Perineal Urethrostomy

A perineal urethrostomy (PU) is a surgical procedure commonly performed on male cats with urinary obstructions. Let’s explore the details:

- Urinary Obstruction: PU is recommended when a urinary obstruction occurs within the penis and cannot be resolved through medical therapy.
- Recurrent Obstructions: Some male cats experience frequent obstructions. Even if unblocked, they may benefit from PU to decrease the likelihood of future obstructions by creating a larger urinary opening.
- Severe Urethral Trauma: In cases of traumatic injury to the penis, PU allows urine to exit the body before reaching the damaged part of the urinary tract, preventing complications like scar tissue or infection.

- Surgical Approach: PU creates an opening in the perineum—the space between the rectum and scrotum.
- Penis Removal: The penis is completely excised.
- Wider Urethral Opening: The urethral opening is enlarged, allowing urine, stones, and sand to pass more easily.
- Scrotal Urethrostomy: For intact males, PU is often combined with castration to prevent future obstructions.

- Cats should be kept calm and inactive during recovery.
- Bleeding from the surgical site may occur for up to 10 days.
- Monitoring for any signs of complications is essential.

Remember that individual cases may vary, and consulting a veterinarian is crucial for proper diagnosis and treatment.