eCommons

 

Urethral Obstruction in a 10-year-old Male Castrated Domestic Shorthair Cat

Other Titles

Abstract

A 10-year-old male castrated Domestic Shorthair cat presented to the Cornell University Hospital for Animals’ Emergency Service for a two-day history of straining to urinate. Two days prior to presentation, the patient was straining to urinate, producing small amounts of urine outside of the litter box and the day prior to presentation the patient was not observed to produce any urine. The patient had no previous history of urinary issues, had no past pertinent medical history, and was not on any medications. On presentation, the patient was tachycardic and straining to urinate with no urine production. On physical examination, a medium sized, turgid bladder was palpated. Point of care blood work revealed a respiratory alkalosis with compensation, a metabolic acidosis, and an elevated blood urea nitrogen.

Given the history of stranguria with an inability to produce urine and a firm bladder on palpation, the patient was diagnosed with a urethral obstruction. The patient was sedated and successfully unblocked with a Slippery Sam catheter and retrograde flushing with saline. The catheter was secured in place and a closed urinary collection system was attached. Abdominal radiographs confirmed appropriate catheter placement and a small faint, mineral opacity was also present in the bladder. A focused ultrasound of the bladder was performed and the bladder lumen was found to contain a small-to-medium amount of hyperechoic dependent sediment, with no mineral calculi present. The patient was hospitalized and managed on the critical care service. He received intravenous fluids, buprenorphine, and prazosin. While in hospital, his urinary output was carefully monitored. After two days of hospitalization the patient was discharged.

This seminar will discuss the etiology, pathogenesis, management, and prognosis of feline urethral obstruction.

Journal / Series

Volume & Issue

Description

Sponsorship

Date Issued

2019-02-13

Publisher

Keywords

urethral obstruction; stranguria; unblocking

Location

Effective Date

Expiration Date

Sector

Employer

Union

Union Local

NAICS

Number of Workers

Committee Chair

Committee Co-Chair

Committee Member

Degree Discipline

Degree Name

Degree Level

Related Version

Related DOI

Related To

Related Part

Based on Related Item

Has Other Format(s)

Part of Related Item

Related To

Related Publication(s)

Link(s) to Related Publication(s)

References

Link(s) to Reference(s)

Previously Published As

Government Document

ISBN

ISMN

ISSN

Other Identifiers

Rights

Rights URI

Types

case study

Accessibility Feature

Accessibility Hazard

Accessibility Summary

Link(s) to Catalog Record