breathes a sigh of
Boris presented to theWillows emergency team when his owners noticed he
was spending a lot of time in his litter tray trying to pass urine.
Boris was suffering from a blocked urinary bladder, which is
a very uncomfortable condition and if left untreated, can
damage the kidneys and even risk rupturing the bladder
wall. Luckily Boris’s owners caught the condition early and
a catheter was placed in to his bladder to allow the urine to
drain and be sampled to check for crystals and bacteria.
Boris’s kidneys had been mildly affected by the pressure
from his bladder, so he was placed on to a drip to flush his
kidneys of any toxins and help them to regain full functions.
He was given pain relief due to the inflammation and
antibiotics as catheters can predispose to infection.
The following morning Boris was comfortable but the urine
that was collecting from this catheter was very bloody so he
was given a light sedation and an ultrasound scan was taken
of his bladder to check for any stones, masses or thickening.
This original scan (
see ultrasound scan 1
) showed severe
thickening and inflammation of the bladder wall as well as
detachment of the thin layer of cells lining the bladder wall
away from the surface. Over the next 48 hours this lining
would either reattach or die off.
The following day Boris’s urine became less bloody and he
seemed more comfortable, his blood was re-checked and his
kidneys had completely recovered. His urinary catheter was
removed to ensure he was able to pass urine without it. He
was doing this freely and squatting in his litter tray with no
signs of discomfort.
‘Two days later his ultrasound scan was repeated
see ultrasound scan 2
) to reassess the health of his
bladder wall, and as can be seen on the scan image,
the wall was much more regular and less thickened,
with no evidence of detached cells remaining in
the lumen of the bladder.’
Cats can get blocked bladders for a number of different
Urolithiasis (bladder stones) 10-15%
Bacterial infection (relatively uncommon, especially
in males) 5-15%
Urethral plugs (accumulation of debris)
Anatomical defects (scarring to the urethra can create
a tight band or stricture)
(60-70%) or inflammatory cystitis,
as was the case with Boris.
Thanks to Boris’s owners paying close attention to his
behaviour and noticing that he was acting abnormally,
he made a full recovery and returned
home within three days.
General Practice Service Clinician