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The Premier Online Magazine
devoted to Persian & Exotic Shorthair Cats

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The Premier Online Magazine devoted
to Persian & Exotic Shorthair Cats

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Blocked Bladder: Case History #3

GC, DW & Eur.Gr.Int Ch. Brettonpark Big Hug of Jerba Nicol was a male Exotic. Call name, “Huggie” was a siring male, having produced kittens since he was two years old.

When Huggie was three years old, he had one episode of a Blocked Bladder. The bladder was flushed out and the blockage removed.

He remained healthy with no problems, no medication or special diet for the next three years.

A Problem

Three years after Huggie’s blocked bladder episode, he changed his peeing habits. It should be noted that Huggie never appeared ill during any of the following medical concerns. He remained energetic, eating well, and appeared happy and healthy at all times.

  • June 9: I first noticed Huggie peeing frequently in the litter box. They were many small pees and I noted he was spending a long time straining in the litter box.
  • June 10: I took Huggie to his veterinarian. A urine sample was taken and tested. The vet found struvite crystals in the urine along with a bacterial infection. Huggie was placed on Baytril for 7 days for the infection and changed to Hills s/d diet to dissolve the struvite crystals.
  • Next Three Weeks: No improvement. Huggie still has problems with peeing frequently, small volume and straining. He has also started to pee outside the litter box.
  • July 1: With no signs of improvement, we return to the vet. Another urine sample is tested and this time oxalate crystals were found! The urine PH was normal. There were no bacteria. To be on the safe side, Baytril was prescribed for 10 days. He was sent home on Tolfedine, a non-steroidal anti-inflammatory drug and pain-reliever. The diet is switched to Eukanuba Oxalate formula.
  • Next Two Weeks: No improvement. Never totally blocked but straining increased. Same story of frequent, small volume urination and peeing outside the litter box.
  • July 14: Examined by a different vet. Catheterized. No crystals in the urine although blood cells are present. Urine Ph is normal. Synulox medication for 10 days and pain killers. Also given Cystease, a nutritional supplement for use in recurrent Cystitis In Cats, plus Hills c/d diet.
  • Next Two Weeks: Initially Huggie had good volume, normal pees after the catheterization but within a couple days things deteriorated into the old scenario… small, low volume, frequent urination, often outside the litter box.

A Specialist

After weeks on various antibiotics with only minimal improvement, Huggie was referred to a specialist in urinary problems on August 3rd.

The X-rays

After listening to his recent history, the first thing the vet did was take x-rays.

X-ray #1

The x-ray above was the first x-ray taken of Huggie. The bladder is empty, and so is not easily seen. At first glance, everything looks normal. While at the vet, Huggie squatted and started to pee. The vet was able to feel his penis while he was peeing and thought she felt something hard.

X-ray #2

With this new information, the vet looked at the x-ray again – and made a discovery! Huggie had a bladder stone – but the stone is not in Huggie’s bladder, which is where you would expect it to be. It is lodged in his penis!

A catheter was used to push the stone back into the bladder.

X-ray #3

In this x-ray the stone that was in the penis can clearly now be seen in the full bladder. Next the bladder was flushed out repeatedly with sterile solution in the hopes of sucking the stone out, but it appeared too large to pass through the penis.

In the meantime, Huggie was put on a Bladder & Kidney Formula to try to dissolve the stone at least enough that it can pass through the penis. The pills are used to dissolve crystals and stones and to clean out the bladder and kidney. 

Home Again

  • August 3-5: Huggie returned home and had normal pees for 3 days.
  • August 6: Blocked again! The specialist is called and Huggie is booked for surgery the following day to have the stone removed.
  • August 7th: The morning of his surgery, Huggie has a single large pee in his litter box.

The Last X-ray

Huggie returns to the specialist but before doing the surgery an x-ray is taken and the stone is gone!! Huggie must have passed it when he was urinating.

Since Huggie was already anesthetized for the x-ray, he was once more catheterized and flushed out as an extra precaution. He was also hydrated with Lactated Ringers Solution. Obviously, no surgery was necessary.

Post-Operative Care

Huggie returned home and showed immediate improvement. From that day on he showed great improvement. He urinated less often and with larger volume. Within two weeks he had returned to almost perfect litter box habits. He is maintained on Hill’s c/d diet and has had no more urinary problems. He is fat and happy and looking great!

Editor’s Note :

One of the things to be learned from this Medical Case History is how the persistence of the owner to find the cause of the problem led her to enlist the help of different veterinarians. Most people will have a “home” vet to whom they entrust the care of their cat’s health. But there will be times when the problem requires greater experience or expertise than is available at your local veterinary hospital. As in human medicine, there may be times you will need to consult with a specialist.

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“As anyone who has ever been around a cat for any length of time well knows, cats have enormous patience with the limitations of the humankind.”
*Cleveland Amory (TV critic & animal rights activist)