Rta cat unable to urinate

RE: Rta cat unable to urinate

Anthony Todd — Sat, 23 Sep 2017 11:23:27 GMT

[quote user="Chris Barker"]Consequently any time interval you elect will be little more than intelligent guesswork We now persevere for a max of 2-3 weeks[/quote]

+1 I always tried to get the owner, after instruction, to express the bladder where the cat usually urinated ie in the garden or a tray etc. If there was some sphincter tone the prognosis, depending on the owner's persistence, was better. Never placed a catheter with these.

RE: Rta cat unable to urinate

Beats — Sat, 23 Sep 2017 11:16:52 GMT

From Lamb's 2010 article looking at deep pain in tail and return of ability to urinate:

"In other words, cats that do not regain the ability to urinate

within 30 days always have abnormal deep pain response...

This means that when examining a cat with a sacrocaudal injury,

lack of the normal deep pain response on pinching the tail base

indicates a roughly 40% chance that the cat will not regain ability

to urinate within 30 days (low positive predictive value), whereas

normal deep pain response indicates a high likelihood that the

cat will regain ability to urinate within 30 days (high negative

predictive value)."

RE: Rta cat unable to urinate

Kate Richardson — Sat, 23 Sep 2017 11:00:43 GMT

I find these cases hard. Balancing allowing the bladder to fill enough to provide some stimulation for conscious urination against not allowing it to overfill and cause detrusor atony.

RE: Rta cat unable to urinate

Gareth C. — Sat, 23 Sep 2017 09:03:17 GMT

thanks for that

RE: Rta cat unable to urinate

Gareth C. — Sat, 23 Sep 2017 09:01:59 GMT

[quote user="vetbl.locum"]

Personally I would place a catheter now

Rgds

PS Unless you can manually express bladder several times aday

[/quote]

yes catheter is already in.

RE: Rta cat unable to urinate

Chris Barker — Sat, 23 Sep 2017 09:00:05 GMT

Many moons ago had two cats with tail pull injuries who were expressed quite easily and who's respective owners learnt how to do it... After three months one finally regained control - the other didn't and the owner elected for euthanasia.

Consequently any time interval you elect will be little more than intelligent guesswork We now persevere for a max of 2-3 weeks

RE: Rta cat unable to urinate

Beats — Sat, 23 Sep 2017 07:43:32 GMT

if there's deep pain in tail, bladder function almost always returns. i'd happily give 3weeks or more all things being equal, but expect return of function within a week usually.

trick is to keep bladder empty so don't get overstretch.

personallt i'm happt to sedate and express twice daily for 2-4 days and would place catheter/cystotmy-tube beyond that.

RE: Rta cat unable to urinate

serena holmes — Sat, 23 Sep 2017 00:48:32 GMT

This is a great article on this

http://www-staro.vef.unizg.hr/org/kirurgija/wp-content/uploads/2010/04/Management-of-pelvic-trauma.pdf

RE: Rta cat unable to urinate

vetbl.locum — Fri, 22 Sep 2017 23:56:51 GMT

Personally I would place a catheter now

Rgds

PS Unless you can manually express bladder several times aday