Subtotal colectomy for feline megacolon has excellent long-term outcomes when performed by experienced surgeons, dramatically improving welfare for cats with intractable constipation.
Subtotal colectomy resolves the welfare burden of megacolon decisively in the majority of cases. Cats prior to surgery experience chronic abdominal discomfort, repeated anaesthesia for manual evacuations, and systemic effects from toxin absorption. After successful surgery, these welfare harms are eliminated. The initial post-operative period with liquid faeces is uncomfortable and requires nursing care, but it is temporary and represents a transitional welfare cost on the way to lasting improvement. Owners who commit to the surgery and post-operative care investment report dramatic improvements in their cat quality of life that typically exceed their expectations.