Peer-reviewed veterinary case report
Cat urinary tract tears linked to hard catheter use and past blockages
By Manchester, Rachel B et al.·Published in Journal of the American Veterinary Medical Association·2024·View original on PubMed →
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Original publication title: Difficult catheterization and previous urethral obstruction are associated with lower urinary tract tears in cats with urethral obstruction.
- Species:
- cat
Plain-English summary
A group of 15 cats with urethral obstruction (UO) developed lower urinary tract tears, which made their condition more serious. These cats often had a history of previous urinary blockages and experienced more difficulty during catheter placement. Unfortunately, they were less likely to survive their hospital stay compared to cats without these tears and needed longer treatment. This highlights the importance of careful monitoring and management for cats with a history of urinary issues.
People also search for: cat urethral obstruction treatment · why is my cat having trouble urinating · cat urinary tract tear symptoms
Abstract
OBJECTIVE: To retrospectively assess the hospital prevalence and risk factors associated with iatrogenic lower urinary tear in cats with urethral obstruction (UO). ANIMALS: 15 client-owned cats diagnosed with concurrent UO and lower urinary tears and year-matched control population of 45 cats diagnosed with UO. METHODS: University teaching hospital records were reviewed for cats presenting with UO between January 2010 and December 2022. Signalment, anatomic location of tear, experience of the individual passing the urinary catheter, difficulty level of catheter passage, history of previous UO, blood work parameters on presentation, presence of visible grit in urine, and survival to discharge were recorded. In addition, prevalence of lower urinary tears in cats presenting with UO was calculated. RESULTS: The prevalence of lower urinary tears was 0.92% in UO cats. Cats with lower urinary tears were significantly less likely to survive to discharge and had a longer period of hospitalization than cats without tears. In addition, cats with tears were more likely to have a history of previous UO and had more difficult urinary catheter passage than cats in the control group. Cats with tears also had a higher Hct than the control UO cats. CLINICAL RELEVANCE: Cats that develop lower urinary tears are more likely to have a history of previous UO and difficult catheter passage. This group of cats is also more likely to have a longer hospitalization period and lower survival to discharge rates.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/38244269/