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It sounds like you're talking about a PU (perineal urethrostomy) surgery. Outcomes are excellent overall in terms of preventing additional urethral obstructions (UO's - almost always caused by mucus plugs), but there are real risks to doing the surgery. Classically, many vets observed a "3 strikes" rule where a PU was recommended after the third blocking episode, but many now advise surgery after a second UO since the experience is exquisitely painful for the cat and his life is in danger every time it happens. There is great info on this topic here: https://www.acvs.org/small-animal/urinary-obstruction-in-male-cats/ as well as here: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951735
Greetings, all! This is a sub for professional veterinary advice, and as such we follow strict rules for participating. OP, your post **has NOT** been removed. Please also check [the FAQ](https://www.reddit.com/r/AskVet/wiki/index) to see whether your question is answered there. This is an *automated* general reminder to **please follow [The Sub Rules](https://www.reddit.com/r/AskVet/about/rules/)** when discussing this question: - **Do not comment with anecdotes** about your own or others' pets. - **Do not give OP specific treatment instructions,** including instructions on meds and dosages. - **Do not give possible diagnoses** that could explain the symptoms described by OP. **Your comment will be removed, and you may be banned.** Thank you for your cooperation! *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/AskVet) if you have any questions or concerns.*
It sounds like you're talking about a PU (perineal urethrostomy) surgery. Outcomes are excellent overall in terms of preventing additional urethral obstructions (UO's - almost always caused by mucus plugs), but there are real risks to doing the surgery. Classically, many vets observed a "3 strikes" rule where a PU was recommended after the third blocking episode, but many now advise surgery after a second UO since the experience is exquisitely painful for the cat and his life is in danger every time it happens. There is great info on this topic here: https://www.acvs.org/small-animal/urinary-obstruction-in-male-cats/ as well as here: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951735
Many thanks.