Treatment FAQ

what is treatment for a returning urethral blockage in cats

by Clement Ebert Published 2 years ago Updated 2 years ago

  1. Stabilization. Blocked cats that are severely ill need to be stabilized before the obstruction is relieved. ...
  2. Cystocentesis. The bladder can become very distended with urethral obstruction. ...
  3. Urinary catheter placement. Once a cat is stable, the urethral obstruction must be relieved. ...
  4. Medications. ...

How do you treat a urethral obstruction in a cat?

Urethral obstructions in cats require emergency treatment. Cats that are very ill from the obstruction need to be stabilized with intravenous fluid therapy and other medications before they receive further treatment.

What should I do if my male cat has a blockage?

If you believe your male cat has a urinary blockage, you will need to contact your local vet immediately. This can be a life-threatening situation if it is not resolved quickly. The fact is that you may not know there is a problem until your cat has been blocked for a number of days.

Is urinary blockage expensive to treat in cats?

Both of them are also quite expensive to treat. We will discuss urinary blockage below and give you an idea of approximate costs as well. Urinary blockage basically means that your cat is unable to pee (urinate). This is extremely dangerous and if left untreated, can cause them to die.

What to do if your cat has a kidney blockage?

Further treatment depends on the underlying cause of the obstruction, the severity of the obstruction, and what (if any) complications have arisen. Any damage to the kidneys may be completely reversible, but cats will often have to receive intravenous fluids for several days if the kidneys have been affected.

Do urinary blockages in cats reoccur?

Unfortunately, cats that have had one urethral obstruction, are at risk for recurrence, so preventative measures are needed at home. A prescription urinary diet is often advised to prevent the formation of urinary crystals or stones and to encourage water intake.

How can I stop my cats urinary blockage?

The best way to prevent your cat from blocking is by feeding a wet-food-only, specialized prescription diet specifically for urinary issues. Additionally, limiting the amount of stress your cat is exposed to at home and encouraging water intake by adding a pet fountain or other source of additional water intake.

How Long Can cats live with urinary blockage?

three to six daysHow Long Can a Cat Live With a Urinary Blockage? When the urethra is obstructed, urine backs up in the bladder and toxins build in the blood. Without treatment to remove the blockage, cats can die in three to six days.

How soon can cats Reblock?

Recovery & management of urinary obstructions in cats After they've been unblocked, cats may unfortunately become re-blocked at any point after their catheter is removed. Some cats may experience another blockage a few hours or days after the catheter is removed, while others may re-block a few months or years later.

How do you prevent struvite crystals in cats?

"The most important step to preventing recurrence is to feed a prescription diet." Additionally, you will need to increase your cat's water intake in order to make your cat's urine less concentrated. In most cases, using the canned version of your cat's prescription diet will keep the urine dilute.

Why does my cat keep getting urinary tract infections?

Male cats are also more prone to urinary diseases since their narrower urethras are more likely to become blocked. Using an indoor litter box, emotional or environmental stress, multi-cat households or sudden changes to their everyday routine can also leave cats more vulnerable to urinary tract disease.

How much does perineal urethrostomy surgery cost?

PU surgery cab be expensive and prices will vary depending on the diagnostic tests needed, and the extent of the condition. It typically ranges between $3, 000 - $4, 500 Alternatively, if you compare the cost of surgery to the cost of frequent treatment for blockages, it may actually save you money in the long run.

How much does cat blockage surgery cost?

The cost of a cat's surgery for an intestinal blockage can vary widely based on your location and the severity of your pet's condition. You can expect to pay anywhere from $800 up to $6000 or more.

Can a cat survive bladder blockage?

Urethral blockage is not a common condition, but when it occurs it is painful, the cat will be unable to urinate despite repeated efforts, and it is a life-threatening emergency as it can cause acute kidney failure and death within 2-3 days if not managed appropriately.

How much does it cost to fix a urinary blockage in a cat?

Typically speaking though, treatment for a non-surgical case of feline urethral obstruction that doesn't re-obstruct when the catheter is pulled will likely cost you between $750–1,500.

