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Spay and neuter

Pug Dog Spay and Neuter Information

Overview 

Female spaying and male neutering are very common surgical procedures that veterinarians perform on puppies and dogs. Aside from population control, there are quite a few benefits to having a dog fixed including decreased risk of certain health issues that can lead to extended lifespan. That said, there are also some potential risks. 

Whether you are thinking about having your Pug puppy or dog spayed or neutered, the procedure has been done but you have follow-up questions, or you’re wondering about consequences of not having a dog fixed, this article will cover everything you need to know. 

What is spaying and neutering? 

Both procedures, also referred to as having a dog altered, de-sexed, sterilized, or fixed, and medically known as gonadectomy, eliminate a dog’s ability to reproduce.  

Spaying, medically known as an ovariohysterectomy, is the procedure that is performed on female dogs. Done under sedation, the uterus (the womb where offspring gestate), the ovaries (reproductive organs where eggs, also known as ovum, are produced), and fallopian tubes (the tubes in which eggs travel from the ovaries to the uterus) are surgically removed. 

Neutering, medically known as castration, is the procedure that is performed on male dogs. Done under sedation, the testicles, segments of the testicular blood vessels, and spermatic ducts are surgically removed.

Is it common for Pugs to be spayed or neutered?

Yes. It is very common for household pets in general to be fixed. The Alliance for Contraception in Cats and Dogs estimates that out of the 73.9 million dogs in the United States that 73% are spayed or neutered.  
With the Pug breed specifically, according to our own survey, the percentage is a tad higher (note that full survey results are included in PetPugDog’s GIANT Book of Pug Care).

Our survey was taken by 2693 respondents from the US (54%), UK (18%), Canada (7%), Australia (6%), and other countries (7%) with Pugs of all ages and with a gender ratio of 54% male Pugs to 46% female Pugs. And, one of the questions asked was, ‘Is your Pug spayed or neutered?’. 

The majority of Pugs were indeed spayed or neutered; 76% of owners answered ‘yes’. And, 11% of owners answered ‘no, but I have plans to have this done in the future’. That left just 13% of owners with Pugs and no plans to have them fixed. 

So, as you can see, these procedures are very common with dogs in general and with Pug dogs. 

What are the benefits of having a female Pug spayed? 

There are both health and behavioral benefits including: 
  • Eliminates the chance of an unplanned pregnancy. 
  • Eliminates the chances of developing ovarian cancer. 
  • Eliminates the chances of developing uterine cancer. 
  • Greatly reduces the chances of developing mammary cancer. When done before the first heat, the odds of developing this type of cancer are near zero. When done after the first heat cycle but before the second heat, this goes up to just 7%. When done after the second heat, the risk is at 25%. 
  • Virtually eliminates the chances of developing pyometra (which affects 10 to 23% of intact females and has a mortality rate of 4.2 to 17%).
  • Eliminates the heat cycle (and the related care and hygiene tasks). 
  • Decreases hormone-related mood swings and behaviors seen during the heat cycle such as attempts to run off and humping. 
  • Helps with territorial marking issues (when spayed before the first heat, this behavior may be reduced up to 90% of the time). 

What are the benefits of having a male Pug neutered? 

There are both health and behavioral benefits including: 
  • Eliminates the chance of impregnating a female.
  • Eliminates the chances of developing testicular cancer (considered common with intact males).
  • Generally believed to reduce the risk of prostate disease (cysts, infection, cancer and benign prostatic hyperplasia also known as BPH which is an age-related abnormal enlargement), but some studies suggest the risk increases, more details ahead. 
  • Helps decrease hormonal-triggered behaviors such as attempts to run off and humping.
  • Helps decrease hormonal-driven aggression.
  • Helps with territorial marking issues (neutering reduces marking in an estimated 50 to 60% of male dogs, no matter the age that it is done). 

What are the risks of spaying or neutering? 

If you are thinking about having your female Pug spayed or your male Pug neutered, but are concerned about the risks, it’s important to know that some risks are proven in studies (though some are only applicable to certain breeds), some are merely ‘suggested’ with more studies needing to be done, and others are myths and misinformation with no actual proof.  

Most veterinarians agree that the benefits far outweigh the risks. 

