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Medical Forum / Diseases and Disorders / Prostate BPH / May 2004self-catheterization not working
I try to thread the catheter into the bladder to self-catheterize myself, but nothing comes out. I certainly push the catheter in far enough. Anyone know what I might be doing wrong? >I try to thread the catheter into the bladder to self-catheterize >myself, but nothing comes out. I certainly push the catheter in far >enough. Anyone know what I might be doing wrong? You SURE it is in far enough ? Are you possibly already voided, but that I doubt, should be some residual if nothing else. Zork > I try to thread the catheter into the bladder to self-catheterize > myself, but nothing comes out. I certainly push the catheter in far > enough. Anyone know what I might be doing wrong? Hi Dave. if you,ve been using an indwelling catheter previously there seems no reason why you cant self catheterize I have been using single use catheters for a few months now with no problems. The catheters I use are 40cm in length about 16 inches approx and when I place one in there,s about 4--5 inches left outside when I start to flow.Now everybodies internal plumbing is not the same so it may be be different for you but 16 inches is the standard size catheter so I guess there will some people who will need more or less than me. If you are using a reusable catheter and require to put a lubricant on the stem make sure that whatever you are using is not blocking the inlet holes,likewise with what you use to clean it. Ive been using single use disposable catheters which are handy no cleaning or lubricant required. When I first used them there was a bit of discomfort putting them in but after a few times I think the uretha gets less sensitive and now I can do it no problem at all. I hope you have some success with self cath,ing, I know from previous experience what an indwelling catheter is like Jim S. Thanks for your comments, guys. Jim, it's a possibility that the lubricant I'm using--K-Y jelly--is indeed blocking the outlet holes. I'll try just lubricating the catheter below the holes. Maybe I should try it without the lubricant at all and see what happens. All very frustrating. And as you say, I'll do anything to stay off the tube up the penis and the bag strapped to my leg. Jim: if you would be so kind as to give me the type of catheter you use--the disposable one with no lubricant necessary--please do so. And thank you very much. That might solve my problem by itself. Thanks again for your help, Jim. > Jim: if you would be so kind as to give me the type of catheter you > use--the disposable one with no lubricant necessary--please do so. And > thank you very much. That might solve my problem by itself. Thanks > again for your help, Jim. Hi Dave , The single use catheters I use are Lofric manufactured by Astratech and I,ve found them to be easy to use, they come in individual sterile packets you just partially open the packet fill it with clean household tap water and that activates the self lubricant on the catheter then use it after about 30 secs and thats about it apart from carrying out the usual basic hygiene practices I,ve had no problems with infections which I was continually having with the indwelling foley catheter.By the way I would not advise you to use your existing catheter with no lubricant as you could damage your urethra. This is Astratech,s USA web site www.astratechusa.com UK web site www.astratechuk.com Jim and others: I'm still having no luck self-catheterizing myself. I tried inserting the catheter with no lubricant, but it was no go. I've tried only lubricating the catheter below the holes so as not to block them, but that doesn't work, either. Tomorrow, I'm going into the office for help. I can sqeeze out enough urine on my own to keep from going into complete urinary retention, but over the long run, that will not be enough to keep me from toasting my kidneys. The uro can insert the indwelling catheter, which is much larger in circumference, so I don't know why the self catheter doesn't slide in. What a mess. But thanks for your comments and help, guys. Much appreciated. Dave > Jim and others: I'm still having no luck self-catheterizing myself. I > tried inserting the catheter with no lubricant, but it was no go. I've [quoted text clipped - 6 lines] > so I don't know why the self catheter doesn't slide in. What a mess. > But thanks for your comments and help, guys. Much appreciated. Dave Sorry to hear your still having problems self cathing,I had a look at the astratech UK web site and looked up the FAQ pages regarding difficulty inserting the cath. and this is what was stated regarding the problem"Men with a narrow or convoluted urethral passage can use a LoFric? Tiemann catheter, which has a slightly curved and tapered tip to aid insertion". So possibly you need to use that type of cath. When I started self cath,ing I was instructed how to do the procedure by a specialist nurse and the nurse observed me first time to make sure I could do it correctly. That gave me the confidence to do it on my own after that. Good luck Jim S A year after my first PVP, when my surgeon attempted Urodynamic testing, though he tried a bunch of different catheters, couldn't get it into the bladder. Even when he tried to guide it in with a cystoscope & failed. Ron > From: "Jim S." <lochland@clara.co.uk> > Newsgroups: sci.med.prostate.bph [quoted text clipped - 25 lines] > > Good luck Jim S