Our Darcy (min pin) is the first dog we've had with anal gland problems. I asked our vet about surgery if worse came to worst. I was worried because I had heard of some dogs becoming incontinent after that operation. The vet told us that's why she refers such patients to a specialist vet who will map where the dog's rectal nerves are to avoid permanent damage. Mucho bucks, I am sure, but we'll do that if we have to. Fortunately, a change of kibble seems to have made a huge difference. Darcy's had no more issues and doesn't even scoot these days.Yay!