PU surgery (perineal urethrostomy) cost for cats
Male cats that block again and again may need PU surgery, which creates a wider opening so they can pee.
Last updated: October 2026 · US prices · 3 sources · see sources
What it costs
| Item | Typical US price | Src |
|---|---|---|
| PU surgery (MetLife) | $1,500 to $3,000 | [1] |
| Perineal urethrostomy, low-cost surgical clinic (Maryland) | $995 | [2] |
Each source measures something a little different: published clinic prices, national averages or real owner bills. Use them to plan, and ask your vet for a written estimate.
What it is
A perineal urethrostomy removes the narrowest part of the male cat's urethra and creates a wider opening. It lowers the risk of future blockages. [3]
When vets recommend it
It's usually considered after repeated blockages, or when a blockage can't be relieved with a catheter. [3]
Recovery and aftercare
Expect about two to three weeks of recovery with a cone and paper litter. [3]
Medicines vets often use around this treatment: Buprenorphine. We don't list doses; your vet will decide what fits your pet.
What affects the cost
- Who does it Board-certified specialists and referral hospitals usually charge more than general practices.
- Your pet's size and health Bigger pets need more anesthesia and medicine, and pets with other illnesses may need extra tests or monitoring.
- Planned or emergency Emergency and after-hours care costs more than a scheduled procedure.
- Where you live Prices in big coastal cities tend to run higher than in smaller towns.
Common questions
How much does PU surgery (perineal urethrostomy) for cats cost?
PU surgery (MetLife): $1,500 to $3,000. Perineal urethrostomy, low-cost surgical clinic (Maryland): $995. Your vet's written estimate is what counts, since prices vary by clinic, region and your pet's needs.
Will pet insurance pay for it?
Many accident-and-illness plans help with treatment like this if the problem isn't pre-existing and any waiting period has passed. Check your policy, and ask your vet for an itemized estimate you can send to the insurer ahead of time.
Related
This page is general information for pet owners, not veterinary advice. Talk to your vet about your own pet.