公猫进行尿道手术后 ,才半个月的时间,就开始尿少,滴尿了。

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咨询描述:我家公猫进行尿道再造手术后 ,才半个月的时间,就开始尿少,滴尿了。之前手术的医生说可能是尿道增生了。需要再做手术,但是二次手术还是有增生的风险,这样的话应该怎么处理。他第一次手术拔管后有尿血的情况,是不是没有消炎到位造成的?

问题大致一样,细节不同?

点击获取针对性解答

曹航

执业兽医师

这种情况想彻底解决,应该需要二次手术 然后把这个尿道再往外拉一些,就是过了尿道球腺,但是这种手术的话,需要彻底的把里面肌肉剥离 尿道彻底游离开,这个肯定是有增生的风险 但是如果不做的话,其实还是会尿频,然后尿少

曹航

执业兽医师

已经过了半个月,应该和炎症关系不太大 还是和自身增生的可能性要大一些

后期又打了一个星期的消炎针,情况稍微好了一点,停针一个星期后,好像滴尿都少了,而且他也不太爱喝水了。

曹航

执业兽医师

建议重新手术把尿道再往外拉一下 然后观察看

也就是再二次手术?二次手术如果增生的话,是不是就无法再手术医治了?

曹航

执业兽医师

如果做了两次 还出现这种情况 之后可能就不能再做第三次手术了 因为尿道的长度有限 这个第二次手术的时候 可以把尿道口做的大一些 再就是适当的减减肥 都是有一定帮助的然后吃一段时间处方粮

他已经瘦了一圈了 我最怕就是术后增生到无法再治疗,那就只能等死了。

曹航

执业兽医师

那如果这种情况,如果想保守的话, 主要是把尿管再留置一下 留一个双腔导尿管,留个三到五天期间配合输液,然后看看之后怎么样

上次尿管留了7天,就是想解决增生的问题,最后还是出事了,也就是二次手术,增生一定会有的,具体有什么别的方法可以抑制增生,?

曹航

执业兽医师

最有效的办法就是把尿道口做大一点然后适当的减肥 尿道口大一点的话,它之后恢复完了,尿道口肯定会回缩一些 所以说做大一点,等他回缩完之后就是正常的了 或者是换一个医院重新做,

所以唯一的解决办法还是要再次手术。

曹航

执业兽医师

因为已经保守用过导尿管儿了 效果一般 最可靠的办法还是要手术 但是也有一定的风险 风险率在30%左右

如果没有完全抑制增生,那手术就是失败了,后期该怎么护理?

曹航

执业兽医师

后期做完手术的话要给他插着导尿管5~7天 ,然后每天给他输液 伤口每天给他涂药,防止增生,缝合的时候尿道的粘膜一定和皮肤对齐

之前好像只输液了一天, 没有涂过药。这是炎症引起的。

曹航

执业兽医师

下次做完的话,可以尝试多用几天抗生素 然后皮肤一定要对合完整,给他涂药

涂的药有什么推荐的吗?

曹航

执业兽医师

这两个用哪个都行,一天三次

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公猫尿频但尿得少,比较怀疑是自发性膀胱炎以及感染性膀胱炎的可能性比较高。如果猫咪病史的时间较长,且用口服药无效的情况下,建议送检做下细菌培养和药敏试验的。然后,现阶段护理上的建议是第一增加饮水,第二避免应激,减少家里给予压力的情况,比如新人或家里其他的动物刺激。然后,可以给猫咪吃泌尿道处方粮。最后,可以给猫咪服用保护膀胱粘膜的药物。

公猫尿少只有一两滴尿怎么回事

于博

执业兽医师

公猫一岁3个月,今天老去猫砂盆,但每次就一两滴尿

猫咪总是乱尿,尿的一滴滴的时间很长

徐灿

执业兽医师

猫咪已经绝育,三岁半,最近总是乱尿,并且尿完一摊后,后面就是一滴滴尿,尿很长时间,但是尿量挺多的

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公猫尿频尿少

宗振平

执业兽医师

公猫出现尿频尿少尿不出时,主要考虑是由于尿道梗阻导致。如果猫咪伴随出现呕吐症状,表明猫咪已经出现急性肾衰竭,建议及时将猫咪送到宠物医院进行导尿,然后检查肾脏和膀胱的情况。需要通过输液的方式给猫咪进行补液,同时使用抗炎消炎药物。如果猫咪能尿出一点,可以先使用化结石的药物治疗观察,同时增加猫咪的饮水量。

猫咪传统尿道造口手术后还是尿频尿少是怎么回事

周琪林

执业兽医师

您好,猫咪家长,感谢您对我的信任!问题我已经看到,正在进行分析,并编辑文字回复您的问题。请勿回复此条消息,以免浪费您的追问机会。

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苏鹏

执业兽医师

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