Prepubic Urethrostomy and Vaginoplasty in a Female Cat

Przywara, John; Byron, Julie K.; Bennett, R. Avery; Ham, Kathleen; Greenfield, Cathy L.; Steele, Kirsten

doi:10.5326/0460439

Cited by 2 publications

(4 citation statements)

References 2 publications

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“…Another case of urethral stenosis in a female cat has been reported in the literature, which was associated with an inflammatory response due to a trauma. 11 Male cats have a higher predisposition to urethral obstruction owing to their urethra being longer and narrower than that of female cats. 12 In this study, obesity (BCS >4) was observed in 59.1% of PU and 66.7% of PPU cases.…”

Section: Discussionmentioning

confidence: 99%

Clinical outcomes of 28 cats 12–24 months after urethrostomy

Sousa-Filho

Nunes-Pinheiro

Sampaio

et al. 2019

Journal of Feline Medicine and Surgery

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Objectives The aim of this study was to evaluate and compare the long-term clinical outcomes and quality of life of cats having undergone perineal urethrostomy (PU) or prepubic urethrostomy (PPU). Methods This clinical study followed 28 cats (PU, n = 22; PPU, n = 6) that underwent a urethrostomy, with a minimum of 1 year postoperative follow-up. Medical records, pet owner surveys and urologic laboratory tests were used for assessment. Urologic laboratory tests included serum symmetric dimethylarginine (SDMA), serum creatinine, urinalysis, urine specific gravity (USG), urine protein:creatinine (UPC) ratio and urine culture. Results The main indications for urethrostomy were multiple catheterizations and PU stricture. The overall complication rates of PU and PPU were 31.8% and 83.3%, respectively. Recurrent urinary tract infection (UTI) and urine scald dermatitis was less frequent in PU than in PPU cats (UTI 22.7% vs 66.6%; dermatitis 4.5% vs 83.3%). Bacteriuria was present in 77.2% and 100% of PU and PPU cats, respectively. Owner satisfaction rates were excellent in 81.8% of PU and 33.3% of PPU cases. Conclusions and relevance A proportion of cats that underwent urethrostomy showed bacteriuria, recurrent UTIs and increased levels of SDMA. PPU is important as a salvage procedure; however, it should be limited to cases in which standard techniques for PU cannot be performed, owing to the potential for recurrent complications and lower owner satisfaction.

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Section: Discussionmentioning

confidence: 99%

Clinical outcomes of 28 cats 12–24 months after urethrostomy

Sousa-Filho

Nunes-Pinheiro

Sampaio

et al. 2019

Journal of Feline Medicine and Surgery

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“…Vaginoplasty was performed at this point. 7 This case proves that preservation of the vulvar opening for the drainage of vaginal secretions in female cats is necessary, even if the cat is spayed and urine is diverted. We thus decided on surgical separation of the labial fusion and vaginoplasty as the first-line treatment.…”

Section: Discussionmentioning

confidence: 73%

“…A literature search revealed one case of vaginoperineal fistula after a bite wound and consecutive scarring and contracture of the tissue in the perineal region in a cat. 7 In this report, we describe labial fusion in an adult domestic shorthair cat.A 16-month-old, spayed female domestic shorthair cat was presented to the Clinic for Small Animal Medicine and Surgery, Veterinary Faculty Ljubljana, with persistent licking of the perineal region for several days. First examination revealed a very enlarged and swollen vulva with pronounced superficial pyoderma of the perivulvar region.…”

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confidence: 90%

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Surgical correction of labial fusion with vaginoplasty in a cat

Plavec

Pavlin

2012

Journal of Feline Medicine and Surgery

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A spayed female domestic shorthair cat was first examined at the age of 16 months because of persistent licking of the perineal area. The cat had a grossly enlarged and oedematous vulva with pronounced superficial pyoderma of the perivulvar area, which responded favourably to systemic antibiotics, analgesics and local corticosteroids. A month after the initial examination, the cat was re-presented owing to pollakiuria, stranguria and dyschesia. The oedema of the vulva had disappeared and the vulvar labia were fused together; there was only a fistulous tract with a diameter of 1 mm present in the area of the vulva, and the cat strained to urinate through that opening. A contrast study revealed normal transit through the lower urinary tract, but labial adhesions resulted in the development of dilation cranially, where the vaginal vestibule was supposed to be. Vaginoplasty was subsequently performed, the cat recovered normally and, 10 months after the procedure, the lumen of the vaginostoma is preserved and the cat is urinating without difficulty.

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Prepubic Urethrostomy and Vaginoplasty in a Female Cat

Cited by 2 publications

References 2 publications

Clinical outcomes of 28 cats 12–24 months after urethrostomy

Clinical outcomes of 28 cats 12–24 months after urethrostomy

Surgical correction of labial fusion with vaginoplasty in a cat

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