Perineal Urethrostomy Surgery

Learn More

Better care for the best pets.

Get Directions Perineal urethrostomy is a surgical procedure performed when male cats suffer from recurrent urethral blockages or severe urinary tract issues. At Hyde Park Veterinary Hospital, we specialize in this life-saving surgery to help restore your cat's quality of life.

What is a Perineal Urethrostomy?
  • Purpose: This surgery creates a new opening for urine to exit the body, bypassing the narrow part of the urethra where stones or inflammation often cause blockages.
  • Procedure: The surgeon removes a portion of the penis and urethra, then attaches the remaining urethra to an opening in the perineal area, just below the anus.
 Responsible Pet Care  What is a Cystotomy?

When is a PU Necessary?
  • Recurrent Blockages: Cats with a history of multiple urethral obstructions where other treatments have failed.
  • Urethral Strictures: Narrowing of the urethra that doesn’t respond to less invasive treatments.
  • Severe Urethritis: Chronic inflammation leading to repeated issues.
The Procedure
  • Pre-Surgical Assessment: Includes blood work, urinalysis, and sometimes imaging to ensure your cat is fit for surgery and to plan the approach.
  • Anesthesia: The procedure is performed under general anesthesia with comprehensive monitoring to ensure safety.
  • Surgery: The operation typically takes about 1-2 hours, depending on the complexity of the case.

Post-Operative Care

  • Hospital Stay: Your cat will likely stay with us for a day post-surgery for monitoring, pain management, and to ensure they can urinate without issues.
  • At Home:
    • Activity Restriction: Limit activity to prevent strain on the surgical site.
    • Litter Box: Use shredded paper or non-clumping litter to avoid litter sticking to the surgical site.
    • Monitoring: Watch for signs of infection, pain, or difficulty urinating. Regularly check the area for swelling or discharge.

  • Pain Management: To keep your cat comfortable.
  • Antibiotics: To prevent infection at the surgical site.

  • Check-ups: Scheduled visits to monitor healing, remove sutures if necessary, and ensure there are no complications.
  • Ongoing Care: Long-term management might include a special diet to prevent stone formation or recurrent infections.

  • Lifestyle: Post-PU, your cat will urinate from a different location, which might require adjustments in how they use the litter box or how you manage their environment.
  • Risks: While a PU can significantly improve quality of life, there’s a risk of complications like infection, stricture at the new opening, or urinary incontinence.
  • Future Health: The procedure doesn’t eliminate the need for regular veterinary check-ups, as cats with a history of urinary issues might still need monitoring.

Post-Operative Care

  • Hospital Stay: Your cat will likely stay with us for a day post-surgery for monitoring, pain management, and to ensure they can urinate without issues.
  • At Home:
    • Activity Restriction: Limit activity to prevent strain on the surgical site.
    • Litter Box: Use shredded paper or non-clumping litter to avoid litter sticking to the surgical site.
    • Monitoring: Watch for signs of infection, pain, or difficulty urinating. Regularly check the area for swelling or discharge.

  • Pain Management: To keep your cat comfortable.
  • Antibiotics: To prevent infection at the surgical site.

  • Check-ups: Scheduled visits to monitor healing, remove sutures if necessary, and ensure there are no complications.
  • Ongoing Care: Long-term management might include a special diet to prevent stone formation or recurrent infections.

  • Lifestyle: Post-PU, your cat will urinate from a different location, which might require adjustments in how they use the litter box or how you manage their environment.
  • Risks: While a PU can significantly improve quality of life, there’s a risk of complications like infection, stricture at the new opening, or urinary incontinence.
  • Future Health: The procedure doesn’t eliminate the need for regular veterinary check-ups, as cats with a history of urinary issues might still need monitoring.

Get Directions
  • Specialized Care: Our veterinarians have specific training in feline urology, ensuring precise and compassionate care.
  • Advanced Facilities: We use modern surgical techniques and equipment for the best outcomes.
  • Comprehensive Support: From pre-surgery counselling through to recovery and beyond, we’re here to support you and your cat.
If your cat has been experiencing recurrent urinary issues, a perineal urethrostomy might be the solution to ensure their comfort and well-being. Contact us at Hyde Park Veterinary Hospital to discuss if this procedure is right for your pet or to book a consultation. Navigating the Path to Health Why Choose Hyde Park Veterinary Hospital for Your Cat’s PU?