<human>: For the past year and a half my poor 2yr maltese has been having anal gland problems and infections, mostly on the right side. I use to have to help her about once a month or so at the start but since January its now a weekly/fortnightly thing. We've tried changing her food to James Wellbeloved, Acana and Orijen but they've made zero difference (4month trials). Currently shes on four friends, It's not as high quality  but she loves it more than the other 3 and her poops are far more firmer (atleast her first poop of the day is). For the last couple months I've been adding a 1.5 tsp of shredded organic coconut to help firm her stool even further, it is a bit better but it's not made a huge difference for throughout the day. However she doesn't get tear/saliva stains anymore!

So our previous vet has put her on antibiotics about 4-5 times this last year saying "next time we flush them". He never bloody did so after feeling like we were being milked we've now changed vets. First thing she does is flush them !! Bloody finally!! She said "after the second set of antibiotics not working, it's clear they don't help" which was my line of thinking. She didn't give us antibiotics this time as it wasn't a severe case of infection by any means.
Anyways after hearing what we've tried shes says "if this flush doesnt help, then we can remove them next time if you want". I feel more confident with this practice, she sounded far more competent and its the biggest and best in Stockholm, it's where all the experts are and where other vets will refer patients to. But Im completely worried about the risks that can come with removal like Incontinence. Im hoping the right gland just needed the flush. But I just have this feeling that removal is in the near future. 
Anything else I can try?

Can you summarize the given text in a few sentences?
<bot>: Dog has repeated gland issue/infections. New vet said they can remove but I worry about incontinence. What's your experiences? What other things can I try?