Known Risks  

With spaying female dogs: 

1. Urinary incontinence. 

Approximately 20% of spayed dogs will develop incontinence at some time during their life, ranging from shortly after the procedure to well into the senior years. It is suggested that very early-age spaying (less than 3 months old) increases this risk. 

With both spaying and neutering:

1. Surgical complications. 

All surgeries carry some level of risk. Studies [1] show all complications (including minor cases that do not require treatment) to be between 2.6 and 20%. Moderate to serious complications occur much more frequently when the procedure is performed by veterinary students, and the mortality rate is less than 1%. 

2. Delay in growth-plate closure causing a slight increase in height. 

Spaying and neutering delay the closure of growth plates (areas on the end of bones that allow a dog to reach their full height at the end of puberty) by 12 to 18 months and in turn may cause a dog to be a bit taller or leaner than otherwise. Some studies have shown that this is a matter of just millimeters. 

Waiting until a Pug passes puberty can circumvent this risk, yet studies point to early spaying and neutering as being the most beneficial in regard to lowering risks of some cancers. 

Possible Risks  

There are some studies that are inconclusive with veterinary experts stating that more supporting research is needed and some that only (so far) have been proven with certain sized dogs or specific breeds.  

With neutering: 

1. Susceptibility to torn ligaments. This is thought to be a possible risk for large and giant breeds neutered before 6 months old and is linked to the delayed closure of growth plates. 

2. Increased rate of osteosarcoma. One study that only involved neutered male Rottweilers showed an increased rate of osteosarcoma, an aggressive form of bone cancer seen primarily with large breed dogs. It is possible that neutering after puberty reduces this risk with breeds prone to osteosarcoma. 

With both spaying and neutering:

1. Cardiac tumors. One small study [2] concluded that spaying and neutering increased the risk of cardiac tumors; 4 times greater for females and only slighter more so for males. 

2. Increased risk of hip dysplasia. A study done with Golden Retrievers showed the rate of hip dysplasia doubled for Goldens spayed or neutered before the 1-year mark.  
Summary of Risks:

A lot more in-depth and broad-reaching studies need to be conducted to show conclusive evidence that spaying or neutering has risks other than the ones that we know of today. An overwhelming majority of veterinarians recommend spaying and neutering for population control as well as health and behavioral benefits. 

Debunking Popular Myths

1. It is not true that spayed or neutered dogs will automatically gain excess weight. However, as a dog matures from pup to adult, their metabolic rate changes, puppies need approximately 45 to 55 calories per pound of body weight and adults need approximately 40 calories per pound of body weight. If serving sizes are not adjusted as a Pug transitions into adulthood, there can indeed be weight gain
Another possible link to spaying and neutering and weight gain is that fixed dogs are usually calmer which may mean fewer calories are being burned over the course of the day. Making sure that your Pug meets their exercise requirements can usually offset this. 

2. It is not true that being altered with make a dog sexually frustrated. Dogs mate due to hormone-driven urges, not pleasure. After spaying or neutering, dogs do not miss the act of mating. 

What is the best age to Have a Pug spayed or neutered?  

The best age to have a female Pug spayed is between 4 and 6 months old which is slightly younger than the general recommended age for females (5 to 7 months) since toy breeds mature earlier than larger breeds. The goal is to avoid very early-age spaying (due to the link of increased risk of urinary incontinence and for anesthetic safety) but have the procedure done before the first heat cycle (to have the best chances of eliminating or greatly reducing the risk of some cancers). 

This said, spaying at any age other than the late senior years, including waiting until after the 12 to 18-month mark to help avoid issues and possible issues linked to growth plates (delayed closure, possible increased risk hip dysplasia), will be beneficial. 

The best age to have a male Pug neutered is between 5 and 7 months old. The goal is to avoid very early-age neutering (for anesthetic safety) but to have the procedure done before bad habits (humping, roaming, marking, aggression) are established. 

This said, neutering at any age, including waiting until after the 12 to 18-month mark to help avoid issues and possible issues linked to growth plates (delayed closure, possible increased risk for torn ligaments, and hip dysplasia), will be beneficial. 

What is involved with the procedures of spaying and neutering?

