Perineal Urethrostomy in A Cat Following Prepuce and Perineal Region Injury

Document Type : Research Articles

Authors

• Hossein Kazemi Mehrjerdi
• Samaneh Ghasemi
• Maneli Ansari Mood
• Ali Mirshahi
• Amir Afkhami-goli

Ferdowsi University of Mashhad

10.22067/veterinary.v4i1.18297

Abstract

A 2- year- old male, intact domestic short hair cat was referred to the Veterinary Clinic of Ferdowsi University of Mashhad with a history of inappetence, vomiting, dysuria,stranguria, depression and continuous urine leakage from the skin injury in perineal region. After physical examinations, temperature, pulse and capillary refill time (CRT) were decreased and pale mucosal membranes and dehydration were observed. Palpation of the abdominal region was painful and kidneys were enlarged.Penis was not present in its normal anatomical position.
In biochemical analysis, significant rise in BUN (urea nitrogen) and creatinin were noticed.In abdominal radiographs and ultrasonography evaluations distention of the urinary bladder and blockage in urinary tract were identified. According to these results presence of an obstruction was confirmed in the penile urethra, and consequently, perineal urethrostomy (PU) was performed for correction of obstruction and renewed urine outflow. Normal urination established in our patient after PU surgery and common postsurgery complications did not occurred.

Keywords

• cat
• penile urethra obstruction
• perinea lurethrostomy

20.1001.1.2008465.2012.4.1.7.7

Main Subjects

• Surgery

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References

Acar, S.A., Sarouglu, M. and Sadalak, D.J.(2010) Prepucial urethrostomy performed using the coating technique(

in Turkish). Turkish Journal of Veterinary and Animal Science 34, 7-

16 Istanbul.

Bass, M., Haward, J., Gerber, B. and Messmer,M. (2005) Retrospective study of indications forand outcome of perineal

urethrostomy in cats. Journal of Small Animal Practice 46, 227- 231.

Bernard, A. and Viguier, E. (2003) Transpelvic urethrostomy (TPU) in cats: a new technique. Prospective survey: 19 cases. Ecole Nationale Veterinaire de Lyon 38, 437-446.

Corgozinho, K.B., De Sauza, H.J.M., Pereira,A.N., Belchior, C., Da Silva, M.A.,Martins, M.C.L. and Damico, C.B.(2007) Catheter-induced urethral trauma in cats with urethral obstruction. Journal of Feline Medicine and Surgery 9, 481-486.

Dennis, R., Kirberger, M. and Barr, F. (2001) Handbook of Small Animall Radiological Differential Diagnosis,First edn., WB Saunders Co.,Philadelphia. p 186.

Fossum, T. (2007) Textbook of Small Animal Surgery, 3rd edn., Mosby. pp 698-701.

Gregory C.R, Vasseur P.B. (1983) Long-term examination of cats with perineal urethrostomy. Veterinary Surgery 12,210-212.

Griffin, D.W. and Gregory, C.R. (1992) Prevalence of bacterial urinary tract infection after perineal urethrostomy in cats. Journal of the American Veterinary Medical Association 200,

681-684.

Kalkstein, T.S., Kruger, J.M. and Osborne,C.A. (1999) Feline idiopathic lower urinary tract disease. Part IV.Therapeutic options. Compendium on Continuing Education for Practicing

Veterinarian 21, 497-509.

Little, S. (2007) Management of cats with urethral obstruction.

http://www.winnfelinehealth.org. pp 1-6.

MacLoughlin, M.A. (2000) Surgical emergencies of the urinary tract. Veterinary Clinics of North America,Journal of Small Animal Practice 30,581-601.

Mendham, J.H. (1970) A description and evaluation of antepubic urethrostomy in the male cat. Journal of Small Animal Practice 11, 709-721.

Nelson, R.W. and Couto, C.G. (2003) Textbook of Small Animall Internal Medicine, 3rd edn., pp 642-649.

Osborne, C.A., Caywood, D.D., Johnston,G.R., Polzin, D.J., Lulich, J.P. and Kruger, J.M. (1991) Perineal urethrostomy versus dietary management in prevention of recurrent lower urinary tract disease. Journal of Small Animal Practice 32, 269-305.

Osborne, C.A., Kruger, J.M., Lulich, J.P.,Bartges, J.W. and Polzin, D.J. (1996a)Medical management of feline urethral

obstruction. Veterinary Clinics of North America, Journal of Small

Animal Practice, 26, 483-498.

Osborne, C.A., Caywood, D.D., Johnston,G.R., Polzin, D.J., Lulich, J.P. and Kruger, J.M. (1996b) Feline perineal

urethrostomy. Veterinary Clinics of North America, Journal of Small Animal Practice 26, 535-549.

Peixoto. and Toledo de Mello, E.C. (1997) Penile and perineal urethrostomy in domestic cats. Ciência Rural 27(4), 629-633.

Saroglu, M., Acar, S.E. and Duzgun, O. (2003)Urethrostomy done using the anastomosis technique of the prepuce

mucosa to the pelvic urethra in cats with penile urethral obstruction. Veterinary Medicine- Czech 48, 229-234.

Slatter D. (2003) Textbook of Small Animal Sergury, 3rd edn., WB Saunders Co.,Philadelphia. pp 1643-1645.

Smeak, D.D(2010) Urethrostomy options for lower urinary tract disease in cats. In:82nd Western Veterinary Conference,

Las Vegas, USA.Smith, C.W. (2002) Perineal urethrostomy.

Veterinary Clinics of North America Journal of Small Animal Practice 32,917-25.

Tobias K.M. (2010) Textbook of Small Animal Soft Tissue Surgery, First edn.,Wiley- Blackwell Co. pp 313-321.