Perineal urethrostomy is an option to recurring FIC or FLUTD. Pt 2
https://www.youtube.com/watch?v=SwY5abfPovo
2018 case
https://2010vets.blogspot.com/2018/03/3015-3-year-old-cat-cannot-pee-vet.html
https://2010vets.blogspot.com/2016/06/2957-15-year-old-male-entire-cat-cannot.html
https://2010vets.blogspot.com/2015/05/video-production-for-flutd-in-cats-in.html
https://2010vets.blogspot.com/2012/09/1124-tke-images-of-cases-to-improve.html
Urethrostomy is a surgical procedure in which a permanent diversion of urine is created by suturing the penile mucosa to the skin subsequent to exposure of the urethral lumen. Recommended anatomic locations for the creation of an urethrostomy differ between dogs and cats; however, the complications are common to both species.
Complications associated with urethrostomy include stricture formation, hemorrhage, dehiscence, urine leakage, perineal hernia, urinary or fecal incontinence, rectal prolapse, and ascending urinary tract infection.
In male dogs, urethrostomy can be performed at prescrotal, scrotal, perineal, subpubic and prepubic locations; in female dogs, it is limited to a prepubic location. Scrotal urethrostomy is preferred because the urethra in this region is superficial, wide and has relatively less cavernous tissue, which results in less postoperative hemorrhage. A continuous suture pattern that both seals the corpus spongiosum and opposes the mucosa and skin was shown to decrease the duration of postoperative hemorrhage.
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