With spaying, prior to the surgery, a full wellness check will be performed to ensure that a dog is healthy enough for the procedure. In addition, owners may be asked if they wish for the vet to do a pre-anesthetic blood screening test. This is to check for issues with the kidneys and liver that could cause complications during the surgery. 

If your female Pug is at least 4 months old, you will be asked to feed the last meal the night before and then withhold food the day of the surgery. For pups younger than 4 months, withholding food may be shorter, 8 hours or so.  

Spaying is performed under general anesthesia. A small incision is made in the abdomen from which both the ovaries and the uterus is removed. Ovarian ligaments and blood vessels are secured. The abdominal tissues are stitched, glued, or stapled internally and externally. 

With neutering, prior to the surgery, a full wellness check will be performed to ensure that a dog is healthy enough for the procedure. In addition, owners may be asked if they wish for the vet to do a pre-anesthetic blood screening test. This is to check for issues with the kidneys and liver that could cause complications during the surgery.

If your male Pug is at least 4 months old, you will be asked to feed the last meal the night before and then withhold food the day of the surgery. For pups younger than 4 months, withholding food may be shorter, 8 hours or so.  

Neutering is performed by making a small incision in the scrotum and then removing the testicle and spermatic ducts. Blood vessels are tied off. This will be stitched with either dissolvable stitches or ones which will need to be removed 10 days afterward.

What is the recovery and post-operative care?

Female Pugs: 

In routine cases, female Pugs go home the same day as the spaying procedure and it takes 10 to 14 days to fully recover. 

Though it can vary depending on the vet, females should be given pain medication after being spayed. This may include an injection given before leaving the vet clinic with an NSAID like meloxicam that offers 24-hours of pain relief along with reducing inflammation. Some vets offer this as an optional treatment and it can offer a great deal of relief. At home, an oral NSAID like carprofen may be given for 5 to 7 days and this usually needs to be given with food. 

Females may feel very sleepy once at home and may not want to eat. This is normal for the first 12 to 24 hours.  

For the entire 10 days, to prevent the tearing of stitches and facilitate healing, she should be kept inside, segregated from other pets, not allowed to jump down off of things, not allowed to run, and not given a full bath. 

To prevent licking the incision site (which can tear the stitches and/or introduce bacteria to the site), a safety collar (Elizabethan collar) is usually worn. The paper type are notoriously uncomfortable for dogs, so an inflatable one or a cushioned version like the The Original Comfy Cone Recovery Collar can be a good option. 
If the area was touched or licked, you may be instructed to gently clean the area by dabbing on Betadine.

The incision site should be checked twice per day. Though there will be some redness, bruising, and inflammation, any noticeable increases in redness, swelling, or discharge should be reported to the veterinarian. Other red flags to report include refusal to eat (after 24 hours post-surgery), vomiting, diarrhea, and/or marked lethargy (after 6 hours post-surgery). 

A post-operative check-up is usually performed two weeks after the spay. If non-absorbable stitches or staples were used, these will be removed at this time.
Male Pugs:

Recovery for neutered males is generally much faster and easier than spayed females. There is usually swelling and slight to moderate discomfort for 3 days. There may also be bruising. 

You may be given the option to offer pain medication; some males do just fine without it and others do benefit from an NSAID like carprofen for at least the first few days, and this usually needs to be given with food. 

To prevent licking the incision site (which can tear the stitches and/or introduce bacteria to the site), a safety collar (Elizabethan collar) is usually worn. Since these can be very irritating to wear, a padded adjustable version like the Brown Lion Alfie Pet Recovery Collar which looks like a little lion’s mane the can be a good choice.
If the area was touched or licked, you may be instructed to gently clean the area by dabbing on Betadine.

Males are typically playing around and acting like themselves just days after being neutered but heavy exercise such as full-out running should be limited for 2 weeks. 

Until the post-operative checkup, inspect the site daily for signs of infection including excessive redness, swelling, and discharge. 

FAQ About Having a Pug Spayed or Neutered

How much does it cost to have a female Pug spayed? 
Costs can vary quite a bit and there are two main options: private practice vets or public services. 

