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Removal of Long Term Catheter

User
Posted 05 Aug 2016 at 15:30

Wonder whether anyone out there has experience of having a long term catheter removed and, if so, how this has been managed.  I was catheterised at the beginning of March as an emergency (couple of days after diagnosis of advanced prostate cancer, no symptoms so all a massive shock)  - bladder was distended and not emptying properly as urethra restricted by enlarged prostate - as far as I was concerned I was still peeing normally but obviously urine was retained every time.  Told by Consultant Urologist catheter would be in place for at least 3 months, however at the end of April was given an appointment for a trial without the catheter and spent a somewhat stressful morning at the local hospital when, despite feeling I was about to burst and desperate to pee, only a few drips emerged, so, catheter put back.  The next week I started the 6 x 3 weekly course of Docetaxel so nothing further to be done until this is finished, just had 5th session and one more to go.  Incredibly lucky with very few side effects and feeling well so far.

Specialist Urology Nurse seems confident the catheter is not permanent, however, can't help feeling that if it is removed everything is not going to be as it was - presumably my bladder must have been stretched/distended by retention of urine so no idea if there is any muscle tone there. From 2 weeks before the trial catheter removal in April I had been using a flip flow catheter valve to empty my bladder rather than a leg bag, and have continued with this as it makes life much more 'normal', however, very seldom feel as though I need to pee - usually I 'go' at regular intervals (about 3 hours maximum).  My main concern is that the catheter is removed and I am left incontinent as would rather keep the catheter if this is the only alternative.  I am too squeamish to consider intermittent catheterisation even if this were feasible, and even if I weren't it does seem to be very disruptive to 'normal' life.  Would be grateful to hear other's experiences and recommendations.  Thanks.

User
Posted 05 Aug 2016 at 17:40
C

Intermittent self dilatation / catheterisation is a doddle. I have not seen any members on here say it is a problem,even the guys who dread the idea usually get on quite well.

If you consultant agrees you could go down the route of external catheters / sheath system.

I was catheterised for 90 days but with a mixture and or combination of urethral and super pubic and although it took some time I did get from 200 ml a day to my present level of a few mls a day in about three months. Give me a few mls leak a day rather than a catheter any day and I got quite used to having a catheter.

Getting stressed during the twoc can cause retention I am surprised they do not do more to help relax the guys who retain.

Thanks Chris

 
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