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Consent to Perform Castration, Feline



  VetBooks.ir  Patient name:_________________________________
         Pet owner’s name:_____________________________  Med rec #____________
         Best contact during/after procedure (e.g., cell phone number):____________________


         INTRODUCTION
         We want to make sure that you understand the planned medical   Other anticipated risks specific to your cat:___________________
         procedure to be performed on your pet. You should know why the   _________________________________________________________
         procedure has been suggested, what the potential benefits are for
         your pet, and the most common/important risks of the procedure.
         Alternatives to this procedure, when applicable, will be discussed
         with you. It is also important that you recognize that medicine is   ALTERNATIVES TO THE PROCEDURE
         not an exact science, and that the outcome cannot be guaranteed.   Although attempts have been made to create a drug that can cause
         We encourage you to ask us as many questions as required for   chemical castration, none is as effective in reducing male sexual
         you to make a well-informed decision.                  hormones as surgical removal of the testicles.
         BENEFITS/OPTIMAL OUTCOME OF THE PROCEDURE              AUTHORIZATION
         A castration (also known as neuter) is the surgical removal of a   By signing this form below, you agree that:
         cat’s testicles, performed under general anesthesia. This procedure   •  You understand how/why the procedure is likely to help your
         is performed to eliminate the possibility of reproduction. Certain   pet
         behaviors associated with male hormones are reduced after castra-  •  You understand what will be done to your pet during the
         tion, such as urine marking, aggression, roaming, and unwanted   procedure
         sexual behaviors.                                      •  You understand the known risks that accompany the procedure,
                                                                  and also understand that unforeseen complications may occur
         EXPLANATION OF THE PROCEDURE                           •  You understand that the procedure may not produce the results
         During this procedure, your pet will be anesthetized. The scrotum   we hope to achieve
         is shaved and cleaned, and a small incision is made in each scrotal   •  You understand the alternatives to this procedure for your pet
         sac. The spermatic cord is tied off, and the testicles are removed.   •  You agree that you have been given time to ask questions regard-
         The small incision may be left as is or may be closed with suture   ing the procedure, that these have been answered satisfactorily,
         or skin glue depending on the surgeon’s preference. The entire   and that you are free to decline the procedure.
         process, including the induction of anesthesia and recovery, usually
         takes approximately 15-30 minutes. Pain medication may be given
         during the procedure, and additional pain medication may be given   ____________________________________  ______________
         after the procedure depending on your pet’s needs.
            Additional procedures planned for your pet at the same time   Signature of pet owner/owner’s agent      Date
         as the feline castration:
                                                                ____________________________________  ______________
         ____________________________________________________________
                                                                Witness to consent (signature)             Date
         USE OF SEDATIVES OR ANESTHESIA
         Feline  castration  requires  the  use  of  general  anesthesia,  which   ____________________________________
         causes your pet to become unconscious. Although anesthesia
         is performed routinely with good outcomes, it does bring risks,   Witness to consent (printed name)
         including a very small risk of death. These risks are increased for
         animals with severe disease. To reduce these risks, your cat will
         be monitored closely during both anesthesia and during recovery
         from anesthesia. The decision to perform this procedure is based
         on having assessed that the anticipated benefit is greater than the
         anesthetic risk.
         FORESEEABLE RISKS TO THE PROCEDURE
         A castration is considered a routine surgery, and the overall risk is
         low. Complications during surgery are very rare and usually related
         to the use of general anesthesia. After surgery, complications may
         include excessive bleeding, bruising, or infection. It is important to
         follow postoperative instructions to restrict activity and prevent your
         cat from licking at the incision to lower the risk of these complications.
                                                                               Practice Stamp or Name & Address
         Also available in Spanish.

                     From Cohn and Côté: Clinical Veterinary Advisor, 4th edition. Copyright © 2020 by Elsevier Inc. All rights reserved.
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