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Medical Forum / Diseases and Disorders / Prostate BPH / December 2003

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Catheter -- effect on bladder muscle?

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Harry A - 03 Dec 2003 22:04 GMT
Have had a catheter for three weeks now, after an abrupt retention problem
(due, presumably to my enlarged prostate suddenly getting even bigger). An
attempt at removing the catheter after a couple of days was unsuccessful, in
that flow was too little. I was booked for the TURP, but managed to get
referred for the PVP (still waiting confirmation). Having heard that I may
have to wait another 2-3 months for the op, I'm concerned at what effect
having this ghastly catheter in for so long will have. As the 'peeing'
muscles are inactive, will this have a long-term effect on them?

One of the reasons I ask is that when I enquired about removing the catheter
again before the op to see how I got on, I was told that something of the
kind might indeed happen. But if that's the case, then surely having the op
is not going to reactivate the muscles is it?

Any thoughts?

TIA,
Harold
Chris - 06 Dec 2003 00:22 GMT
>Have had a catheter for three weeks now, after an abrupt retention problem
>(due, presumably to my enlarged prostate suddenly getting even bigger). An
[quoted text clipped - 11 lines]
>
>Any thoughts?

Don't know about the long term effect of the catheter, but before my
PVP I had a similar problem after a general anaesthetic, and I kept
getting retention and having to self-catheterise, so I started taking
Hytrin again, and that helped increase the flow.
    If you aren't taking one of those alpha-blockers like Hytrin,
now might be a good time to start. Or how do you feel about
self-catheterising ? Even doing that several times a day is better
than having that permanent catheter.

Chris.
Harry A - 08 Dec 2003 12:22 GMT
>Don't know about the long term effect of the catheter, but before my
>PVP I had a similar problem after a general anaesthetic, and I kept
[quoted text clipped - 6 lines]
>
>Chris.

Thanks for this, Chris. I hadn't heard of self-catheterisation. I suspect
that here in the UK it would not be encouraged or 'allowed'? What does Hytrin
do?

Perhaps I should add also that the comment made to me about temporarily (?)
losing the ability to urinate came from my GP and not the urologist.

TIA,
Harold

>>Have had a catheter for three weeks now, after an abrupt retention problem
>>(due, presumably to my enlarged prostate suddenly getting even bigger). An
[quoted text clipped - 11 lines]
>>
>>Any thoughts?
Derek F - 13 Dec 2003 20:26 GMT
> >Don't know about the long term effect of the catheter, but before my
> >PVP I had a similar problem after a general anaesthetic, and I kept
[quoted text clipped - 16 lines]
> TIA,
> Harold

I love to repeat the story of Victorian gentlemen who had to self
catheterise. They carried the rolled up tube inside their top hats. Not very
hygienic and most of them got an infection and died within a few months.
Derek.
Ricardo G B - 10 Dec 2003 21:18 GMT
I was catherized for several months waiting for my TURP.  I was told
to clamp the catheter end (without a bag) and don´t unclamp it until I
felt I really had to pee.  After my TURP my bladder worked ok.  But,
before the TURP,  permanent catherization brought infections that were
treated with quinolones.  The quinolones -seemingly- produced an acute
intersticial nephritis in my kidneys that put me in the hospital for
15 days seriously ill.
So, I would recomend you to have your prostate fixed as soon as
posible (TURP or PVP)  before you start having trouble.  Good luck.
RGB
 
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