Originally Posted by Boo
I have also seen several surgeries making a male cat a female, so to speak. There are also many cat foods out there now, not prescription, regular super market food, to help prevent urinary crystals. We used to see this a lot, but now with these new foods, we've only done these surgeries 2 times in the past year. Both cats are doing fine now.
I found this:
In the extreme situation that urinary blockage becomes recurrent in a male cat, a perineal urethrostomy (PU) may be considered. This involves surgical reconstruction of the genitalia to create a more female-like opening, one that is much more difficult to obstruct. However, this surgery merely prevents obstruction of the urinary tract, it does not prevent FLUTD. The cat is likely to continue to experience recurring bloody urine, straining and other symptoms, only the life-threatening occurrence of a complete blockage is eliminated. Side effects of surgery can include bleeding for up to ten days after surgery, narrowing at the surgical site, urinary incontinence and a greater incidence of other kinds of bladder diseases. Cats with perineal urethrostomies are predisposed to bladder infections and infection related bladder stones. For these reasons, perineal urethrostomy is usually considered to be a last resort. (Cornell University http). The University of Minnesota currently recommends that male cats with PU have regular periodic urine cultures even if they are asymptomatic.
Here is the direct link, where I got the above information from.
That's correct. Like I mentioned in my post it's very painful and there is a chance of great blood loss etc. I want to make it clear that this is nothing to waste time with. It sounded like the cat had started treatment. This may not be the surgery for him, but the point I was trying to make is that the cat can have surgery to remove the stones, which her mother said they cannot. We do this reguarly, and yes a perineal urethrostomy is deffinately a last resort. But if the cat is blocked and the vet doesn't want to treat him appropriately the point is it's not healthy for the cat and is going to put a tremendous strain on the animal, most likely filling him with toxins and causing him to die. We all know that if our bladder reptured it's a life or death situation, the same goes for cats. The cat needs to be treated right away. It doesn't sound like the vet after rereading the thread is going about treating this cat the right way.
This surgery is only for males who keep getting obstructed. Like you mentioned it does nothing to keep urinary infections at bay, but can help keep the cat from becoming plugged and slowly killing himself.
I didn't mean to sound that this was the surgery he needed if that's what it sounded like. The cat could do well with just having the stones removed and then treated with meds and a new diet. This is diffinately the last option in my opinion, but one worth looking into if someone is having problems with their cat. Now let me repeat what I said earlier:
"I have helped vets with many of these surgeries, and they do occur fairly often, so yes, surgery can
be done and if catherization is not working then it must
be done. A diet change as well as surgery is most often the best way to go in my opinion. If the cat is not urinating and he has a blockage and does not get into surgery soon, he will die. Please tell your mother to get him to another vet who is experienced with this. It's a major emergency in felines. Not being able to urinate means the kidneys can not filter out toxins, and the cat quickly dehydrates. Most likely they will also give him fluids.
In severe cases where catherization does not help and the cat still has problems they can do a perineal urethrostomy. I have only seen two of these done but both cats did fantastic."
Again, I mentioned surgery but left the perineal urethrostomy as a last resort for severe cases. Either way the cat will have to have surgery to remove the stones if the currently treatment is not working and catherization is not helping. If he can't urinate that's extremely painful and very hard on the body, causing severe stress.
Either way, Becki I really hope your mothers cat gets well soon! I didn't mean to take over your thread, just wanted to let you know to get the cat treated as soon as possible. Now that I reread your first post it seems like the vet has tried only a homeopathic approach? Either way let your mother know that those of us here at Paw Talk are praying for a nice speedy recovery for her sweet feline.
Again, sorry if it sounded like I was offering the extreme surgery first, but that was not the case.