title: Transpelvic urethrostomy in 11 cats using an ischial ostectomy.
abstract: OBJECTIVE
  To investigate the feasibility and long-term outcome of a modified subpubic urethrostomy technique termed transpelvic urethrostomy (TPU) in cats.
  
  
  METHODS
  Prospective clinical study.
  
  
  METHODS
  Eleven male cats with obstructive lower urinary tract disease that could not be relieved, and requiring a surgical urinary diversion, were selected for TPU.
  
  
  METHODS
  With the cat in dorsal recumbency, the penis was exposed and the ventral pelvis was denuded by median adductor muscle elevation. An approximately 12 mm x 15 mm area of ischium was removed. The pelvic urethra, 8-20 mm cranial to the bulbourethral glands, was incised longitudinally and sutured to the skin to create a urethrostomy.
  
  
  RESULTS
  All cats were neutered males (2-9 years); none were uremic or hyperkalemic at admission. Urine was cultured if there was leukocyturia, nitrituria, and/or bacteriua. Bacteria were isolated from 2 specimens. A patent urethrostomy was created in all cats without operative complications. Except for 1 cat without associated clinical signs, stricture was not evident between 9 and 42 months after urethrostomy. One cat had postoperative urinary incontinence (UI) that resolved within 4 weeks. Two cats each had 1 episode of idiopathic lower urinary tract disease after 6-month follow-up; both responded to medical therapy.
  
  
  CONCLUSIONS
  TPU was used as a successful urinary diversion procedure relieving signs of urinary tract obstruction and preventing further obstruction, with few complications. The incidence of UI after TPU remains minimal.
  
  
  CONCLUSIONS
  TPU should be considered as a salvage urinary diversion procedure in cats (as an alternative to prepubic and subpubic techniques). TPU may also be considered as a possible primary urinary diversion solution (an alternative to perineal urethrostomy) for obstructive lower urinary tract disease in cats.
authors.affiliation: Small Animal Surgical Department, Ecole Nationale Vétérinaire d'Alfort, Maisons-Alfort and the Clinique Vétérinaire des Quais, 31 quai Ulysse Bernard, F-41000 Blois, France. A.Bernard@tele2.fr
authors.forename: A
authors.initials: A
authors.lastname: Bernarde
authors.forename: E
authors.initials: E
authors.lastname: Viguier
mesh_terms: D000818:Animals; D002371:Cat Diseases / Q000473:pathology / Q000601:surgery*; D002415:Cats; D008297:Male; D011446:Prospective Studies; D011631:Pubic Symphysis / Q000601:surgery*; D016896:Treatment Outcome; D014524:Urethral Obstruction / Q000601:surgery / Q000662:veterinary*; D014547:Urinary Diversion / Q000379:methods / Q000662:veterinary*