Welcome to YT.
I agree with you about the food. Wouldn't worry so much about ingredients as I would 10% protein for life. Have you gotten a second opinion?
With urates, they may be able to be managed by having good control of the liver issue. Sometimes the hole does have ot be made larger.
I'd start with another opinion..
He needs a specialist if haven't already seen one. If there is a shunt present and it isn't fixed, I wouldn't have high hopes for the bladder.
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