Incontinence and inflammation after PU surgery ... please help

blackwidowcult

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Hello everyone,

First of all, I want to thank all of the members of this forum. Your posts have been a great source of comfort and reassurance when our boy was originally going through PU.

In February of last year, our cat Huey suffered a urinary obstruction. We brought him to the emergency vet. They struggled to catheterize him and he spent close to a week at the vet hospital. After a first unsuccessful attempt to wean him off the catheter (he blocked again), he eventually he was able to come home. A few days later, he blocked again, and we were advised to proceed with the PU. The surgery was done by a specialized surgeon. Thankfully, I work from home so I was able to care for him throughout the day as he recovered, which took about a month.

Everything was going well for a few months. About 5 weeks ago, Huey started showing symptoms similar to the ones he had when he blocked. We immediately brought him to the emergency vet, where they noted that he was not blocked. They weren't able to get any urine out, since his bladder was empty, but the vet chose to treat Huey with Clavaseptin based on his presentation and his previous issues. This improved things somewhat.

However, towards the end of the treatment, Huey started having issues with incontinence. He would leave large puddles wherever he was sleeping. The urine panel showed that there were no bacterias present, so the first vet we saw said this might be inflammation and prescribed a trial with a NSAID and prasozin. This didn't help much. We went back to the vet and she did a second urine panel, which showed the presence of two types of bacterias (enterococci and staphylococci). Our vet said that the enterococci are resistant to all of the antibiotics that were checked on the panel, but she said that we don't usually treat those anyway. The staphylococci were sensitive to Clavaseptin, so we started a new course of it. This did little to improve his incontinence.

While Huey was on Clavaseptin, he again started showing signs of distress and pain and attempted to pee on the floor. We brought him to the emergency vet again. They said that his bladder was very hard and inflamed, but that it was small and he did not show signs of being blocked. The vet prescribed some buprenorphine and did a second bacteria culture, which we're still waiting on.

Does anyone have any experience with something like this? We don't know how else to help our boy :( The only thing that seems to help with the incontinence somewhat is the buprenorphine, which seems to suggest it's due to pain. What else can we try?
 

fionasmom

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Welcome to The Cat Site. I am sorry that your difficulties with Huey are what have brought you here. I have not had a cat with PU surgery, so will not be much help. These previous articles might offer some insights, although you may have searched through them already. Hopefully others will respond.

You did mention a specialized surgeon performed the surgery. Would that vet, or another specialist in this field, be of any help with this? Is there anyone reasonably local to you?
 
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