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Medical Forum / Diseases and Disorders / Prostate BPH / April 2004self-catheterization
I was taught how to self-catheterize myself yesterday by my urologist. I was able to drain some urine my first two attempts, but my I couldn't pass any urine on my third attempt (this morning). I just got rid of an indwelling catheter, but I really don't want to go back to it. I'm going to try to see my uro again today, or at least some uro in the office. I'm very scared that I might have to go to the emergency room to relieve my backed up bladder. I've had blood clots after a TURP and experienced bladder backup then, and the pain was excruciating, which I'm trying to avoid now. So, what's my problem? Perhaps some kind of obstruction? It does hurt a bit to thread the catheter up the urethra. Sure wish I could get by this problem. I've had a cytsocoscope and two TURPS, and I still can't pee worth a damn. Very frustrating and scary. Any ideas, guys? Much thanks. Dave, If you had 2 cystoscopes, how come the doc doesn't see the cause of the blockage? A urodynamic test of the bladder should be able to determine if the cause is with that. Ron > From: BopD@msn.com (Dave) > Organization: http://groups.google.com [quoted text clipped - 15 lines] > had a cytsocoscope and two TURPS, and I still can't pee worth a damn. > Very frustrating and scary. Any ideas, guys? Much thanks. I had the permanent catheter installed back into me yesterday, so I can pee again. My uro keeps telling me my bladder is "dead," but I think there's an obstruction--strictures, or scar tissue--of some sort in my urethra that's blocking the urine flow. I could pee fine after my two TURPS, but then slowly the ability to pee slowed and then stopped altogether, which again leads me to believe the cause is an obstruction rather than a nonworking bladder. Anyone know the tests to be run to determine which is it? Thanks. Dave Urodynamics test - similar to EKG, some tests use x-ray dye & x-ray pictures are taken throughout the test. Entire test can be recorded on the computer. Ron > From: BopD@msn.com (Dave) > Organization: http://groups.google.com [quoted text clipped - 10 lines] > obstruction rather than a nonworking bladder. Anyone know the tests to > be run to determine which is it? Thanks. Dave > I had the permanent catheter installed back into me yesterday, so I > can pee again. My uro keeps telling me my bladder is "dead," but I [quoted text clipped - 4 lines] > obstruction rather than a nonworking bladder. Anyone know the tests to > be run to determine which is it? Thanks. Dave Even a "dead" bladder shouldn't prevent you from draining with self catheterization. My understanding is that the only difference with an indwelling catheter is a balloon-like device that keeps it in place. Otherwise they both work through siphoning, not from any push by the bladder. My guess is that you're problem is with inserting the catheter. If you have strictures or other obstruction it may be difficult to thread the catheter through the urethra. Maybe a smaller diameter catheter would be easier. Also, you have to be careful not to rotate the catheter as you're inserting it. If the opening at the top lodges agains the bladder wall the urine won't be able to siphon out. The catheter I use has a little nib on the bottom end, making it easier to keep the proper alignment. Hope you can get the self catheter method working. In my experience its way better than the indwelling kind. Stuart Thanks for your reply, Stuart. When I couldn't thread the catheter through my urethra, I went to my urologist's office, and the nurse there couldn't thread it, either. Also, there is some pain on inserting, or trying to insert, the catheter. This would lead me to believe there are, indeed, strictures somewhere in my urethra, but my urologist for some reason is reluctant to conduct tests to look for strictures. I see him again today, and it will be interesting to see what he wants to do now. I'll report back. I really want to get rid of this permanent catheter attached to my leg and penis. I've been fighting this problem for over a year, and after a cytoscopy and two TURPS, I still can't pee. Very depressing and frustrating. But thanks for your input, guys. It's very much appreciated. --------- Keep us posted. What were the sizes of the catheters you were attempting to use ? Typically, the self insertion catheters are smaller than those at the doc's. Hope you get some good input from your uro Zork > Thanks for your reply, Stuart. When I couldn't thread the catheter > through my urethra, I went to my urologist's office, and the nurse [quoted text clipped - 8 lines] > TURPS, I still can't pee. Very depressing and frustrating. But thanks > for your input, guys. It's very much appreciated. Hi, it would seem to me that you might want to head to the Mayo Clinic, (Rochester, Mn) & have them look into things. They will, with beneficial results. Good luck, ls I visited my uro yesterday, and he said "due to scarring at the bladder neck and a long urethra," I would not be able to self-catheterize myself and would have to wear the indwelling, permanent catheter the rest of my life. He's going to take another look the 19th to make absolutely certain that there's nothing else he can do. So, after a cytoscopy and two TURPS, I still can't pee on my own. I can't believe it. This news is devastating. I'm 59 years old and the sex thing still works. Maybe it would have been better for him to lop off the bladder neck. I would have retrograde ejaculation, but I might be able to at least pee. There must be some way to get the urine from the bladder out of the body without wearing this damn catheter. Any suggestions, guys? Thanks for your input. > I visited my uro yesterday, and he said "due to scarring at the > bladder neck and a long urethra," I would not be able to [quoted text clipped - 8 lines] > urine from the bladder out of the body without wearing this damn > catheter. Any suggestions, guys? Thanks for your input. If he can get a cystoscope in there, you can get a catheter in there. Time for a new urologist.  SignatureNelson |
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