With private-practice veterinary offices, spaying is usually priced according to a dog’s size and then factors such as health and age come into play since these can affect the number of recommended pre-surgery screenings and tests. Private practice vets also tend to have more support staff and usually have newer equipment and more carefully follow safety protocols, all which increase the overhead costs. So, the price can range from $300 to $600 USD. 

There are low-cost public services usually connected to animal shelters and rescue organizations that may offer spaying at reduced prices somewhere in the range of $200 for spaying Pugs (dogs under the 30 or 50 lb. mark); however, going this route with spaying, which is considered a major abdominal surgery, does pose greater risks since elements like pre-screening, inhalation anesthetics, and anesthetic monitoring may be forfeited. 
How much does it cost to have a male Pug neutered? 
As with spaying, the cost to have a Pug neutered can vary quite a bit, though in general it is less expensive than spaying since this is considered to be a minor surgery. 

For the same reasons as listed with the previous spaying, private-practice veterinarians may charge more than low-cost public services, between $150 and $250 to neuter a male Pug (dogs under the 30 or 50 lb. mark). And, the cost when having this done via a public service connected to a shelter or rescue may be in the $50 to $125 range. 
Where can I find a low-cost option?
You can contact your local shelter or rescues. To find all of the facilities in your area, you may wish to use the ASPCA’s database of low-cost spay and neuter programs
Can another medical procedure be done at the same time as a spay or neuter? 
If a Pug needs to have another procedure done that also requires general anesthesia, in some instances it is advisable to have both done together to limit the number of times that the puppy or dog needs to be sedated. This includes a minor correction such as surgical treatment of stenotic nareshaving milk (deciduous) teeth pulled out, or being microchipped.
But, more complicated surgeries such as surgical treatment of elongated palate are usually done separately. Also, teeth cleaning (which involves scraping the teeth while under sedation) is never done at the same time since this would introduce too much bacteria into the surgical environment.  
Can I have my female Pug spayed if she is in the middle of a heat cycle? 
Technically, a dog can be spayed while in heat but this is not usually recommended since it can increase the risk of excessive bleeding and other complications. So, if there is an appointment to have a Pug spayed but she enters heat, this should be rescheduled. 
My Pug is now an older adult and I regret not having them spayed/neutered. Should I have it done now? Is it too late? 
The benefits of spaying and neutering decrease as canines age, but since cancer is the second leading cause of death for Pug dogs, having the procedure done at any age (other than very late senior years) can still be advantageous. 

Since female dogs usually do not have the canine equivalent of menopause, spaying can still be done through the adult years to eliminate the risk of unplanned pregnancy (a very stressful event for older dogs) and stop the heat cycle. It will eliminate the chances of ovarian and uterine cancer but will have limited effects on mammary cancer if done after several heats have already occurred. But, since this is a major abdominal surgery, it may not be recommended for late-senior females since they may have more trouble both with the anesthesia and stress of surgery and recovery. 
And with males, many have viable sperm production well into their senior years so neutering still has the benefit of stopping the chance of a male impregnating a female and eliminating the chances of testicular cancer. It is unclear if late-age neutering would be beneficial in regard to prostate issues. Habits like humping, marking, and roaming are so inbred at a late-adult age that neutering at that point rarely shows marked improvement with those behaviors.  
For those reasons, it’s important to speak to your Pug’s veterinarian to discuss the pros and cons given your particular dog’s exact age and health status. 

If you chose to not have your Pug fixed, you are not automatically condemning your dog to a short life. The #1 leading cause of death is neurological issues and Pugs are very prone to breathing-related issues that fall under the category of Brachycephalic Obstructive Airway Syndrome (BOAS). 
The top priority is that you take steps to keep your Pug healthy including feeding the best foods possible, making sure to keep your Pug active to meet exercise requirements, and keeping your guy or gal at a healthy weight. 
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1 Pollari FL, Bonnett BN, Bamsey SC, Meek AH, Allen DG. Postoperative complications of elective surgeries in dogs and cats determined by examining electronic and paper medical records. Journal of the American Veterinary Medical Association 1996;208(11):1882–6.

2 Journal of Veterinary Internal Medicine. Volume 13, Issue 2, March 1999, Pages: 95–103, Wendy A. Ware and David L. Hopper
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