PU Surgery (Cats)

Perineal Urethrostomy in Cats in Boerne, TX

Welcome to Boerne Veterinary Clinic, where our experienced veterinary team provides advanced surgical care, including perineal urethrostomy in cats, for Boerne and surrounding communities.

Understanding Perineal Urethrostomy in Cats

Perineal urethrostomy (PU) is a surgical procedure that creates a new urinary opening for male cats experiencing repeated urethral blockages. This surgery is most often recommended when other treatments have failed to prevent life-threatening obstructions caused by urinary stones or scar tissue. Male cats are especially at risk due to their narrow urethra, making them prone to blockages that can cause pain, inability to urinate, and severe complications.

PU surgery can be a life-saving option for cats suffering from feline lower urinary tract disease (FLUTD). By creating a wider opening, the risk of future blockages is greatly reduced and your cat can urinate more comfortably. Our veterinary professionals at Boerne Veterinary Clinic are highly skilled in performing perineal urethrostomy in cats, prioritizing both surgical safety and your cat’s comfort throughout the process. If your cat has struggled with urinary blockages, this surgery may offer a long-term solution for a healthier, happier life.

What to Expect During Perineal Urethrostomy in Cats

Our veterinary team guides you and your cat through every step of the perineal urethrostomy process to ensure safety, comfort, and optimal results.

Comprehensive Pre-Surgical Evaluation

Your cat’s journey begins with a thorough exam and diagnostic testing. Our veterinarians assess your cat’s overall health, review previous urinary issues, and perform bloodwork and urinalysis to ensure your cat is a good surgical candidate. Digital radiology and ultrasound may also be used to evaluate the urinary tract and rule out other conditions.

Safe Anesthesia and Surgical Preparation

Before surgery, your cat is carefully prepared and monitored under anesthesia. Our team uses advanced monitoring equipment to track vital signs. The surgical area is prepped in a sterile environment to minimize infection risk and ensure the best possible outcome.

Expert Surgical Procedure

Perineal urethrostomy is performed by our skilled veterinarians, including Dr. Angeline Arreola, who is passionate about feline surgery and internal medicine. The procedure involves creating a new, wider opening in the perineal region to allow urine to pass more freely. Precision and gentle technique are used throughout to reduce trauma and promote healing.

Post-Operative Care and Recovery

After surgery, your cat is monitored closely as they recover from anesthesia. Pain management, antibiotics, and fluid therapy are provided as needed. Our team gives you detailed home care instructions, including how to monitor the surgical site, administer medications, and recognize signs of complications. Follow-up visits are scheduled to ensure proper healing and your cat’s ongoing well-being.

Why Perineal Urethrostomy Is Important for Your Cat

Repeated urinary blockages are not only painful but also potentially life-threatening for male cats. Perineal urethrostomy in cats provides a long-term solution when medical management is no longer effective. By widening the urinary opening, this surgery helps prevent dangerous blockages, reduces emergency vet visits, and improves quality of life for affected cats.

Life-Saving Intervention

In severe cases, urinary blockages can lead to kidney damage or even death if not addressed promptly. PU surgery can be the difference between chronic suffering and a healthy future for your cat.

Prevents Recurring Blockages

After perineal urethrostomy, most cats experience a dramatic reduction in urinary obstructions, decreasing the risk of future emergencies and the need for repeated catheterizations.

Improved Comfort and Well-Being

Cats who undergo PU surgery typically regain the ability to urinate comfortably, eat better, and become more active, enhancing their overall happiness and longevity.

Signs Your Cat May Need Perineal Urethrostomy

If your cat has had multiple urinary blockages, your veterinarian may recommend perineal urethrostomy. Watch for these signs of urinary distress and contact our team promptly if you notice:

• Straining or crying when trying to urinate
• Frequent trips to the litter box with little urine produced
• Blood in the urine
• Urinating outside the litter box
• Lethargy, vomiting, or loss of appetite

Urinary blockages are an emergency. If your cat cannot urinate, call us at (830) 249-2141 or seek immediate veterinary care. Our team is here to help guide you through the next steps.

How Often Should Your Cat Receive Perineal Urethrostomy?

Perineal urethrostomy in cats is usually performed only once, as it is a surgical solution for repeated blockages when medical management fails. Most cats do not require the procedure again if proper home care and follow-up are maintained. Regular veterinary checkups and ongoing monitoring of urinary health are essential to ensure your cat’s long-term well-being after surgery. If you have concerns about your cat’s urinary health or see any changes in their behavior, contact Boerne Veterinary Clinic for guidance and support.

Practice Highlights

Boerne Veterinary Clinic is dedicated to providing advanced surgical care for cats in Boerne and surrounding communities. Our commitment to your pet’s health is reflected in our approach:

• Locally Owned and Operated: Serving Boerne families for nearly 50 years
• Experienced Surgical Team: Including Dr. Angeline Arreola, passionate about feline surgery
• Comprehensive In-House Diagnostics: Digital radiology, ultrasound, and laboratory testing
• Personalized Pain Management: Tailored to each cat’s needs for optimal comfort
• Supportive Client Education: Clear instructions and compassionate guidance every step of the way
• Convenient Location: Next door to Bumdoodlers with easy access for Boerne and nearby communities