Peer-reviewed veterinary case report
Medical treatment options for cats with blocked ureters
By Clarke, D L·Published in The Journal of small animal practice·2018·Department of Clinical Sciences and Advanced Medicine, United States·View original on PubMed →
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Original publication title: Feline ureteral obstructions Part 1: medical management.
- Species:
- cat
Plain-English summary
A cat with a ureteral obstruction can become critically ill, showing signs of kidney injury and other serious health issues. Treatment often starts with medical management, including giving fluids to rehydrate the cat, medications to relax the ureter, and antibiotics if there's an infection. However, many cats may still need surgery or other procedures to relieve the blockage and restore normal urine flow. It's crucial to act quickly, as some cats may be too unstable for standard treatments and require immediate intervention to prevent life-threatening complications.
People also search for: cat ureteral obstruction treatment · feline kidney injury symptoms · cat emergency surgery for blockage
Abstract
Feline ureteral obstructions are an increasingly recognised and challenging diagnostic and management problem. Many cats with ureteral obstructions are critically ill at the time of diagnosis, especially if there is dysfunction of the contralateral kidney. They may present with varying severities of acute kidney injury, electrolyte disturbances, and may have comorbidities such as heart disease that complicate perioperative and long-term management. Medical management, which may consist of rehydration and restoration of intravascular volume with intravenous fluid therapy, osmotic diuresis, ureteral muscle relaxation, and antimicrobials for infection, is important in feline ureteral obstruction patients. Despite medical management, many cats with ureteral obstructions will require decompression of the obstructed kidney to relieve pressure-nephropathy and restore urine flow. However, some cats may be too unstable for traditional medical management and require more emergent intervention to relieve the obstruction and address the life-threatening sequelae to acute kidney injury, such as hyperkalaemia and fluid overload. Both surgical and interventional methods to address ureteral obstructions have been described in veterinary medicine, though debate continues as to the ideal approach.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/29767451/