What is the success rate of Pu surgery in cats?

Study Results. After reviewing responses from the 74 cases where cats underwent PU surgery, researchers found: 100% of responding individuals reported at least the same post-surgery quality of life compared with the cat's quality of life before they had urinary problems.

What does prazosin do for cats?

It is commonly used in cats after an idiopathic cystitis blockage, in patients with bladder or prostate tumors, or patients with spinal disease. Cardiovascular disease: Prazosin might be used to reduce high blood pressure or even in the management of congestive heart failure.

How do you treat a cat with urethral blockage?

Urethral obstructions in cats require emergency treatment. Cats that are very ill from the obstruction need to be stabilized with intravenous fluid...

How do I know if my cat has a urethral blockage?

A urethral blockage isn’t always obvious. A cat will show signs of having difficulty urinating: frequent trips to the litter box, urinating only sm...

Can cats recover from urethral blockage?

Yes, but only if they receive emergency treatment right away. Cats with a urethral obstruction can become gravely ill within 24 hours, so immediate...

What causes a blocked urethra in cats?

Anything that causes a physical blockage in the urethra can lead to urethral obstruction. These physical blockages can be caused by plugs of inflam...

What to do after a cat is admitted to the hospital?

After a cat is admitted to the hospital, it will need to be stabilized with intravenous fluids and, in some cases, may also need additional medications to help correct life-threatening electrolyte imbalances. The most important treatment, though, is relieving the urinary blockage.

What is the procedure to widen the outflow tract of a cat?

Occasionally, if an obstruction cannot be relieved in this way, a surgical procedure called a perineal urethrostomy (PU) may be needed to widen the outflow tract of the cat more permanently.

What is PU surgery for cats?

Cats that develop repeated urethral obstructions despite appropriate management changes, may benefit from perineal urethrostomy (PU) surgery as a more permanent solution. This procedure involves the surgical removal of the narrow end of the urethra and may make obstruction less likely.

What is UO in cats?

617-522-7282. Urethral Obstruction (UO) is a life-threatening blockage of the lower portion of the urinary tract. It prevents an animal from being able to urinate and, unfortunately, occurs relatively commonly in cats. Although UO can occur in any cat, it is more prevalent in young to middle age male cats. Male cats are more vulnerable ...

What causes a back up of urine?

A complete urethral obstruction causes a “back-up” of urine which can damage the lower urinary tract and cause kidney failure. This leads to an accumulation of toxins in the bloodstream and electrolyte imbalances that can be life-threatening.

What causes a cat's urinary tract to swell?

These include physical obstructions such as urethral plugs, urinary stones, strictures, or tumors. Mechanical blockages can also occur secondary to urethral spasm or swelling secondary to inflammation in the lower urinary tract. One common condition in cats that can lead ...

How long does a cat's urinary catheter stay in place?

An indwelling urinary catheter will typically be kept in place for 24-72 hours while the cat is in the hospital.

What causes a cat's urethra to be blocked?

Several underlying conditions can cause obstruction of the narrow urethra of a male cat, including: 1 A ‘plug’ in the urethra – this is usually an accumulation of proteins, cells, crystals and debris in the bladder that accumulates and lodges in the urethra 2 A small stone (urolith) or an accumulation of very small stones – these form in the bladder but may become lodged in the urethra 3 Swelling and spasm of the urethra – during inflammation of the bladder and urethra, whatever the cause, the inflammation may cause swelling of the wall of the urethra which may contribute to blockage, and in a number of cases the inflammation and irritation causes the muscle around the urethra (the urethral sphincter muscle) to go into spasm – this too can cause obstruction if the cat is not able to relax the muscle.

How long does it take for a cat to die from urethral blockage?

Urethral blockage is not a common condition, but when it occurs it is painful, the cat will be unable to urinate despite repeated efforts, and it is a life-threatening emergency as it can cause acute kidney failure and death within 2-3 days if not managed appropriately.

What is a plug in the bladder?

