Perineal Urethrostomy – PU Surgery

Stones are one of the most common causes of obstruction of the urethra in male cats.  A perineal urethrostomy is a surgical procedure that permanently opens up the urethra and allows better urine flow, relieving the obstruction. The surgery amputates the end of the penis where the blockage typically occurs allowing for a larger opening to be created. The surgery itself will not prevent or treat urinary tract infections. In most cases, it does prevent cats from becoming blocked again. Most patients are hospitalized at the time it is determined the surgery is needed. The estimate below includes the cost of surgery and typically 1-2 days of hospitalization after the procedure is performed. Complications can arise as a result of the procedure and additional costs will be gone over with you if these events were to occur.

• Complimentary exam the day of surgery
• Preoperative bloodwork panel
• IV Catheter and fluids during and after surgery
• Placement of a fentanyl patch before surgery if needed
• Preoperative pain medications and induction of anesthesia
• Anesthesia during surgery
• Anesthesia monitoring before, during, and after surgery.
• Surgical procedure
• Post operative x rays
• Pain medications before, during, and after surgery
• Antibiotics before, during, and after surgery
• Hospitalization for 1-2 days following surgery.
• E collar to go home
• Followup visits for assessment and suture removal
• Followup urinalysis and urine culture, 2 weeks after the procedure is performed.
• Stone analysis if applicable.

Estimated Range: $1,906 – $2,318

Individual patient needs vary during the type of surgery outlined above. There may be variances in medications and aftercare based on a patients weight and needs. Additional surgery may be needed. These charges can be reviewed with you before they are incurred.

In some instances longer hospitalization is needed for some animals and these charges are in addition to the above noted charges. An estimate can be given for these services.