What’s Your Diagnosis?

November 1, 2017

Photo courtesy Phil Zeltzman, DVM, DACVS, CVJ, Certified Fear Free


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


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



  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.

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

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