A ‘plug’ in the urethra – this is usually an accumulation of proteins, cells, crystals and debris in the bladder that accumulates and lodges in the urethra. A small stone (urolith) or an accumulation of very small stones – these form in the bladder but may become lodged in the urethra. Swelling and spasm of the urethra – during inflammation ...

What is the best medicine for urethra swelling?

Anti-inflammatory drugs to relieve the swelling in the urethra – corticosteroids are often used for this purpose.

How long should you leave a catheter in?

However, if there has been a severe blockage, your vet may want to leave a catheter in for a few days (usually no more than 2-3 days) to ensure urine can be produced while treatment is commenced for the underlying disease and inflammation.

Can a cat be sedated to allow easy passage of a catheter into the bladder?

These procedures have to be done very carefully to avoid damaging the delicate lining of the urethra. If the obstruction is caused by spasm of the urethral muscle, simply sedating or anaesthetising the cat may be sufficient to allow easy passage of a catheter into the bladder.

Can cats have kidney problems?

Any damage to the kidneys may be completely reversible, but cats will often have to receive intravenous fluids for several days if the kidneys have been affected. In addition to intravenous fluids, other drugs commonly used to help manage cats include:

What does it mean when a cat has a urinary blockage?

Urinary blockage is a painful and life-threatening condition that typically affects male cats. If your male cat has urinary blockage, it means their urethra — the tube that drains urine from the bladder to the penis and out of the body — is blocked by inflammatory material. When the urethra is blocked and urine can't exit the body, ...

Why do cats have a blockage in their urine?

Neutered male cats are especially prone to urinary blockage because they have may narrow urethras — so narrow that involuntary urethral muscle spasms can block the flow of urine. A male cat's urethra can also become blocked by small urinary stones or by urethral plugs: a mixture of cells that are used to line the bladder, mucus and crystals formed from minerals in the urine. Additional causes of urinary blockage are from feeding foods high in magnesium or the presence of an underlying condition called feline idiopathic cystitis (FIC).

How do you know if your cat has a bladder infection?

If they suspect that your cat has a bladder infection, the vet may submit a urine sample for culture.

Why is it important to check your cat's urinary system?

Another major factor in feline lower urinary tract disease (FLUTD) related conditions is stress, so it is important to consider your cats stress level when evaluating urinary issues. Cats are susceptible to stress-related lower urinary disorders, including cystitis and urethral spasms, which can result in blockage.

How do you know if your cat is blocked?

The most common sign of what veterinarians call a "blocked cat" is going to the litter box to urinate, getting into position and having nothing come out. Your cat may also seem uncomfortable or yowl when trying to urinate. If the blockage continues, your cat will develop an electrolyte imbalance, which can result in a depressed or altered mental state, vomiting and a slow heart rate. They may also hide or avoid human contact.

How to get rid of stress in cats?

Here are a few tips on how to eliminate stress for your cat: Provide your cat with plenty of toys to engage them. Make sure to keep at least one more litter box in the home than you have cats , so they can have some privacy to do their business. Make sure to separate these litter boxes throughout the house.

Can you bring a cat home after he pees?

Once your cat is urinating normally, you'll be able to bring them home. The vet will likely prescribe them antibiotics, pain medicine and/or medicine to relax the urethra, as well as recommend a therapeutic food formulated for urinary health.

What to do if your cat has a urinary blockage?

If you believe your male cat has a urinary blockage, you will need to contact your local vet immediately. This can be a life-threatening situation if it is not resolved quickly. The fact is that you may not know there is a problem until your cat has been blocked for a number of days.

What to do if a cat has no bladder?

If no bladder or urethral stones are seen on the x-rays, they will sedate them and pass a urinary catheter to relieve the obstruction. They will flush out your cat’s bladder and suture (sew) the urinary catheter in place to maintain an opening for urine to escape your cat’s bladder.

What causes a blockage in the bladder?

Urinary blockage can be caused by one or a combination of the following: 1 Bladder & urethral stones 2 Mucous plugs 3 Untreated urinary tract infections 4 Stress-induced spasm of the urethra

What does it mean when a cat is unable to pee?

Cat Urinary Blockage. Urinary blockage basically means that your cat is unable to pee (urinate). This is extremely dangerous and if left untreated, can cause them to die.

