Peer-reviewed veterinary case report
Decompressive cystocentesis helps unblock male cats' urethras safely
By Reineke, Erica L et al.Ā·Published in Journal of the American Veterinary Medical AssociationĀ·2021Ā·View original on PubMed ā
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Original publication title: Multicenter evaluation of decompressive cystocentesis in the treatment of cats with urethral obstruction.
- Species:
- cat
Plain-English summary
An 8-year-old male cat was brought in for a urethral obstruction, which can cause serious issues like difficulty urinating. The veterinarians tested a procedure called decompressive cystocentesis (DC) to see if it would make it easier to place a urinary catheter. However, the results showed that DC did not help reduce the time needed to place the catheter or make the process easier compared to just using the catheter alone. Both methods took a similar amount of time and had no significant differences in complications.
People also search for: cat urethral obstruction treatment Ā· how to help cat urinate Ā· decompressive cystocentesis for cats
Abstract
OBJECTIVE: To investigate whether decompressive cystocentesis (DC) safely facilitates urethral catheterization (UC) in cats with urethral obstruction (UO). ANIMALS: 88 male cats with UO. PROCEDURES: Cats were randomly assigned to receive DC prior to UC (ie, DC group cats; n = 44) or UC only (ie, UC group cats; 44). Abdominal effusion was monitored by serial ultrasonographic examination of the urinary bladder before DC and UC or before UC (DC and UC group cats, respectively), immediately after UC, and 4 hours after UC. Total abdominal effusion score at each time point ranged from 0 (no effusion) to 16 (extensive effusion). Ease of UC (score, 0 [easy passage] to 4 [unable to pass]), time to place urinary catheter, and adverse events were recorded. RESULTS: No significant difference was found in median time to place the urinary catheter in UC group cats (132 seconds), compared with DC group cats (120 seconds). Median score for ease of UC was not significantly different between UC group cats (score, 1; range, 0 to 3) and DC group cats (score, 1; range, 0 to 4). Median change in total abdominal effusion score from before UC and DC to immediately after UC was 0 and nonsignificant in UC group cats (range, -5 to 12) and DC group cats (range, -4 to 8). Median change in effusion score from immediately after UC to 4 hours after UC was not significantly different between UC group cats (score, -1; range, -9 to 5) and DC group cats (score, -1; range, -7 to 5). CONCLUSIONS AND CLINICAL RELEVANCE: DC did not improve time to place the urinary catheter or ease of UC in cats with UO.
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Search related cases āOriginal publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/33620246/