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What is a Cystotomy surgery?
by Dr. N.J.Hayes, DVM
 A cystotomy surgery may be necessary to remove bladder stones that are caused by accumulated calcium in the bladder. Please see our handout on Urolithiasis - Bladder Stones and our handout on Crystalluria - Crystals in the Bladder
It is very difficult to treat bladder stones without removing them surgically. After removal, the stones are sent to a lab for analysis and the pet is put on a special diet to prevent future formation of more stones. Antibiotics will probably be prescribed for a period of time after surgery.
This photo shows the location of the bladder in a cat.
What is the procedure for a Cystotomy?
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The cat's Abdomen is shaved and scrubbed for surgery.
For larger images, click on the photo. Some of the larger images will require longer load times.
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After draping, an incision is made in the belly wall over the bladder
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The bladder is gently lifted out of the incision.
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An incision is made in the bladder wall. The urine will flow out readily.
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The bladder incision is enlarged to make enough room for stone removal.
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A curette is used to remove the stone.
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This is a stone from this cat. Many times there will be multiple stones found.
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The inside of the bladder is flushed to remove small stones and blood clots.
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A small catheter is used to flush any remaining crystals and debris from the bladder out the urethra.
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The bladder wall is closed with an absorbable suture. The bladder wall heals very fast (3-5 days.)
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The body wall and subcuticular tissue is closed. This is also done with an absorbable suture.
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The skin is closed with nonabsorbable sutures. We also inject a local pain reliever to help with pain.
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The surgical incision is closed. This pet will be taken to the intensive care unit, where it will be given the constant attention of the surgical technician until it wakes up. After that, it will remain in our intensive care unit where our technicians are nearby and keeping a very close watch on it until it's ready to go home.
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If you have any questions regarding Cystotomy Surgery, Please do not hesitate to contact us. We will be happy to answer all of your questions in person, or call 309-685-4707 We want to ensure that your pet has the best of health.
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