ArticleJournal of feline medicine and surgery2026
Clinical evaluation of a modified perineal urethrostomy technique in 30 cats: a retrospective observational study.
Article in Journal of feline medicine and surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
ObjectivesThe aim of the present study was to evaluate the clinical efficacy of a modified perineal urethrostomy (PU) technique using preputial mucosa in male cats with recurrent urethral obstruction, and to assess the associated learning curve based on surgical proficiency and complication trends.MethodsA total of 30 male cats with recurrent urethral obstruction treated between 2019 and 2024 were retrospectively reviewed. The modified PU involved reconstruction of the urethral stoma using preputial mucosa with partial dorsal skin anastomosis to enhance tissue stability. Postoperative urinary function and complications were assessed at 10, 21 and 60 days, and up to 3 years in selected cases. Surgical proficiency was analysed through a cumulative sum (CUSUM) analysis of operative time and complication incidence.ResultsAll cats resumed voluntary urination within 48 h of surgery, and none exhibited persistent dysuria or urinary incontinence. Minor wound dehiscence occurred in two (6.7%) cats, and one (3.3%) cat developed a stomal stricture that resolved with balloon dilation; however, no revision surgeries were required. No cases of peristomal dermatitis or increased bacterial cystitis were detected. The median surgical time decreased from 71 mins in early cases to 54 mins in later procedures, and the CUSUM curve demonstrated a consistent decline in complication frequency, indicating progressive procedural mastery. Compared with previously reported stricture rates in the range of 7-9% for conventional Wilson-type PU techniques, our findings suggest that this modified technique results in lower complication rates and enhanced reproducibility, even in primary care settings.Conclusions and relevanceThis modified PU technique incorporating preputial mucosa provides stable urinary patency, low complication rates and favourable cosmetic results. By minimising direct mucocutaneous tension and preserving mucosal integrity, this approach may reduce the risk of stomal stenosis and postoperative infection. The procedure demonstrates a short learning curve and appears to be a reliable, anatomically sound alternative for managing recurrent urethral obstruction in cats.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.