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From Stress Cystitis to Blockages to PU Surgery

5.6K views 26 replies 5 participants last post by  Bumbledore  
#1 ·
Hello, I recently did a thread about alternative urinary foods to Hill's while my Bumble was staying overnight for a blockage in his bladder. We've now swung all the way around to that he is having his penis amputated this afternoon and I'm to call at 4pm to see how things went. This whole thing has been a very stressful and upsetting 9 WEEKS for Bumble, my husband and I.

This is just a very long account of what we have all been going through and costs.

The first we noticed anything was wrong was I kept seeing him trying to pee in places he shouldn't (and doesn't). We took him to the vet, we were told he had stress cystitis and we paid the ÂŁ60, took his Nutracys+ home and did as suggested - transition to a wet food diet (we started with whiskas pouches and worked our way up to Animonda Carny and Smilla). He was an absolute nightmare to pill. We tried mixing it in with his food, giving it to him straight, wrapping in ham, mixing with tuna, kitty burrito. Not happening. It was getting him so upset that we stopped. We tried to keep everything calm and stress free. I upped the amount of brushies he gets and it's like heaven for him. He seemed to improve for a little while until one day I catch him trying to pee in the bath. And he growled at me when I tried to shoo him away and that's when I knew this was serious. He was moaning and clearly in a lot of pain. 3am, arguing with my husband, we are off to the emergency vets 30 minutes away. When we got there, there was pee EVERYWHERE. His box was absolutely soaked and he was clarted in it from sitting in it. I felt extremely stupid. She told me it was stress cystitis, gave us a few more tips that we followed - extra litter box where he was trying to pee, so we added one permanently to the bathroom, never let him eat dry, Pet Remedy, try enrich his life more. He got an injection for some pain relief, Metacam for 5 days and she said keep trying with the Nutracys+ but if we can't get him to take it, then just to leave it as it would be causing him more stress. We forked out the ÂŁ240. His personality for those 5 days was back to his old self, bouncy, vocal, fussy and playful and I was so relieved. We started his garden excursions again (he didn't like going out in the snow so it had been a while). Then the day after the metacam was done, he began straining again. Not to the point where he when we rushed to the emergency vet but he was obviously uncomfortable, unhappy. We had resolved to get him on the Nutracys+ and all three of us came out with injuries. I told my husband we needed to get him back to the vet for pain relief again and then maybe he would be easier to pill and it would give the tablets some time to build in his system. We argued for a few hours about it and then he saw for himself that Bumble was struggling and called the vet. We were told to get down there ASAP. They took him from us, we didn't get to go in with him, didn't know what was happening. They came out, told us he was blocked and to sign a form and then basically sent us on our way. It was very abrupt and startling and I just couldn't think straight to say anything. I got my husband to call again when we got home because I was practically in hysterics and we were told he was on a catheter, was comfortable and would probably come home in the morning. They said he had a large stone blocking him that they had managed to push back into his bladder. Two days later we finally got him home and a bit more information, that he would be on a special diet for life and that there is a risk he will block again before the food has time to work. I said about a payment plan to get the surgery done now and was told they don't normally do that, that they need half upfront, etc. I said if he could give me a quote, I can pay half. It was all very dismissive. Anyway, he was ok for a little bit, in a better mood but not quite himself. By 3 days later, he was re-blocked. I had my hand in the cat litter three times yesterday to check I wasn't just being paranoid about there being no pee. I took him back in yesterday afternoon and they kept him overnight.We paid another ÂŁ250 upfront and the rest will go on a payment plan, I dread to think how much it will be. I got a call around 1pm to say that the x-ray showed that he had a lot of sediment in his urethra and that they felt that penile amputation would be the best course of action for treatment. Supposedly if all goes well, I can have him home tomorrow.

He will have the cone collar on for a few weeks and we will be restricting him entirely to the living room for the first week so we can make sure his litter is always fresh and he can't strain himself too much and we'll be using a paper pellet litter until he is healed. I just wish I could jump time to the point where he is better. I wish it hadn't cost so much money. I wish the surgery had been done when he was first blocked.

I just want my baby back home and well :(
 
#2 ·
I dread to think how much it will be.
A PU (it was called a perineal uresthrostomy, not a penile amputation) in April 2013 cost me ÂŁ4000 (London prices). It was not a quick job . . . the referring vet had him for nine days, kept on inserting a catheter, whenever the catheter was removed he blocked again. He did this three times, each time for 72 hours. Then the operating vet had him for five days at a cost of ÂŁ3600. Total 14 days. What he had was, basically, a sex-change op and he had to go to a specialist vet 60 miles away to have it done; my own vet would not undertake something so complicated. There was no reason for the blockage in my boy's case, no stones, no infection, nothing. Just put it down to FLUTD which affects some (mainly male) boys who suddenly decide they don't want to wee. Generally stress-related apparently. It is very upsetting to see them straining and crying because they want to wee and can't.
Let us know how he gets on; I wish him well.
 
