One of my cats, underwent a PU, failed revision to PU, and then the PPU, all at the age of 2 and within a 3 month period. He was great for over 2 years and then had his first UTI (common after these surgeries) 2 years later, and since then, has had flare ups of urinary tract inflammation (but no infection). He is seen by my vet every 3 months for a routine urinalysis to monitor for crystals, blood, infection, etc. He was last treated for inflammation (no infection) this past March and seemed to have recovered after 5 weeks of Prazosin for the spasms. But, shortly after, I noticed some dribbles around the litter box, appears to occur as he exits. I started giving him D-mannose and corn silk to treat for inflammation and the dribbling seemed to have stopped. He had his routine quarterly check up in July, and all looked good, i.e. urinalysis, bloodwork (through IDEXX). I just changed vets because I was discouraged by the inability to communicate with a vet by phone to address the immediate concern and it now takes almost 3 weeks to get an appointment. My new vet ran all of the tests again to get a current baseline for her care, and again, all was good. We are going to start focusing on stress. I am now starting to see occasional small wet spots on the floor throughout the house (despite him using the litter box regularly). We are 4 years post-surgery. I was advised early on that incontinence often becomes an issue after the PPU procedure, but 4 years later? I know the PPU is not often done, but has anyone experienced incontinence so long after the PU or PPU and if so, did it become worse? Also, since his stoma is in the lower abdomen, has anyone ever used the feline belly wrap incontinence pad instead of diapers? My boy is not having any incontinence of the bowel. How did they work for you? I am trying to prepare myself for what may come, as he is only 6 and is a significant part of my family. There are no other options for surgery. With the exception of the occasional dribbling, he is a normal, playful and loving boy and euthansia is NOT an option (despite the suggestion from a former vet tech). Thank you.
