Feline Uterine Prolapse
Uterine prolapse is the protrusion of the uterus, which is the hollow muscular organ that supports the development of the fetus, through the cervix, the part of the uterus closest to the outside of the body. It is a rare condition in small animal veterinary medicine and is more common in the female cat (queen) than in the female dog (bitch).
Uterine prolapse can be seen in all breeds and ages of cats. It usually occurs during or immediately after giving birth, most often after the delivery of the last newborn, but can also be seen following spontaneous abortion.
General Causes of Uterine Prolapse in Cats
What to Watch For
Diagnosis of Uterine Prolapse in Cats
Baseline tests, to include a complete blood count (CBC), biochemical profile, and urinalysis, are usually within normal limits. Occasionally, in advanced cases or in patients who have infection throughout the body (sepsis), there can be multiple abnormalities that need to be addressed immediately. Your veterinarian may also recommend additional tests:
Treatment of Uterine Prolapse in Cats
The objectives in treating uterine prolapse are to return the uterus to its normal position and to prevent or eliminate uterine infection. Whether or not these can be accomplished, depends on the condition of the patient and the integrity of the prolapsed tissue. Immediate hospitalization and intervention is often necessary, either to prevent death (devitalization) of tissue or to treat the problem.
Home Care and Prevention
Follow all instructions given to you by your veterinarian. Continue antibiotic therapy for the entire recommended time period. If the uterus was replaced and there is full recovery, it may be possible to breed the bitch in the future. The queen has a higher rate of having a litter following a successful uterine prolapse repair than a bitch.
Ovariohysterectomy is clearly the best preventative. Care should be taken when assisting animals during the birthing process not to be too forceful in removing fetuses or associated fetal tissue.