Male cat with sever urinary blockage and renal failure/toxicity.... survival a possibility?

Immodestly he said his bladed was the size of a grapefruit, which he said was huge.

My cat had the same issues no Crystals were found. The cat specialist indicated this was more of an inflammatory process of the bladder. An ultrasound was done and the issue was the bladder opening being swollen as well as all the bladder. I was not aware of this condition in cats. As far as diet I was told the more moisture in the diet the better. It looks like your cat is progressing which is good. He will be on pain medicine and the bladder relaxer for awhile. The catheter removal is the next crucial step if he pees afterward he will probably be able to go home with you. We all wish him well!!!

So just talked to vet more in depth.... turns out Superman's anatomy is most likely the cause of his blockage. He said it took over an hour to catheterize him. He has an inverted penis and even through a lot of manipulation he was unable to get him extracted and finally had to go in with forcepts to pull it out. He was completely blocked and it took a long time to get the plug out and the bladder drained. Hentook out almost about 250ccs, and said a full bladder could hold close to 200, but that holding that much for so long is not good obviously.

He said the blockage was all gritty sediment. His white blood cell count was high, so with no crystals it looks like an inflamatory process combined with his strange anatomy that caused the blockage. He also said he is extremely obese (which I know and have been working on.. got him down 2 pounds since March).

The very troubling part is the kidney function. His BUN (blood, urea, nitrogen) was 180! Normal is 15-20. They consider when in renal failure that anything over 120 is basically dying, but that in an accute case involving the bladder it can be reversed and that his age is on his side (he's a year and a half old). Also, his creatinine was sky high at 11 when normal is 1.5-2. So he is very very sick.

His potassium was elevated no arrhythmia was detected and be doesn't think is high enough to cause cardiac issues.

The doctor stayed till 10 last night giving him fluids, and they're going to keep the fluids going and recheck blood tomorrow, but he IS producing urine, which is a very good thing.

They offered him a small amount of canned food and he is not interested and still very quiet, so he wants me to come in around 1 to see if he'll for me and perk up a bit.

I'm still very scared. He's optimistic the kidney function will resolve, but that he was very close to death. I still can't believe how quickly it happened and that I wasn't aware. I feel so terrible that I let this happen to him. He's so special to me. I love all my cats, but he is very bonded to me and we have a special connection. I'm so strung out over this.

My poor pitiful boy. He very briefly perked up and purred for me when I first got there, so they had me give him oral meds since he was tolerating me so well, and then he very quickly became disenchanted with my loving and starting the tail twitching. Time to go! lol

Urine is still bloody and dark, but what's going in is coming out. They are re running blood tomorrow morning, so keep your fingers and paws crossed.

Poor guy.     I'm glad to see that his head is at least up. He seems much more alert in that photo. I really hope he pulls through this! 

I had a big boy too with this. Yours looks like he is normally progressing. It's still scary until all the toxins are flushed and the blood work is close to normal. My big boy is laying on the carpet now rolling around in catnip. He was like yours 3 weeks ago. Your baby cane make a good recovery too just keep up hope. He will be home soon too!

We are almost 48 hours post blockage and his numbers are still high. BUN is 156, creatinine 8, and ptassium is 8. Still blood in his urine but he's not passing clots anymore. He ate today and is moving about his crate and trying to lick the catheter, so he's perking up. They still aren't sure of the extent of the damage and are definitely keeping the catheter in until his urine looks better. Bladder and kidneys are still sore on palpation (totally to be expected). He won't be coming home for a while yet.

They texted me a picture. [emoji]9786[/emoji]️

Aww! Look at him! My cat has been dealing with sort of thing stemming from a Urinary blockages since 1st of April. I hope your little guy recovers smoothly

It's good that he has perked up, it's a waiting game at this point, but as the vet says, he does have his young age on his side, so hope his kidneys will bounce back.

OH he's beautiful!!!! So glad to hear he's feeling better, so sorry to see that wet food and even raw food doesn't guarantee this won't happen.  I'm so sick of reading these stories - something has to be done about discerning the cause of this epidemic in blockages.

So quick update... the catheter came out Thursday and as soon as that happened he moving about so much he tore his IV out, so the vet decided to see how he'd do over night with just the sub-q fluids, and apparently he did well because his blood work was normal Friday morning and he filled the litter box.

He was discharged yesterday (Friday) and did great, peed up a storm, was happy and comfortable.

However, I think we're on our way to re-obstruction. His urine output dropped significantly today. He only peed once. After his evening dose of meds (all designed to keep things loose and open) he peed a very small amount (the size of a quarter, if that). He has also begun licking a lot down there. No straining or frequent trips to the box... yet.

Called he e-vet and explained the situation to them and they said after the fluid therapy he could be just "drying up", but they've let the doctor on call know we may be coming in.

Why on a weekend... why?!?! LOL

Anyway.... Could anyone explain to be how to palpate his bladder? I tried and didn't feel
Anything hard (but then again when he was admitted it was the size of a grapefruit and pretty hard to miss). If he can make it through till tomorrow I can get my vet to meet us at the clinic. I'd like to avoid an emergency bill on top of what I already owe. (But it goes without saying I'd do whatever necessary.)

That was him yesterday... so needy and snuggly and so happy to be home. [emoji]128525[/emoji]

I hear you on the " why on the weekend or after hours"!

It sounds like he has some irritation from the catheter being removed. Just keep a close eye on his habits, sometimes when they have had IV fluids, they will not pee as much as there's not as much fluid going in. Just try to keep an eye on his fluid intake(drinking and wet food) I would also reccomend putting an e-collar on if you have one of those because him licking will further irritate the outer part of his genitalia and make it become swollen. It can be a viscious circle to break, they want to lick but often it causes more issues.

Just keep a close eye on him, as long as he is peeing and not straining, its a good thing.

Just saying hope your cat will be okay. Things like this can be so stressful.

My cat dribbled for about a week after being unblocked. You still need to be cautious of course but I'm saying don't panic if he isn't peeing freely yet. It's important to keep giving him the meds as prescribed.

Right after I posted this I came in and he had a big normal sized pee and seems much more content.

Congratulations. I bet everyone is relieved.

SuperPooper said:

Right after I posted this I came in and he had a big normal sized pee and seems much more content.

Click to expand...

Great news! I hope it continues. 

Congratulations! So glad he's doing better!

My Quincy barely peed at all, I'm thinking for about the first two or three days, but every day it was a little bit more until he was back to normal. He didn't have subcutaneous fluids, so that may indeed be the reason for your guy peeing a lot at first.

I completely understand the anxiety. Poor Quincy, every time he even glanced at the litterbox I was right there watching him. It took a long time before I stopped checking his box every five minutes, and even now when I notice he's in the box I listen to make sure he's still going good. And I still tell him what a good boy he is for being such a champion pee-er. ;-) Over a year later and he's still peeing like a race horse, so far so good! I hope your boy has the same good outcome!