Successful management of pelvic urethral strictures with balloon dilation in 3 cats

Abstract

AbstractObjectiveTo describe the successful management of pelvic urethral strictures in 3 young cats (1 after perineal urethrostomy, 1 after a third‐time urethral obstruction, and 1 with prolonged lower urinary tract signs post‐urethral obstruction) using balloon dilation and a short‐term, indwelling urethral catheter.Case SummariesA 9‐month‐old neutered male domestic longhair cat with a urethral obstruction and a suspected congenitally narrowed urethra was treated via perineal urethrostomy. The cat later developed acute kidney injury, multidrug‐resistant urinary tract infections, and a pelvic urethral stricture. A second case, a 2.3‐year‐old neutered male domestic shorthair cat, developed a stricture of the pelvic urethra after multiple obstructions and catheterizations. A third case, a 1.2‐year‐old neutered male domestic shorthair cat, had persistent and prolonged lower urinary tract signs after treatment for a urinary obstruction. The cat also had an abnormally small urethral opening and was ultimately found to have a proximal urethral stricture. The strictures in all 3 cases were successfully treated with a combination of fluoroscopic‐guided balloon dilation and short‐term indwelling urethral catheterization while managing any present infection.New or Unique Information ProvidedTo the authors’ knowledge, this is the first published case series of successful balloon dilations paired with the use of a short‐term indwelling urethral catheter in cats that developed urethral strictures after catheterization due to urinary obstructions. This procedure appears safe and well tolerated and appears to offer a long‐term, cost‐effective solution to urethral strictures at the level of the pelvis.