Management of incontinence following pre‐pubic urethrostomy in a cat using an artificial urethral sphincter
2021
Eayrs, M. K. | Moores, A. L.
A 14‐year‐old male neutered domestic shorthair cat presented with a 4‐year history of urinary incontinence following prepubic urethrostomy. Physical examination confirmed peristomal dermatitis, urine scalding and constant urine leakage. Haematology, serum biochemistry and urinalysis were unremarkable. Ultrasonography revealed a non‐distended urinary bladder. An artificial urethral sphincter mechanism, with subsequent incremental inflation of the cuff 6 weeks later, resulted in complete resolution of clinical signs, return to normal urinary function and excellent quality of life. The cat was still continent at 5‐year follow‐up. Further studies including additional cases are required to highlight effectiveness and harms of the procedure.
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