10/23/2026
Meet James Thomas
James Thomas is a sweet, 10-year-old neutered male cat who unfortunately knows the staff at Florence Animal Hospital a little too well.
James has a history of bladder stones and has experienced two previous urinary blockages. Recently, his owner noticed that he was making frequent trips to the litter box, straining to urinate, and occasionally urinating outside his box. Despite all his efforts, he was producing only very small amounts of urine.
When James arrived at the hospital, we discovered that he was blocked again. Urinary obstruction is a serious, potentially life-threatening emergency in male cats. Because their urethra is so narrow, inflammation, crystals, stones, or other debris can prevent urine from leaving the bladder. Without prompt treatment, this can quickly become a critical situation.
We placed a urinary catheter to relieve James's obstruction and hospitalized him for treatment and monitoring. Unfortunately, as soon as his catheter was removed, James obstructed again.
After three urinary blockages, it was clear that James needed a more permanent solution.
Dr. Bingham performed a Perineal Urethrostomy (PU), a delicate surgical procedure that creates a wider urinary opening by bypassing the narrowest portion of the urethra. Although this surgery doesn't prevent bladder stones or other urinary tract problems, it greatly reduces the risk of another life-threatening obstruction.
We're happy to report that James did very well with his surgery! He's now recovering while we carefully monitor his surgical site and make sure he's urinating normally.
In veterinary medicine, we sometimes find ourselves celebrating things most people wouldn't give a second thought. For James Thomas, a nice, steady stream of urine is certainly one of them!
A quick reminder to cat owners: If your cat is repeatedly visiting the litter box, straining, crying, or producing only a few drops of urine, please seek veterinary attention immediately. These signs can indicate a urinary obstruction and they are sometimes mistaken for constipation. A blocked cat is a true medical emergency.
We're very proud of this sweet boy and hopeful that his days of being a "blocked cat" are finally behind him.
Get well soon, James Thomas! 🐾❤️