February 27th, 2013
Coco presented with a history of recurrent cystitis secondary to suspected hermaphrodism. She had been treated with Synulox for the last 6 months to control pollakuria and stranguria which controlled the clinical signs. On examination, Coco was found to have an anogenital cleft with close apposition of a rudimentary vulva containing a prototypical penis to the anus. Coco also has prominent testicles. There was good anal tone present and no evidence of colonic distension, which are the two main prognostic concerns.
Coco's chronic recurrent urinary signs are being caused by the anatomical defect which allows constant faecal contamination of the external genitalia with ascending infection. This is amenable to surgical correction, and surgery should carry a good prognosis.
More specifically, Coco has severe hypospadias, where the opening of his urethra was on the underside of the penis instead of at the tip. When looking from behind, the midline never formed properly through the perineum, so there was no separation between urogenital tracts, no prepuce, and the testes developed one on each side with the scrotum divided in two.
He/she is a great little cat, pretty much a clone for Felix off the TV adverts and a very laid-back character. And no doubt a well deserving patient! The surgery went really well- thank you everyone for the support!