Recurrent infections after feline urethrostomy

There are several reasons for recurrent infections after feline urethrostomy. Commonly encountered is urethral infection. Urethral stenting involves altering the existing urinary tract channel, which reduces the antibacterial ability and thus makes infections more likely. Calculi can also occur, with some cats experiencing dietary imbalances after surgery or having a predisposition to forming stones, leading to urinary difficulties. Stoma adhesions can also occur, requiring a second surgical procedure to divide the adhesions.

Causes of Urethrostomy Failure

The reasons for failed feline urethrostomies include surgical errors, inadequate postoperative care, and infections caused by poor hygiene. Failure can also result from cats licking and biting the stoma due to the absence of an Elizabethan collar during the healing period. Additionally, some elderly cats may have underlying nutritional metabolic disorders or poor wound healing, such as diabetes.

Treatment for Infections After Urethrostomy

Urethral reconstruction patients are more susceptible to infections, which is why postoperative fluid administration is typically required for about 3-5 days. If an infection occurs after surgery, a blood test can be used to assess the inflammatory condition, and infection control via fluids is then administered. In most cases, infections can be promptly controlled without causing significant complications. It is important for cats to drink plenty of water after urethral reconstruction and to be fed prescription diets for urinary tract health.

Precautions After Urethrostomy

Important considerations after feline urethrostomy include wearing an Elizabethan collar to prevent cats from licking wounds, which can lead to infection or bleeding. Regular wound observation is necessary, with immediate cleaning of any secretions to prevent clogging and potential urinary retention. Limit your cat's activity to prevent jumping and pulling on the wound. Finally, replace traditional cat litter boxes with urine pads to prevent litter contamination of the wound.