Perineal Urethrostomy Repairing Urethral Obstruction in Male Cats
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Abstract
Feline urethral obstructions are common in young male cats because the urethra is long and narrow. It has a high mortality rate and most cases need urgent surgery to be resolved. The aim of the present study is to evaluate the efficacy of perineal urethrostomy (PU) in Male cats. The surgical procedure was accomplished on five Persian male cats; the postoperative administration included three days of catheterization and antibiotic therapy for seven days. The follow-up period was from six months up to 18 months. The results showed successful perineal urethrostomy for four of five cases without complications or re-obstruction episodes during the follow-up period. In conclusion, perineal urethrostomy demonstrated 80% success rate with no complications and excellent clinical outcomes in Persian male cats without recurrence of urethral obstruction.
Received: 30 January 2026
Revised: 22 June 2026
Accepted: 28 June 2026
Published: 28 June 2026
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Lekcharoensuk C, Osborne CA, Lulich JP. Epidemiologic study of risk factors for lower urinary tract diseases in cats. J Am Vet Med Assoc. 2001;218(9):1429-1435. https://doi.org/10.2460/javma.2001.218.1429
Segev G, Livne H, Ranen E, Lavy E. Urethral obstruction in cats: Predisposing factors, clinical, clinicopathological characteristics and prognosis. J Feline Med Surg. 2011;13(2):101-108. https://doi.org/10.1016/j.jfms.2010.10.006
Gerber B, Boretti FS, Kley S, Laluha P, Müller C, Sieber N, et al. Evaluation of clinical signs and causes of lower urinary tract disease in European cats. J Small Anim Pract. 2005;46(12):571-577. https://doi.org/10.1111/j.1748-5827.2005.tb00288.x
Beeston D, Humm K, Church DB, Brodbelt D, O'Neill DG. Occurrence and clinical management of urethral obstruction in male cats under primary veterinary care in the United Kingdom in 2016. J Vet Intern Med. 2022;36(2):599-608. https://doi.org/10.1111/jvim.16389
Cannon AB, Westropp JL, Ruby AL, Kass PH. Evaluation of trends in urolith composition in cats: 5,230 cases (1985–2004). J Am Vet Med Assoc. 2007;231(4):570-576. https://doi.org/10.2460/javma.231.4.570
Cooper ES, Owens TJ, Chew DJ, Buffington CA. A protocol for managing urethral obstruction in male cats without urethral catheterization. J Am Vet Med Assoc. 2010;237(11):1261-1266. https://doi.org/10.2460/javma.237.11.1261
Corgozinho KB, de Souza HJ, Pereira AN, Belchior C, da Silva MA, Martins MC, Damico CB. Catheter-induced urethral trauma in cats with urethral obstruction. J Feline Med Surg. 2007;9(6):481-486. https://doi.org/10.1016/j.jfms.2007.09.002
Ruda L, Heiene R. Short- and long-term outcome after perineal urethrostomy in 86 cats with feline lower urinary tract disease. J Small Anim Pract. 2012;53:693-698. https://doi.org/10.1111/j.1748-5827.2012.01310.x
Fossum TW. Small animal surgery. 5th ed. St. Louis (MO): Elsevier; 2018. p. 708-715. https://shop.elsevier.com/books/small-animal-surgery/fossum/978-0-323-44344-9
Bass M, Howard J, Gerber B, Messmer M. Retrospective study of indications for and outcome of perineal urethrostomy in cats. J Small Anim Pract. 2005;46(5):227-231. https://doi.org/10.1111/j.1748-5827.2005.tb00314.x
Ayoub S, Mostafa M, Abdelgalil A. Preliminary management of feline lower urinary tract diseases in Egypt cat population. Agric Rev. 2025;46(6):1013-1017. https://doi.org/10.18805/ag.RF-316
Dzikiti TB, Chanaiwa S, Mponda P, Sigauke C, Dziki LN. Comparison of quality of induction of anaesthesia between intramuscularly administered ketamine, intravenously administered ketamine and intravenously administered propofol in xylazine premedicated cats. J S Afr Vet Assoc . 2007;78(4):201-204. doi: 10.4102/jsava.v78i4.323.
Nye AK, Luther JK. Feline perineal urethrostomy: a review of past and present literature. Top Companion Anim Med. 2018;33(3):77-82. https://doi.org/10.1053/j.tcam.2018.07.002
Seneviratne M, Stamenova P, Lee K. Comparison of surgical indications and short- and long-term complications in 56 cats undergoing perineal, transpelvic or prepubic urethrostomy. J Feline Med Surg. 2021;23(6):477-486. https://doi.org/10.1177/1098612X20959032
Watson MT, Roca RY, Breiteneicher AH, Kalis RH. Evaluation of postoperative complication rates in cats undergoing perineal urethrostomy performed in dorsal recumbency. J Feline Med Surg. 2020;22(4):399-403. https://doi.org/10.1177/1098612X19838286
Gunn-Moore D. Feline lower urinary tract disease. J Feline Med Surg. 2003;5(2):133-138. https://doi.org/10.1016/S1098-612X(02)00129-8
Phillips H, Holt DE. Surgical revision of the urethral stoma following perineal urethrostomy in 11 cats (1998–2004). J Am Anim Hosp Assoc. 2006;42(3):218-222. https://doi.org/10.5326/0420218
Slater MR, Pailler S, Gayle JM, Cohen I, Galloway EL, Frank KA, et al . Welfare of cats 5–29 months after perineal urethrostomy: 74 cases (2015–2017). J Feline Med Surg. 2020;22(6):582-588. https://doi.org/10.1177/1098612X19867777
Papazoglou LG, Tsioli V, Papaioannou N, Georgiadis M, Savvas I, Prassinos N, et al. Comparison of absorbable and nonabsorbable sutures for intradermal skin closure in cats. Can Vet J. 2010;51(7):770-772. PMID: 20885834; PMCID: PMC2885123
