Clinical Diagnosis And Therapy Of Feline Lower Urinary Tract Diseases

All organs in the urinary system could have calculus and other infections. Generallyspeaking, the human urinary system has high risks in the kidney diseases and urinary systemdiseases. However, the most common urinary system diseases of feline are bladder infectionand the second is the urinary tract infection. Therefore, it is referred as feline lower urinarytract disease (FLUTD), which is also called Feline urinary syndrome(FUS). FLUTD is not adefinition of disease, but it is a medical term that used to describe a series of clinicalsymptoms, which include hematuria, urinary frequency, dysuria, and urinary retention, etc.The pathogenesis of FLUTD is complex, and the symptoms can be induced by variousreasons, so make the pathogenesis clear is critical for the treatment of FLUTD. Studies aboutthe curation and prevention of FLUTD are of great importance for FLUTD clinical diagnosisand treatment.This study analyzed45FLUTD cases, concluded the clinical symptoms, diagnosticmethods and treatments for this disease. FLUTD can be surely diagnosed only throughclinical symptoms, but specific disease needs laboratory and imageology examination. Themethods include basic clinical examination, hematology examination, urine analysis, X-rayexamination, and B type ultrasound examination. We combined various clinical methods,specific ages and sex of the cats. The45FLUTD cases were tested as follows:3were withidiopathic cystitis,17were with lower urinary tract infection,11were with cystolith,10werewith urethral calculus, and4were with both cystolith and urethral calculus.With respect to3idiopathic cystitis and17lower urinary tract infection cases,conservative therapy was preferred, this therapy included anti-inflammation, hemostasis,catheter placement, and treating grain feeding, the cute rate of1/3,10/17;7cystolith,3urethral calculus,1cystic and urinary calculus that were not very serious or owners wererelutant to surgery, we did conservative therapy, and meanwhile treated animals with relativedrugs to help dissolve the cystolith,and the cute rate of2/7,0/3,0/1;4cystolith cases weregiven surgery under the agreement of their owners, the cute rate of4/4;7urethral calculus cases, for female cats urethrotomy was preferred, while for male cats we did urethrostomy forfear of relapse, and the cute rate of7/7;3cystic and urinary calculus cases were given surgeryunder the body state allowed, the cute rate of3/3. For cats who went through surgeries, goodnursing after surgery is very important, including cleaning and protecting wounds, makingsure urination is not hindered, and dealing with problems in time. Cats with conservativetreatment would relapse sometimes, and antibiotics are a must for clearing inflammation. Catswhich were not cured could have better conditions, and cats with surgery could be cured100%, and no cases were found to relapse.This study demonstrated that surgery was good for FLUTD treatment, and the relapserate was very low, even though some were still at the risk of relapse. Due to the large bodydamage of surgical therapy, if the animal body in good state,the clinical symptoms were notserious, conservative therapy were suggested. Of FLUTD, prevention is more important thantreatment.To analyze pathogenesis, take some prevention measures, eliminate disease-causingfactors, and be examined regularly is very important for the early diagnosis of FLUTD.