A 3 year old, female spayed, Bull Mastiff presented to Cornell University Hospital for Animals’ Internal Medicine Service for evaluation of recurrent urinary tract infections. The patient had an extensive history of urinary tract infections diagnosed by her primary veterinarian. Upon presentation, her physical examination revealed the presence of excessive perivulvar folds with a recessed vulva. The perivulvar region, interdigital spaces, and ventral neck were hyperemic and moist. A full diagnostic workup was performed ruling out urinary stones, neoplasia, and endocrine disorders. A focal urinary tract ultrasound did not identify an underlying etiology. A skin cytology, performed by the Dermatology Service, revealed the presence of yeast. The patient was started on antifungal medication, corticosteroids, and a topical spray. It was advised, that once the skin infection resolved, the patient pursue an episioplasty.