Does PU Surgery Shorten Cats Life?
- Zoorithm Vet Team
- Sep 27
- 4 min read
Perineal urethrostomy (PU surgery) is a procedure performed on cats that suffer from repeated urinary blockages. It is often recommended when other treatments fail, especially in male cats, since their urethra is naturally narrow. For many pet parents, the thought of surgery feels frightening.
One common worry is: does PU surgery shorten cats life? The good news is that PU surgery usually does not shorten a cat’s life. In fact, it can extend life by preventing painful, life-threatening blockages.
Let’s break down what PU surgery is, how it affects cats, and whether it impacts lifespan.

What Is PU Surgery in Cats?
Perineal urethrostomy, or PU surgery, is a procedure where a veterinarian creates a wider urinary opening by removing the narrow part of the urethra in male cats.
Purpose: To stop repeated urinary blockages.
Patients: Usually performed on male cats with feline lower urinary tract disease (FLUTD) or urinary stones.
Goal: Reduce the risk of dangerous obstructions that can cause kidney damage or even death.
This surgery is considered a last resort but is often life-saving.
Does PU Surgery Shorten Cats Life?
The short answer is no—PU surgery does not shorten a cat’s life. Instead, it can actually help cats live longer, healthier lives by removing the risk of repeated blockages.
Without surgery: Cats with frequent urinary blockages may die suddenly if the bladder or kidneys fail.
With surgery: The obstruction risk is reduced, giving cats a better chance of a normal lifespan.
Key point: The surgery itself does not reduce life expectancy. Complications, if they occur, may affect quality of life, but most cats recover well.
So, rather than shortening life, PU surgery is often what saves it.
Benefits of PU Surgery
PU surgery is not just about preventing blockages—it also improves daily comfort and overall health.
Relief from pain: No more straining or painful urination.
Lower emergency risk: Prevents sudden, life-threatening urinary obstruction.
Improved quality of life: Cats feel calmer and more active after recovery.
Extended lifespan: Cats can live out their natural years without constant risk of death from blockages.
These benefits explain why vets recommend PU surgery when medical management no longer works.
Risks and Complications
While PU surgery is generally safe, like any surgery, there are potential risks. These do not usually shorten lifespan but can affect quality of life if not managed.
Infections: Post-surgery urinary tract infections (UTIs) are more common.
Urinary leakage: Rare but possible in some cats.
Stricture formation: The new opening may narrow over time, requiring correction.
Behavioral stress: Some cats may remain anxious about litter box use initially.
Most complications can be treated or managed with regular vet care.
Long-Term Outlook After PU Surgery
Most cats recover fully and go on to live normal lifespans after PU surgery. Success depends on:
Proper post-surgery care: Following vet instructions for litter, diet, and wound care.
Diet management: Prescription urinary diets help prevent stone formation.
Hydration: Encouraging water intake keeps urine dilute and healthy.
Routine check-ups: Regular vet visits catch any issues early.
With the right care, cats who have PU surgery often live just as long as cats who never needed it.
Does PU Surgery Affect Quality of Life?
For many cats, PU surgery improves quality of life significantly. They no longer suffer repeated emergencies, pain, or vet visits for catheterization.
Owners often notice cats are happier, more playful, and more relaxed after recovery.
The ability to urinate freely reduces stress for both the cat and the owner.
With diet and care, most cats live normal, healthy lives post-surgery.
So, while the surgery may sound drastic, it is usually a positive turning point.
Conclusion
So, does PU surgery shorten cats life? No—it does not. In fact, PU surgery is usually life-saving. It prevents deadly urinary blockages, improves quality of life, and allows cats to live out their natural lifespan.
While there are risks of infection or complications, most cats recover well and thrive after surgery. With the right diet, hydration, and follow-up care, your cat can live happily for many years after PU surgery.
FAQs
Does PU surgery shorten cats life?
No, PU surgery does not shorten a cat’s life. On the contrary, it prevents life-threatening urinary blockages and often allows cats to live longer, healthier lives.
What is the success rate of PU surgery in cats?
The success rate is very high, with most cats recovering well and living normal lifespans. Complications like infections or stricture are possible but treatable with proper care.
Can cats live a normal life after PU surgery?
Yes, most cats live normal, happy lives after recovery. They urinate more easily, experience less pain, and enjoy a better quality of life compared to before surgery.
What are the long-term risks after PU surgery?
Possible risks include urinary tract infections, urinary leakage, and stricture formation. These are not common and can be managed with veterinary care, diet adjustments, and regular check-ups.
How can I care for my cat after PU surgery?
Follow your vet’s instructions, use shredded paper litter during healing, keep the area clean, and feed a urinary health diet. Encouraging water intake and scheduling regular vet visits are essential for long-term success.