NSAIDs post urethral obstruction?

Re: NSAIDs post urethral obstruction?

Matt Hilary — Mon, 24 Nov 2014 15:05:26 GMT

I'd be happy with nsaids at this stage if renal parameters normal, would avoid beforehand.

Re: NSAIDs post urethral obstruction?

Anthony Todd — Thu, 20 Nov 2014 21:21:54 GMT

[quote user="Niall Taylor"]Out of curiosity, why would anyone not consider it appropriate to use anti-inflammatories - NSAID's or glucocoricoids?[/quote]

Sorry I think I was at cross purposes. i was thinking of reducing urethral pain and/or spasm.

Can't see any reason not to use the above drugs particularly if combined with local treatment to relieve the probable urethral trauma and discomfit.

Re: NSAIDs post urethral obstruction?

Niall Taylor — Thu, 20 Nov 2014 21:19:03 GMT

[quote user="Anthony Todd"]Sent 'em hope straight away,[/quote]

Oh, you and your New Age, hippy ways! Do you "send hope" before or after you've adjusted their chakras?

Niall

Re: NSAIDs post urethral obstruction?

Anthony Todd — Thu, 20 Nov 2014 21:15:32 GMT

[quote user="Robin Grimmer"]Is the catheter still in? Maybe time to remove it?[/quote]

If a catheter was left in, you always got an infection or the catheter was chewed. And i think a lot of them got a stricture in the urethra afterwards too as they often recurred.

Sent 'em hope straight away, flushed if not peeing, taught the owner to express/encourage the cat to pee on its own in its usual place, that's when the flushing was needed, saw them back every day until OK.

Re: NSAIDs post urethral obstruction?

Niall Taylor — Thu, 20 Nov 2014 21:11:22 GMT

[quote user="Kerry Peak"]At what stage in this presentation would you consider it appropriate (if at all) to use NSAIDs? [/quote]

Out of curiosity, why would anyone not consider it appropriate to use anti-inflammatories - NSAID's or glucocoricoids?

[quote user="Kerry Peak"]

what gel(s) do you normally use? just been checking and we don't have anything appropriate in stock so will have to order in

[/quote]

EMLA cream - if you have to, but not much fun for the cat while conscious. I'd be treating with systemics first.

Niall

Re: NSAIDs post urethral obstruction?

Robin Grimmer — Thu, 20 Nov 2014 20:56:10 GMT

[quote user="Anthony Todd"]

[quote user="Kerry Peak"]

what gel(s) do you normally use? just been checking and we don't have anything appropriate in stock so will have to order in

[/quote]

Er, I speak with some experience....

You can get Xylocaine gel for that exact purpose in humans, used to use Panolog which worked well although I think a local might be even better.

The trick. I found is to deaden the tip of the penis first with local and using an I/V cannula about 20 or 22G works a treat..

[/quote]

I could see a place for this as you unblock and catheterise the cat. But this is 4 days later, bloods are normal. Keep on buprenorphine, add in Metacam. The cat will be much happier. Is the catheter still in? Maybe time to remove it?

Re: NSAIDs post urethral obstruction?

Anthony Todd — Thu, 20 Nov 2014 19:42:32 GMT

[quote user="Kerry Peak"]

what gel(s) do you normally use? just been checking and we don't have anything appropriate in stock so will have to order in

[/quote]

Er, I speak with some experience....

You can get Xylocaine gel for that exact purpose in humans, used to use Panolog which worked well although I think a local might be even better.

The trick. I found is to deaden the tip of the penis first with local and using an I/V cannula about 20 or 22G works a treat..

Re: NSAIDs post urethral obstruction?

Michael Woodhouse — Thu, 20 Nov 2014 15:25:56 GMT

Obstetrical lubricant? KY Jelly?

Re: NSAIDs post urethral obstruction?

Kerry Peak — Thu, 20 Nov 2014 12:50:58 GMT

what gel(s) do you normally use? just been checking and we don't have anything appropriate in stock so will have to order in

Re: NSAIDs post urethral obstruction?

Anthony Todd — Thu, 20 Nov 2014 11:00:24 GMT

[quote user="Kerry Peak"]The cat is unfortunately not very compliant [/quote]

Aren't they all? Bit of Acp and sit them on their bum, squirt a bit of local on the end of the penis to start using a I'V plastic cannula worked best for me.

Re: NSAIDs post urethral obstruction?

Kerry Peak — Thu, 20 Nov 2014 10:50:16 GMT

The cat is unfortunately not very compliant - I will give the local anaesthetic a try but I don't hold out much hope! A good tip for future cases though, thanks.

Re: NSAIDs post urethral obstruction?

Anthony Todd — Thu, 20 Nov 2014 10:21:47 GMT

Any chance of instilling local gel in the urethra plus a lubricating steroid gel with or without antibiotics? Important to reduce the post unblock trauma and urethral swelling.

Re: NSAIDs post urethral obstruction?

Robin Grimmer — Thu, 20 Nov 2014 10:19:08 GMT

I usually don't hold back on nsaid. As long as your fluid therapy is sufficient, usually kidney parameters quickly return to normal so I don't think there's a problem.