Jim: thanks for your latest post and the info re the Tiemann catheter. I visited my uro's office today, and though my uro wasn't in, the nurse tried to catheterize me and couldn't do it, either. I visit my uro again Monday, but I'm afraid he's just going to slap the permanent catheter on me again and tell me there's nothing more he can do. I'll ask him about the Tiemann catheter. This HMO setup isn't conducive to encouraging the doctor to go the extra mile for you. But, I'll keep trying. There's gotta be a way to self-catheterize myself. Anything but the dang tube up my penis and bag on my leg. I'll check back with everyone on Tuesday and let you know what my uro told me. Thanks again for your support. I visited my uro on Monday, and as I feared, he said I would have to wear the urethral catheter the rest of my life, since I am unable to self-catheterize myself. He was very vague about why he can slip the permanent catheter in okay but why I can't slip the self-catheter in. I see him again in a couple of weeks, at which time we're going to have one last try at self-catheterization. Meanwhile, I'm already lining up second opinions. It's still very hard to believe that I might actually have to go through life with a tube up my penis and a bag strapped to my leg. No more sex and "increased morbidity." Not good. Your comments and suggestions are welcome, guys. Any advice greatly appreciated. Davis wrote: >I visited my uro on Monday, and as I feared, he said I would have to >wear the urethral catheter the rest of my life, since I am unable to [quoted text clipped - 7 lines] >good. Your comments and suggestions are welcome, guys. Any advice >greatly appreciated. You are not in a good position, and you're there because you have not gotten a second opinion as yet, in my humble opinion. I've noticed that many have suggested this also. I know how money situations can be, being retired, but a situation like that would prompt me to do what it takes to get an opinion from a respected urologist, and preferably one who does, and is experienced with the PVP procedure. A urologist who is "vague", and keeps you in the dark as to your situation begs to be discharged. I believe that there is help for your condition. Just not with the urologist you are currently visiting. Like has been said by many before, can't be stressed enough. Get a 2nd and possibly a 3rd opinion ! ! ! ! ! ! ! ! ! ! ! ! I can't belive the information you have gotten to this point is adequete or complete. Please do it... Zork ------- >Davis wrote: > [quoted text clipped - 22 lines] >situation begs to be discharged. I believe that there is help for your >condition. Just not with the urologist you are currently visiting. Dave: People get second opinions for far less morbid situations. You should, too. Is there a teaching hospital nearby? Mel > I visited my uro on Monday, and as I feared, he said I would have to > wear the urethral catheter the rest of my life, since I am unable to [quoted text clipped - 7 lines] > good. Your comments and suggestions are welcome, guys. Any advice > greatly appreciated. Is there a teaching hospital nearby? Mel ------------------ boy mel, that sounds like that best advice i've heard. teaching hospitals would be on the cutting edge of technology. ================ No more sex and "increased morbidity." Not good. Your comments and suggestions are welcome, guys. Any advice greatly appreciated. ----------- dave - it's not the end of the world - believe me. i know. but we have guys who can still get it up after the RP surgery and still have the catheter in. some doctors don't want any sexual activity until the catheter comes out and other doctors who will tell how to do it in such a way the catheter doesn't interfere. if you want to have any sex, just wear a condom and place the catheter where is will lay inside the condom. from the feedback i've heard is that it works with minimum problems. i can't believe the doctor would say no sex. the seminal fluid is going to come out. people don't talk about it, but in older men who don't have much sex drive will "leak" from just having a bowel movement, or they will "drip" if there hasn't been any ejaculation in the past few weeks. sorry to be so graphic, but that's life. hope this info helps. ~ curtis knowledge is power - growing old is mandatory - growing wise is optional "Many more men die with prostate cancer that of it. Growing old is invariably fatal. Prostate cancer is only sometimes so." I'm in the process of getting a second opinion now from my HMO re my situation with the permanent catheter. If necessary, I'll get second opinions from other urologists and pay for them myself. I still don't understand how sex can work with a tube sticking out of my cock and urine dripping out of the tube. But right now, that's the least of my problems. Thanks again, guys, for your support and advice. >I try to thread the catheter into the bladder to self-catheterize >myself, but nothing comes out. I certainly push the catheter in far >enough. Anyone know what I might be doing wrong? ---------------------- It's been a while since anything has been posted in the group with your dilemma. Last I recall you were going to visit a different uro to get another opinion....the ultimate goal of course was to not have to have a permanent catheter. Has any progress been made and/or have you found out why self catherization will not work for you. Been thinking of you ! Zork |
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