Urethra - Urethrotomy

Question 1

What to do if hydropulsion is unsuccessful

Answer 1

an urethrotomy can be performed.

Question 2

How is a urethrotomy performed ?

Answer 2

This procedure involves making an incision into the urethra and removing the offending obstruction and then routinely closing the site.

Question 3

Patient Prep

Answer 3

For a perineal urethrostomy, the entire perineal area should be clipped as per the image below, and a purse string suture placed into the anus. The site can then be prepared aseptically. For a scrotal urethrostomy in dogs, the clip is much the same as that of canine castration.

Question 4

Patient Positioning

Answer 4

For a perineal urethrostomy, the cat is placed in sternal recumbency with the hind limbs hanging over the end of the table. A support bag or rolled up towel is placed under the pubic area and the tail is bandaged and elevated away from the surgical site. For a scrotal urethrostomy the dog is placed in dorsal recumbency with the limbs secured out of the way.