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Peer-reviewed veterinary case report

Complications after perineal urethrostomy in male cats using 6-0

By Hankins, Kimery & Zacher-Coy, Laurie·Published in Frontiers in veterinary science·2025·Central Texas Veterinary Specialty & Emergency Hospital, United States·View original on PubMed

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Original publication title: The use of 6-0 glycomer 631 for perineal urethrostomy in male cats: 314 cases (2013-2023).

Species:
cat

Plain-English summary

A group of 314 male cats underwent a surgical procedure called perineal urethrostomy (PU) to help with urinary issues. After the surgery, 5.7% of the cats had minor complications, while 2.2% faced major complications that either needed additional surgery or led to euthanasia. The study found that using a specific type of suture (6-0 glycomer 631) was effective and had a lower rate of minor complications compared to other suture types used in similar surgeries. Overall, the results suggest that this suture is a good option for this procedure in male cats.

People also search for: cat urinary surgery complications · male cat perineal urethrostomy recovery · cat surgery suture types

Abstract

OBJECTIVE: To assess the prevalence of postoperative complications in cats that underwent perineal urethrostomy (PU) in which 6-0 glycomer 631 was used to suture urethral mucosa to skin. ANIMALS: 314 male cats. PROCEDURES: Medical records for cats that received a PU at Central Texas Veterinary Specialty & Emergency Hospital between 2013 and 2023 were assessed. Details including signalment, clinical status, additional surgical procedures, and postoperative complications were recorded. RESULTS: 18 of 314 (5.7%) cats developed minor complications, and 7 of 314 (2.2%) cats developed major complications that required surgical revision or resulted in humane euthanasia. CLINICAL RELEVANCE: Using 6-0 glycomer 631 suture is acceptable for apposition of urethral mucosa to skin in cats that undergo PU. Minor complication rates were lower and percentage of cats requiring revision surgery comparable to values reported in previous studies in which absorbable, nonabsorbable, or larger suture types were used.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/40357197/