Perineal Urethrostomy (PU)


What Is A Perineal Urethrostomy?

A Perineal Urethrostomy (PU) is the medical term, in cats, for removing the penis to make a larger opening for your cat to be able to urinate through preventing future urinary blockage.

In dogs, the penis is not removed during this procedure but the urine is rerouted to empty through a different and larger opening.

Identifying the Need for Perineal Urethrostomy (PU) Surgery

Even as the most dedicated pet owner, you may not realize your pet has a urinary tract infection or blockage because it is against your pet’s nature to complain. You may not even be aware that there is a problem, until they are having accidents in the house, urinating blood, or not urinating at all.

We will need a copy of your vet’s medical notes and x-rays before getting you on our schedule. So please have your vet e-mail or fax those notes and x-rays to us.

An x-ray must be provided to be sure no stones are in the urinary bladder before performing a PU. We do not offer x-rays at Helping Hands, so they must be provided by your regular veterinarian.

After Perineal Urethrostomy (PU) Surgery

Surgery is only one step in the overall process of resolving urinary tract issues. Infections will recur if you do not take preventative measures after surgery. This is why it is very important that you follow up with your regular full service veterinarian to create and implement a preventative plan. Be sure to schedule a 2-week follow up with your regular veterinarian to have them perform a urinalysis to be sure that any infection has been resolved.

Depending on the urinalysis results, your veterinarian may discuss medications or dietary changes as part of the prevention strategy. Your vet may also recommend spot checking your pet’s urine every other month or so, for the first year after surgery, to monitor and to try to detect any urinary tract infections early. Remember, your pet will not tell you that they have an infection, but they may show you.

Some behaviors to look for as an early warning sign may be: your pet drinking at the water bowl more often – you may notice that you are having to fill up their water bowl more than usual, your pet asking to go outside more often, or your pet having accidents in the house. If you see any of these signs, please have your veterinarian check their urine right away.

Scheduling Surgery for a Perineal Urethrostomy (PU) at Helping Hands

While bloodwork ($60) is always suggested, as a cost savings, it is only required on dogs over 7 and cats over 9 years of age. If your veterinarian has run bloodwork within 48 hours of your pet’s procedure, please have them fax it to us or bring us a copy to save you this fee. * E Collars ($15) Many pets chew or lick open their incisions after surgery. We STRONGLY recommend that every pet have an e-collar to help prevent this. If your pet opens his or her incision, you will be charged for closing the wound.

We are outpatient facility which means the pets go home the same day and are usually back to their old selves that night or the next day. While rare, if your veterinarian believes your pet needs post op monitoring, you can return to your full service veterinarian or a 24-hour facility for continued care at your expense. We are here to get your pet through the procedure and back into the hands of your full service veterinarian.


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Helping Hands

1605 Rhoadmiller Street
Richmond, VA 23220

PH (804) 355-3500
FX (804) 355-3009