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The veterinarian will sedate or anesthetize the cat and place a catheter into the urethra to flush out the plug or force. Diagnostic tests before perineal urethrostomy pu in cats. Pin On P U Surgery Cats This procedure removes the narrowest part of the urethra the tube that transports the urine from the bladder to the exterior of the body allowing easier urination with a lower risk of reobstruction. Pu surgery in cats . It s a fairly simple procedure that has been performed for many years and has a good success rate. If the obstruction recurs a thorough work up including. Blood and urine tests are submitted to look for. A perineal urethrostomy sometimes referred to as a pu is a surgical procedure that is most commonly performed on male cats with a urinary obstruction. Your veterinarian will ask you many questions to develop a complete history. In cats with calcium oxalate stones that have been flushed into the bladder a cystotomy surgical opening of the. Overview