What’s Your Diagnosis?

by Katie Daniel | November 1, 2017 8:30 am

[1]
Photo courtesy Phil Zeltzman, DVM, DACVS, CVJ, Certified Fear Free

Presentation

This 6-year-old cat had a perineal urethrostomy (P/U) performed a few weeks ago. He is now straining to urinate.

Challenge

  1. What’s your diagnosis?
  2. Why does this typically happen (two answers)?
  3. Name two surgical options to revise this.

[2]

Answers

  1. Stenosis of the P/U site and failure of the surgery.
  2. Failure to dissect up to the bulbo-urethral glands and/or aggressive licking of the surgical site.
  3. Revise the surgery by dissecting up to the bulbo-urethral glands or perform a prepubic urethrostomy.

How did you do? Let us know in the comments below.

Endnotes:
  1. [Image]: http://veterinarypracticenews.com/wp-content/uploads/2017/10/BTeaser1711.jpg
  2. [Image]: http://veterinarypracticenews.com/wp-content/uploads/2017/10/BTeaser1711.jpg

Source URL: https://www.veterinarypracticenews.com/can-solve-puzzle-2/