That is SO sad, I cannot even imagine.
Most dogs at some point need to have some kind of procedure done...females, even in those studies I believe, should eventually be spayed before a pyometra, etc happens, we have to have our dogs operated on for bloat, orthopedic issues, or other things. We need to find a vet we feel comfortable with should our dogs need these surgeries, many of which will save their lives. Because if we need to have something done, we want to make sure that we have that relationship with them and trust that while there is no 100% they are capable and will try their best.
Urinary Incontinence in Dogs treatment information for incontinence.