How to tell if my cat is lethargic?

Being lethargic or really tired. Hiding. Not eating. Vomiting. Painful abdomen. If you notice one or a combination of these signs in your cat, you need to schedule an appointment with your veterinarian as soon as possible. If your cat is not getting any urine out, you need to take them to an emergency vet right away.

What does it mean when a cat is acting out of sorts?

Unfortunately, usually when cats start to act out of sorts, they have become very sick. When we talk about a blockage in a cat, we are usually referring either to a urinary blockage or an intestinal (gut or bowel) blockage. Both of these scenarios are life-threatening situations. Both of them are also quite expensive to treat.

What is the procedure called when a cat is turned into a female cat?

The surgery is called a perineal urethrostomy, or PU for short. It creates a new urinary opening, shortening the length of the urethra. It’s the procedure that is often referred to as “turning a male cat into a female cat”.

How to treat a cat with a urinary blockage?

1. Take your cat to see a veterinarian immediately. Having a urinary blockage can threaten your cat's life. In fact, within three to six hours of having a blockage, your cat could die from the buildup of urine. Thus, it is important that you get it veterinary treatment as quickly as possible.

What is the procedure for a cat's urethra?

Consider having your cat get a perineal urethrostomy . A perineal urethrostomy is a veterinary surgery in which the cat's urethra is widened, minimizing the chance of it getting blocked in the future. This surgery is done most often on cats that have had repeated episodes of urinary blockages. [11]

What is a blockage in a cat's bladder?

Urinary blockages in cats occur when there is a blockage in the urethra, which is the tube that allows urine to drain from the bladder. This is a very serious veterinary problem, especially if the urethra is completely blocked, as it can make the cat very sick and even threaten its life. In order to figure out that your cat has a urinary blockage, ...

Why does my cat pee so much?

This is due to the cats discomfort and inability to control its urination normally.

What is the procedure for a cat to remove bladder stones?

4. Discuss the need for a cystotomy. Your veterinarian may suggest that your cat needs to get a cystotomy, which is a procedure in which the veterinarian opens up the bladder and removes all stones. This procedure may be necessary for cats that have a lot of bladder stones and repeated obstructions. [9]

Can cats get urinary tract problems?

Female cats can get a variety of problems in their urinary tracts, such as feline idiopathic cystitis or stones, but they rarely get completely obstructed urinary tracts. Being in a multi-cat household. Eating dry food. Being overweight or obese. Being an indoor cat only.

What happens when a cat's urethra is blocked?

When the urethra is blocked, the urine cannot be drained and the kidneys stop producing more urine since the bladder is still full. When the kidneys stop working, the cat’s body can no longer get rid of toxins from the blood or balance fluids and electrolytes which can lead to kidney failure or death.

How do you know if your cat has urethral obstruction?

One of the most common signs of your cat experiencing urethral obstruction is when it is straining to urinate. When experiencing urinary blockage, there is also frequent urination where cats go more often to their litter pan which can sometimes be confused as a sign of constipation.

Why are male cats more susceptible to urethral obstruction?

Male cats are more susceptible to urethral obstruction due to the smaller size of the opening of their urethra compared to that of female cats. However, it also occurs with female cats as well as dogs.

What is a blockage in a cat's bladder?

Urinary blockage, also known as urinary or urethral obstruction, is a problem most easily developed in male cats. It is a problem that occurs when the urethra – the tube that drains urine from their bladder to the penis – is obstructed, inflamed, or compressed. Often times, inflammatory material such as mucus and small stones cause ...

How long does it take for a urethral catheter to be removed?

The bladder is flushed and drained with the catheter to get rid of sediment. The catheter is usually removed after a few days or until swelling subsides. The veterinarian can also choose to perform a urethral massage to push the obstruction out. These are the two most common ways of removing a urethral obstruction.

Why do cats cry out?

Cats feel immense pain because of urinary blockage so you might hear them cry out every time they try to urinate. The pain also leads them to stop eating or to vomit what they have ingested. Aside from lack of appetite, cats might also behave restlessly, become lethargic, or hide because of their pain.

