How is the cat’s urethrostomy performed
The content of the article
- 1 What is urethrostomy
- 2 Indications for the operation
- 3 Preparation for intervention
- 4 of the procedure
- 5 Implications
- 6 Rehabilitation
Diseases of the genitourinary system in cats are quite common and often lead to the development of serious complications until death of the animal. In order to facilitate itsstatus and life-saving uses a special operation – urethrostomy.
What is urethrostomy
This surgery is the output of the wide portion of the urethra through the cat abdominal wall or the perineum. It is performed for removal of free stones and sand from the urinary tract of the patient or animal is necessary in the case of injury to the urinary canal.
Indications for the operation
Surgical intervention is necessary in the following cases:
- In the formation of the narrowing (stricture) of the urethra after long or repetitive urethritis.
- When overlapping urethral calculi (stones), sand or neoplasms (benign or malignant).
- With a weak muscle tone of the bladder of an animal.
- Due to the perforation of the wall of the urethra during insertion.
- If you have previously made stoma closed and became impassable for urine.
In the majority of cases, the cause of the operation becomes the formation of kidney stones, removing them through the urinary tract and block their calculi.
Preparation for intervention
Before carrying out the operation in a veterinary clinic cat examined. The earlier owners to seek help, the less the risk of losing an animal. Prolonged disturbance of outflow of urine negative impact on the overall health of a cat and can lead to acute renal failure.
The vet will send your caudate patient on the following research and analysis:
- Ultrasonography of the abdomen.
- Analysis of urine.
- Analysis of blood (total and biochemistry).
- Urinary tract radiography using contrast medium. It helps detect urethral lock position. It is re-executed after the operation to identify its effectiveness.
If necessary, before the surgical intervention is carried sanitation related diseases.
After the ultrasound and X-ray doctor knows precisely where the calculus or the place of a pathological narrowing of the urethra. Urethra washed with antiseptic solution, and then the catheter is placed. If the cat has not been neutered before the disease, this procedure is performed prior to surgery.
If the animal’s bladder filled with stones and / or sand, it is opened and the contents removed. In that case, if the intervention is not associated with the formation of stones, this step is skipped.
Incision is performed in order for the surgeon to access a wide section of the cat’s urethra. Thereafter removed sexual organ, the widest part of the urethra is displayed in the crotch or the stomach wall is fixed to the skin.
After surgery possible infection of the newly created urethra, so it is important to observe hygiene and antiseptic. If the cat is trying to lick or tear the seams, he put on “Elizabethan collar”.
Sometimes from the new holes can cause discharge from the blood content, but it is within normal limits.
Typically, after the procedure the animal recovers quickly enough: after about 15-30 days. It happens sometimes urinary incontinence, but it is a rare complication.
In the event that will be seen by overgrowth openings, it neatly buzhiruyut. If you do not help, a second operation.
After the end of the intervention the cat is transferred to the hospital for a day – two. The animal is placed a catheter for a few days (up to 4 days). He is given painkillers, antibiotics for a week, put a dropper with solutions. In the normal state of health of the cat allowed to take home to undergo rehabilitation.
At this time he put on diapers, which change at least every 8 hours and after a bowel movement, conduct the necessary hygienic procedures, urethral opening processed antiseptic.
Stoma and the channel was washed with chlorhexidine and special ointment is applied, impeding the development of the inflammatory process.
Animals provide comfort, warmth, protection from glare and unwanted attention, especially if a family has young children. The vet will give advice on feeding and watering of the patient, tell us how to behave in case of changes in his state of health.
If, after successfully completing the operation the cat still can not urinate normally, possibly in his bladder were not removed stones or thick coarse sand. In this case, you need to re-conduct urethrostomy.
Also, the reason may be the closing of the stoma. In this case, the veterinarian may put a catheter for a few days so that the hole had time to heal, and the stitches – healed.
If the situation does not improve in a few days, have to resort to re-operation. The occurrence of complications related to the age of the animal, the complexity of the disease, the presence of other health problems.
Basically, in the absence of deviations from the normal course of the healing process of rehabilitation proceeds smoothly, and pet recovers quickly. He becomes accustomed to the new situation and completely returned to normal, usual life.