Perineal Urethrostomy Surgery in Cats

Cats, like humans and other animals, can suffer from urinary tract issues that require surgical intervention. One such procedure, often recommended in severe cases of urinary obstruction or recurring urinary issues, is a perineal urethrostomy. This surgery is particularly crucial for male cats prone to urethral blockages. Here’s everything you need to know about perineal urethrostomy surgery, from what it entails to the recovery process afterward.

What is Perineal Urethrostomy?

Understanding the Need for Perineal Urethrostomy Surgery

Perineal urethrostomy is a surgical procedure performed on cats, particularly males, to create a new opening for the urethra. This procedure is typically recommended in cases where a cat has recurring urinary blockages or strictures that cannot be managed with medical treatment alone. It involves removing a portion of the cat’s penis and rerouting the urethra to a new opening in the perineal area (the area around the anus).

Indications for Perineal Urethrostomy in Felines

Perineal Urethrostomy Procedure for Cats

Cats may require a perineal urethrostomy due to various medical conditions, including:

• Recurrent Urinary Obstructions: Cats that repeatedly develop urethral blockages due to crystals, stones, or other causes may benefit from this surgery.
• Urethral Strictures: Narrowing of the urethra, often due to scar tissue from previous infections or trauma, can impede urinary flow and necessitate surgical intervention.
• Ineffective Medical Management: When conservative treatments such as diet changes, medications, or catheterization fail to resolve the issue, surgery becomes a viable option.

The Perineal Urethrostomy Procedure

Surgical Steps and Techniques

During the perineal urethrostomy procedure, the veterinarian:

1. Prepares the Cat: The cat is placed under general anesthesia to ensure comfort and safety throughout the surgery.
2. Makes an Incision: A surgical incision is made on the perineum to access the urethra.
3. Creates a New Opening: The surgeon removes part of the penis and repositions the urethra to create a wider opening on the perineum, allowing for improved urinary flow.
4. Stitches and Closures: Once the new opening is established, the surgical site is carefully sutured to promote healing.

Post-Surgery Care and Recovery

Perineal Urethrostomy in Felines

After perineal urethrostomy surgery, cats require attentive post-operative care to ensure optimal recovery:

• Pain Management: Pain medication is administered to keep the cat comfortable during the healing process.
• Monitoring: Close monitoring of the cat’s urinary output and overall condition is essential to detect any complications early.
• Restricted Activity: Cats may need to be kept indoors and have limited physical activity to prevent strain on the surgical site.

Potential Complications and Risks

Understanding Risks Associated with Perineal Urethrostomy

While perineal urethrostomy is generally considered safe and effective, there are potential risks and complications to be aware of:

• Urinary Incontinence: Some cats may experience temporary or permanent urinary incontinence following surgery.
• Infection: As with any surgical procedure, there is a risk of infection at the surgical site.
• Stricture Formation: In some cases, scar tissue may form at the surgical site, leading to future urinary issues.

Conclusion

Perineal urethrostomy surgery is a significant procedure for cats experiencing severe urinary tract issues that cannot be managed through other means. It aims to alleviate obstruction and improve the quality of life for affected felines. If your cat has been diagnosed with recurrent urinary problems or urethral blockages, consult with a veterinarian to discuss whether perineal urethrostomy is the appropriate treatment option.

Need a Cat Veterinarian in Alexandria, VA?

Welcome to Kingstowne Cat Clinic! Kingstowne Cat Clinic is a locally owned, community focused cat clinic. We specialize in giving your feline friend the care they need. We offer wellness exams, surgery, dentistry, vaccinations, and acupuncture. We also provide sedated grooming and at home euthanasia. Kingstowne Cat Clinic is dedicated to providing quality medical and surgical care for all cats. Contact us today for an appointment!

Categorised in: Cat Health, Cat Veterinarian

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