Why is my urethra obstructed?

Often times, inflammatory material such as mucus and small stones cause the obstruction of the urethra. Obstruction can also be caused by tumor, scarring, and lesions.

What is Urinary Blockage in Cats?

A urinary blockage occurs when the urethra, the tube that drains urine from the bladder, becomes obstructed by foreign material. This material plugs the tube-like urethra and prevents urine from leaving the cat’s body. The buildup of urine can cause the cat’s bladder to overfill, which will consequently cause the kidneys to swell and rupture.

What Causes Urinary Obstruction in Cats?

Urinary blockages are primarily caused by materials plugging the cat’s urethra. How those materials get there, though, is another story. Various factors contribute to a blockage, so identifying the source of your cat’s problem can be tricky. Here are some common things that contribute to cat urinary issues.

How do I Know if My Cat Has a Urinary Blockage?

If your cat has a urinary blockage, it’s going to be obvious. Unfortunately, this condition will likely cause your cat a lot of pain. The most common sign of a urinary blockage is frequent trips to the litter box that don’t result in any urination. Your cat will strain itself to pee, and it may yowl and cry out in pain.

Symptoms of Urinary Blockage in Cats

Cat urinary blockage symptoms can closely resemble the signs of cat UTI. It’s important to closely monitor your cat’s behavior and watch for the following symptoms:

When to Go to the Vet for Cat Urinary Obstruction

If you think your cat has a blockage, you should go to the vet as soon as possible. Keep in mind that this condition is life-threatening, and affected cats need professional medical attention.

Cat Urinary Blockage Home Remedies

Unfortunately, there is not much you can do to remedy a urinary blockage at home. Cats require veterinary attention, and trying to solve the issue at home may worsen the problem. Further on in this article, we’ll take a look at what you can do at home to prevent blockages from happening.

Cat Urinary Blockage Recovery

Your cat will be uncomfortable as they recover from their urinary blockage. Whether your kitty underwent surgery or endured a catheter for days, it’ll be feeling sluggish and distressed. Give your kitty some extra TLC during this time; they’ll certainly need it.

What is a urinary obstruction in cats?

A urinary obstruction occurs when the urethra (the tube that carries urine from the bladder out of the body) becomes blocked, meaning your cat cannot pass urine. It’s a medical emergency and if left untreated, the bladder will become overfull, which can lead to severe damage to the bladder and kidneys, and can be fatal in as little as 24 hours.

What causes urinary obstructions in cats?

The most common cause of a urinary obstruction is when the urethra becomes blocked by mucus and inflammatory cells. Additional causes include bladder stones, urethral inflammation and spasms, narrowing or scarring of the urethra, as well as cancer.

Diagnosis of urinary obstructions in cats

A veterinarian can diagnose a urinary obstruction based on clinical signs as well as by feeling your cat’s bladder. When felt, the cat’s bladder is large and firm, and cannot be emptied with gentle pressure. It is usually painful when the abdomen is touched.

Treatment of urinary obstructions in cats

Cats with a complete urinary blockage require emergency medical care and will often need to be admitted to the hospital for several days. Once they’ve been stabilized if necessary, and your veterinarian has conducted initial diagnostic tests, treatment can begin to remove the blockage.

Recovery & management of urinary obstructions in cats

If treated promptly, cats can recover from a urinary blockage. However, if left untreated, this condition is fatal. After they’ve been unblocked, cats may unfortunately become re-blocked at any point after their catheter is removed.

Prevention of urinary obstructions in cats

The most important thing you can do to help prevent urinary blockages is to increase your cat’s water intake. This means they have to urinate more frequently, and so their bladder is ‘flushed out’ on a more regular basis.

Summary of urinary obstructions in cats

A urinary obstruction is an emergency condition that occurs predominantly in male cats, and particularly if they have a history of FLUTD. If treated quickly and with aggressive medical care, the prognosis is good, but if left untreated, it can be fatal in as little as 24 hours, so it’s essential to watch out for the symptoms of a blockage.

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