My little guy, 18 months old, started showing the classic signs of this last Saturday...crying when trying to pee, peeing outside of the litter box and very very little amounts of urine. So I took him right away to the vet where he has been ever since.
So far they have had to catheterize him 3 times. He's good for about 12 hours and then blocks up again. They took the catheter out last night and were going to monitor him again today to see if he can pee on his own ok. If not, they are going to recommend surgery.
I've read a fair amount on this and the info is pretty consistent. They do a procedure to basically amputate the penis which then provides a larger opening so even if crystals re-form, they don't block up.
Because he's blocked 3 times in the past week, we don't even have a chance to manage with his diet. By having surgery, this would also give us time to get him on the right diet so that we can prevent reforming of crystals.
I'm almost positive I will go through with the surgery because in all I've read it is pretty effective. I just have this *thing* going through my head about the amputation part. It seems such a severe alteration, even though it should help him greatly.
I guess I just wanted to see if anyone out there had any experience with this surgery for their cats.
Sorry for the novel and warm chocolate chip cookies for all who have made it through.