What is the recommended course of action for a female cat with large stones in the bladder?

In cases of a female cat with large stones in the bladder, performing a cystotomy is the recommended course of action. A cystotomy is a surgical procedure that involves making an incision into the bladder to remove the stones or calculi. This approach is often necessary when the stones are too large to pass through the urinary tract or if they are causing significant obstruction or irritation to the bladder lining.

Removing the stones surgically is crucial because it addresses the immediate issue and alleviates pain and distress that the cat may be experiencing. Additionally, while other treatments such as diet modifications or antibiotics may play a role in management or prevention of future stones, they do not provide a solution to the immediate problem of large stones already present in the bladder. Pain management is also important for comfort but does not resolve the underlying issue of the stones themselves. Thus, cystotomy stands out as the most effective and decisive option to ensure the health and well-being of the affected cat.