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Surgical Revision of the Urethral Stoma Following Perineal Urethrostomy in 11 Cats: (1998–2004)

From the Allegheny Veterinary Emergency Trauma and Specialty (Phillips), 19 Railroad Street, New Kensington, Pennsylvania 15068 and the Department of Clinical Studies (Holt), School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104.

Eleven cats required urethral stoma revision because of urethral stricture following perineal urethrostomy. At surgery, eight cats had evidence of inadequate dissection to the bulbourethral glands, and three cats had evidence of urine extravasation into the subcutaneous tissues. Following revision of the stoma, long-term follow-up was obtained in nine cases. For eight cats, owners reported no complications after the revision. Failure to dissect beyond the bulbourethral glands and inadequate mucosa-to-skin apposition resulted in postoperative stricture formation. Stoma revisions were performed a median of 71 days following the initial perineal urethrostomy, indicating that long-term evaluation of cases is necessary.