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I've assisted in some repairs of PU sites, after a less experienced surgeon, who may be good at excising lumps and bumps or castration, but is not skilled at the level it takes to #1) take just enough tissue, not too much to the point urinary sphincter tone is diminished and incontinence is a problem and not so little of the penis that they barely excise any urethra tip and occlusion/obstruction with sludge (mineral deposits, bladder wall epithelials, blood and leukocytes) just recurrs until repair. Very very few cats experience infections after this, about the same rate of bladder infection as any cat, rare as can be cats tend to keep a sterile urinary environment as they typically have much more concentrated urine than a dog or human, which is why they're more predisposed to urinary sludge and crystals than bacteria.
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The surgeons I've worked with have always reported that when they were learning how to do a PU, it was important to not be conservative about the surrounding tissue they excised, being generous enough when taking that tip of the penis and urethra that the opening stays open. Any advise or suggestions would be much appreciated. My poor baby has been through so much and it is really stressing him out. I read that dilating it is only a temperary fix. I am wondering if anyone has had this happen to their baby and what they did. He told me he would just dilate it again but to first try antibiotics. I called the vet on Friday to see where we go from here, if he needs another surgery or what. He can still potty but he is pushing it out or it leaks out when he is not in the box. When he did this, he acted as if he didn't even know he did it. Then last week I picked him up and he peed on me. Then I caught him peeing on a pile of clothes. Which I know she would never do but he has never done anything like that before. This has never happened before so I thought maybe he had to go and she wouldn't let him go. My daughter was holding Happy and petting him and he peed on her. He has been using his box with no problem until a weird thing happened. Whisker, as he will not eat when Happy is gone. He wanted to keep him a little longer but it is so stressful on him and his brother, Mr. So the vet kept him for 3 days and dilated his urethra. Because of the scar tissue his urethra is closing up when he heals. So back to vet we went and the doctor said he was not blocked. I thought maybe he just needed to get use to his "new parts" but then I noticed he was straining. After his antibiotics he was still taking a long time in the box. My vet said that there was a tiny bit of bacteria and if he had a UTI, I caught it in the very beginning. In Feburary I noticed he was taking a long time in his litterbox so I brought him to the vet thinking he had a UTI. He did wonderful during surgery and recovery. My baby, Happy, had PU surgery in December after being blocked 3 times and "knocking on death's door," as the ER vet put it. Ok, so I am new to this forum so if I am doing this wrong, sorry.
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