Owner-reported lower urinary tract signs in a cohort of young cats

Objectives The most common cause of lower urinary tract signs (LUTS) in cats under the age of 10 years is feline idiopathic cystitis (FIC). The prevalence of LUTS in the UK pet cat population is difficult to assess. This study used data collected prospectively to investigate the prevalence of, and risk factors for, owner-reported LUTS in a cohort of young pet cats. Methods Cat owners were recruited into a long-term longitudinal study and asked to complete questionnaires at specified age points for their cats. All cats were at least 18 months of age at the time of analysis. The prevalence of owner-reported LUTS at 18, 30 and 48 months of age was calculated, based on whether the owner had seen the cat urinating, and whether the cat had displayed one or more of the following clinical signs: dysuria, haematuria or vocalising during urination. A case-control study to investigate the risk factors for owner-reported LUTS in study cats at age 18 months was also conducted, using a multivariable logistic regression model. Results The prevalence of owner-reported LUTS in cats seen urinating by the owner was 4.3%, 3.8% and 6.0%, with 95% confidence intervals of 3.2–5.7%, 2.5–5.7% and 3.4–10.5% at ages 18, 30 and 48 months, respectively. An indoor-only lifestyle at the age of 18 months and a change in diet between the ages of 12 and 18 months were identified as risk factors for owner-reported LUTS at the age of 18 months from the multivariable model. No clear type of change in diet was identified in our sample of cats with LUTS. Conclusions and relevance The prevalence of owner-reported LUTS in a cohort of young pet cats was higher than the previously reported prevalence of LUTS in cats presenting to veterinary hospitals for LUTS or other reasons. A novel risk factor of change in diet between 12 and 18 months of age warrants further investigation.

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Recurrence rate and long-term course of cats with feline lower urinary tract disease

Journal of Feline Medicine and Surgery ◽

10.1177/1098612x19862887 ◽

2019 ◽

Vol 22 (6) ◽

pp. 544-556 ◽

Cited By ~ 1

Author(s):

Elisabeth Kaul ◽

Katrin Hartmann ◽

Sven Reese ◽

Roswitha Dorsch

Keyword(s):

Urinary Tract ◽

Recurrence Rate ◽

Lower Urinary Tract ◽

Telephone Interview ◽

Clinical Signs ◽

Significant Difference ◽

Tract Disease ◽

Observation Period ◽

Lower Urinary

Objectives Feline lower urinary tract disease (FLUTD) causes clinical signs such as stranguria, pollakiuria, haematuria, vocalisation and periuria, and is often associated with recurring episodes. The primary objective of this study was to survey the long-term course of cats presenting with FLUTD in terms of recurrence rate and mortality. Methods Data from cats that were presented with lower urinary tract signs from 2010 to 2013 were collected by telephone interview with cat owners, using a questionnaire. The observation period ranged from the first presentation due to FLUTD to the telephone interview or the cat’s death. Data on diagnoses, recurrence of clinical signs and disease-free intervals, as well as implementation and impact of prophylactic measures (PMs), were collected and compared between groups with different aetiologies. Results The study included 101 cats. Fifty-two cats were diagnosed with feline idiopathic cystitis, 21 with urolithiasis and 13 with bacterial urinary tract infection; 15 had no definitive diagnosis. Of the 86 cats with a known diagnosis, the recurrence rate was 58.1%, with no significant difference between groups. Twenty-one cats had one relapse, 12 had two relapses, 10 had three and seven had four to eight relapses within a median observation period of 38 months (range 0.5–138 months). Fourteen cats suffered from different causes of FLUTD at different episodes. Mortality due to FLUTD among all 101 cats was 5.0%. The recurrence rate in cats with urolithiasis receiving at least two PMs was significantly lower than the recurrence rate in those without PMs ( P = 0.029). Conclusions and relevance More than half of the cats with FLUTD presented with two or more recurrent episodes irrespective of the identified aetiology. Cats should be thoroughly investigated at each presentation as it cannot be presumed that the cause of FLUTD is the same at different episodes. The mortality due to FLUTD is lower than previously reported.

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Risk factors for failure of long-term dutasteride add-on treatment to alpha-adrenergic antagonist for patients with lower urinary tract symptoms and benign prostatic enlargement

International Urology and Nephrology ◽

10.1007/s11255-021-03053-9 ◽

2021 ◽

Author(s):

Naoki Wada ◽

Noriyuki Abe ◽

Kotona Miyauchi ◽

Mayumi Ishikawa ◽

Shogo Makino ◽

...

Keyword(s):

Risk Factors ◽

Urinary Tract ◽

Lower Urinary Tract Symptoms ◽

Lower Urinary Tract ◽

Benign Prostatic Enlargement ◽

Adrenergic Antagonist ◽

Urinary Tract Symptoms ◽

Prostatic Enlargement ◽

Lower Urinary

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Risk factors associated with clinical signs of lower urinary tract disease in indoor-housed cats

Journal of the American Veterinary Medical Association ◽

10.2460/javma.228.5.722 ◽

2006 ◽

Vol 228 (5) ◽

pp. 722-725 ◽

Cited By ~ 43

Author(s):

C. A. Tony Buffington ◽

Jodi L. Westropp ◽

Dennis J. Chew ◽

Roger R. Bolus

Keyword(s):

Risk Factors ◽

Urinary Tract ◽

Lower Urinary Tract ◽

Clinical Signs ◽

Factors Associated ◽

Tract Disease ◽

Lower Urinary

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Urethral Dilatation in Women: Urologists' Practice Patterns in the UK

Annals of The Royal College of Surgeons of England ◽

10.1308/003588406x114884 ◽

2006 ◽

Vol 88 (5) ◽

pp. 496-498 ◽

Cited By ~ 10

Author(s):

M Masarani ◽

RG Willis

Keyword(s):

Urinary Tract ◽

Lower Urinary Tract ◽

Response Rate ◽

Postal Survey ◽

Adult Women ◽

Questionnaire Response ◽

Urethral Dilatation ◽

The Uk ◽

Lower Urinary

INTRODUCTION Review of the literature reveals little evidence to prove the efficacy of urethral dilatation for adult women with various lower urinary tract complaints. We conducted a postal survey to ascertain the actual practice of urethral dilatation among urologists in the UK. MATERIALS AND METHODS A questionnaire was mailed to 428 consultant urologists listed as full members of the British Association of Urological Surgeons. The questionnaire consisted of 8 items about urologists' perception of indications, efficacy, and the need for repeated dilatation and anaesthesia. RESULTS The questionnaire response rate was 42%. Although urethral stenosis was the most common indication (97%), the majority of urologists (69%) indicated that fewer than 25% of patients had evidence of stenosis. Overall, 61% of urologists performed dilatation 7 times or more during the last year and 55% believed that less than half of the patients experienced long-term improvement. CONCLUSIONS Despite the lack of strong evidence to support the use of urethral dilatation in women, many urologists continue to find it a useful tool in approaching women with lower urinary tract complaints.

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