Urology - Cystocentesis in cats with urethral obstruction
Course Content
Urethral obstruction in cats is a common emergency accounting for approximately 10% of emergency room visits. Treatment of UO involves IV administration of fluids and medications to correct tissue perfusion abnormalities and metabolic derangements and to alleviate pain, and ultimately involves passage of a urinary catheter to relieve the obstruction. Decompressive cystocentesis (DC) prior to urinary catheterization has been proposed as a safe and advantageous treatment for cats with UO.
The proposed benefits of DC include relieving pain, decreasing renal back pressures, improving urinary bladder wall perfusion and facilitating retrograde urohydropropulsion and placement of a urinary catheter in cats with urethral plugs and urolithiasis by lowering intraluminal urinary bladder pressures. Additionally, cystocentesis offers the opportunity to obtain a urine sample for urinalysis and bacteriologic culture if indicated.
- Does decompressive cystocentesis (DC) safely facilitate urethral catheterization (UC) in cats with urethral obstruction (UO)?
- Does relieving pressures earlier within the urinary tract by performing DC followed by UC, compared with not performing DC affect resolution of metabolic derangements?
- Does DC increase the risk for urine leakage and uroperitoneum?
These questions and many more will be answered to the MEAVC Journal club. Join us and be a part of an international vibrant scientific community!
Course Content
Jody Lulich
Dr. Jody Lulich is the director of the Minnesota Urolith Center. He specializes in nephrology and urology and has earned an international reputation as a clinical investigator and educator in this field. He has published over 100 refereed manuscripts, 200 book chapters, and awarded over $6,000,000 in funded research. Among his contributions to veterinary medicine is the technique of voiding urohydropropulsion, a nonsurgical method to remove uroliths in seconds from the urinary bladder. In 2007, he was voted as Speaker of The Year at the North American Veterinary Conference held in Orlando, Florida. He was awarded the Norden-Pfizer-Zoetis Distinguished Teacher Award in 2001 & 2013. A published a memoir of his veterinary career, In the Company of Grace will be released in April of 2023. He is the 2023 President of the R.O.C.K. (Research on Calculi Kinetics) Society. He has two dogs, one cat and studies classical piano.