and Allianz Insurance plc (Registered in England No. Small single incision, therefore less risk for abdominal hernias, Reduced bruising/swelling of the abdominal incision, Reduced risk of surgical errors made such as inadvertent removal of the bladder or prostate, Prevents life-threatening transformation of an intra-abdominal testicle into cancer, Procedure can be performed on an outpatient basis, and patient can go home on the day of the procedure. 208217 & SC037585, Cryptorchidism / undescended testicles in dogs. Registered charity nos. Place your stay sutures at the ends of the proposed bladder incision site. < Cryptorchid Castration Cryptorchid Castration- Additional Notes >, 8.3 Vaginal Tunic and Epididymal Attachment, Cryptorchid Castration Additional Notes, Cryptorchid Castration- Additional Notes >, Chapter 4: Suture Materials and Suture Patterns, Chapter 9: Exploratory Celiotomy (Laparotomy), Chapter 14: Surgeries of the Lower Urinary Tract, Chapter 22: Surgeries of the Upper Urinary Tract. An undescended testicle (or "testis") is when it fails to drop into the normal place in the scrotum. Ultrasound Diagnosis of Cryptorchidism in Sheep. . He didn't have to stay at vets long either, only normal time for a neuter to see they have recovered from the anaesthetic.

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cryptorchid cat surgery cost uk

cryptorchid cat surgery cost uk

 
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