#3 ·
A PU (it was called a perineal uresthrostomy, not a penile amputation) in April 2013 cost me ÂŁ4000 (London prices). It was not a quick job . . . the referring vet had him for nine days, kept on inserting a catheter, whenever the catheter was removed he blocked again. He did this three times, each time for 72 hours. Then the operating vet had him for five days at a cost of ÂŁ3600. Total 14 days. What he had was, basically, a sex-change op and he had to go to a specialist vet 60 miles away to have it done; my own vet would not undertake something so complicated. There was no reason for the blockage in my boy's case, no stones, no infection, nothing. Just put it down to FLUTD which affects some (mainly male) boys who suddenly decide they don't want to wee. Generally stress-related apparently. It is very upsetting to see them straining and crying because they want to wee and can't.
Let us know how he gets on; I wish him well.
I can't even imagine how upsetting that must have been for you! And for your poor baby. Honestly it's just so distressing and I can imagine, entirely frustrating that you didn't even have a definitive cause to point to. Thanks for the well wishes, apparently the surgery went very well but I haven't had a proper update yet, nor mention of a bill.
 
#6 ·
I'm sorry to hear about Bumble's problems. You definitely wouldn't have wanted the surgery done at the start - it should be an absolute last resort. Hope he feels better soon.
 
#9 ·
Not the PU, but to remove the large stone from his bladder so we didn't risk him blocking again before the food worked

@Bumbledore: Meant to say, after my boy had his PU op, the vet who did the op made a point of saying that it was a good idea to use shredded paper in the tray (it being softer in for him when he squatted and the conventional cat litter would obviously be a bit sharper if it got near his stitches). She also said to get as much fluid as possible into him (which you no doubt already know). How is he doing now??
I called today and they said I would get a call later to see if he can come home! Really not had much more than that, contact is like pulling teeth. Yeah I need to buy him some paper litter from Pets at Home or something, he's going to be confined to the living room for the first week because I don't want him risking using the other litter trays (a lot of dust from wood pellets atm) and we can't afford to just change all the litter right now. With the extra fluids, certainly he'll have his wet food and fresh water will be constantly available. We will probably try mixing some water in with his food while he isn't eating so much and see if we can get him used to it!
 
#8 · (Edited)
@Bumbledore: Meant to say, after my boy had his PU op, the vet who did the op made a point of saying that it was a good idea to use shredded paper in the tray (it being softer for him when he squatted and the conventional cat litter would obviously be a bit sharper if it got near his stitches). She also said to get as much fluid as possible into him (which you no doubt already know). How is he doing now??
 
#11 · (Edited)
I called at 10.30am this morning (held off for 2 hours to give them plenty time to check him) and was told he was doing well and a vet would call me later. I'm STILL WAITING. My husband is going to call them at 6pm when he is on his break because my anxiety is just through the roof right now. His poor dad has been on standby all day waiting to take me to go get him. At this rate he is as well staying another night but seriously not impressed with how communicative they are.


EDIT: After my husband called, they said he hasn't peed yet so they are keeping him overnight. God knows if I would have even gotten a call or if I would be calling at 15 minutes to closing time again.
 
#12 ·
but seriously not impressed with how communicative they are.
So very sorry to hear this. Surely they must know that you are desperate to know how he is after such a procedure. I do hope all is well. I was told (by the operating vet) that I could visit my boy any time I wanted between 12 and five. The referring vet was not so welcoming, but as he was there for about nine days I told them I wanted to see him and they had to agree that he seemed happier after my visits as he was starting to get ''grumpy'' (any wonder?) and in need of TLC. Try not to get upset. XX
 
#14 ·
To be honest, I thought they were being optimistic when it was suggested that he would be home so quickly. My boy was kept in for five days after a PU and this wasn't because there was anything wrong (I was told in advance that this was how long it took). Try not to worry . . . easier said than done, I know. Is there any chance you can go there and ask to speak to a vet (and see your boy, of course).
 
#15 ·
To be honest, I thought they were being optimistic when it was suggested that he would be home so quickly. My boy was kept in for five days after a PU and this wasn't because there was anything wrong (I was told in advance that this was how long it took). Try not to worry . . . easier said than done, I know. Is there any chance you can go there and ask to speak to a vet (and see your boy, of course).
Yeah I think if we don't get the go ahead to take him home this afternoon then we will just go and see him and get someone to talk to us. Honestly they need to be more informative about this sort of stuff. I get that they might be busy but it should be part of any small update that we should be getting anyway
 
#16 ·
My husband is on his way to get him :) Set up a cat cave in the living room where he (and the husband) will be staying the next two weeks. He's nipped out to get a new litter tray/water bowl/puppy pads and paper pellet litter and hopefully he will be as comfortable as possible. Locking him in the living room because apparently he should move as little as possible while he is healing and we spend most of our time here so we can watch and make sure he isn't getting to the wound! So nervous about the recovery process but here's hoping it all goes ok!
 
#17 ·
And I'm already going mental here. He's not meant to be moving much or anything and he's bright as a button, wanting to explore everything and jumping on the table and so on. And the first thing he did was take a giant wee all over the cat cave when he wouldn't toilet at the vet. Hopefully he settles soon!
 
#25 ·
@Bumbledore can I ask for an update on your boy and also the cost of the bill in the end?
@Calvine do you have the details of the specialist surgeon you used please?
Hey, 3 weeks on Wednesday and he is doing fantastic :) Everything is healed up lovely and he is back to his high energy, happy self! I can get a pic of him at the back if you would like? I didn't take any pictures after the op because it looked horrible but there was just no issues to be had at all. The surgery bill was about ÂŁ600, I've still not seen it itemised yet but I can see if they will e-mail that to me also so I can give you a better idea. The only issues we had were that he didn't poop for a very long time afterwards and that after the collar came off, he licked himself a bit raw so we had to put it back on for a few days.