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Pain around the catheter

User
Posted 24 Jan 2020 at 13:35

Hello community

In December 2019, my oncologist told me to go to A&E where I had my fist catheter inserted. This was extremly difficult and painful with huge amounts of blood and the A&E doctor could do it so a urologist had to do it. I found out later it was a three-way 20 or 22mm (very wide) tube. Due to the amount of blood clotting, I spent three nights in hospital. With the delight of small child, it was removed on Christmas Eve and I skipped to the underground station. 

Unfortunately, my bladder was not emptying enough keeping about 380cl when it should be below 200cl. Thankfully, a much thinner tube was used for my second catheter. While there is the internal discomfort associated with having such a device, I have much more annoying pain where the catheter enters my urethea. After 4 days blood has mostly gone and my urine is flowing and clear. I have been using Lanocane to treat the soreness but it is still painful and there is a constant but small discharge which seems to be the irritant. 

Has anyone experienced this sensitivity and have any ideas on how I can treat it? 

User
Posted 25 Jan 2020 at 02:17

My PCa journey started with urinary retention and a catheter. Catheter was in for about a week, and yes I had pain at tip of penis and a bit of blood and a bit of white discharge. 

The massive improvement to my life came when the incontinence nurse offered me "clean intermittent self catheterization" instead of an indwelling catheter. In short instead of having an irritating tube down my dick 24/7. I could just attempt to pee normally, if I couldn't then I inserted a sterile disposable catheter myself. I found I only actually needed to do this two or three times in a week.

It may not be medically suitable for you it depends why you can't pee. It sounds like the 22mm catheter was way to large. So hopefully these disposable catheters won't be a problem to get in.

One big limitation may be that you just can't bring yourself to insert a tube down your own dick (they do train you). Though it's a little uncomfortable to do, it really made a massive improvement to my quality of life. 

So I would say don't treat the soreness at end of penis, go for "cisc" if it is medically appropriate for you. 

 

Dave

User
Posted 25 Jan 2020 at 11:52

Dublin

Have you tried instilagel, it is available at most chemists, a couple of quid a tube, it has always help ease my discomfort. Put the tip of syringe down the eye of the penis at the side of the catheter and squirt some in. A three way catheter is always going to be big.

Bit of useless  info it would have been a fr20 or 22 not 20 or 22mm, that would make your eyes water.

Thanks Chris

User
Posted 27 Jan 2020 at 11:14

Thanks Chris

Good correction. In this case size really does matter. LOL

Great recommendation on the Instillagel. I got it yesterday and my fist day back at work today and feel great. 

Regards

Michael

User
Posted 27 Jan 2020 at 11:17

Thanks Dave

You are probably right about self-serve and I will most likely have to go down that route. I've not convinced myself yet, but the way you describe it sounds very good (well acceptable!). 

Regards

 

Michael

User
Posted 28 Jan 2020 at 09:17

If you started with a 22FG [eyes watering], then you may still have a catheter that's too large. 

'Standard' (mode) size for men is 14FG, some men need a 16FG. Very few need larger.

Many problems, including pain, leakage and infection can be directly attributed to an oversized catheter.

 

.

-- Andrew --

"I intend to live forever, or die trying" - Groucho Marx

User
Posted 18 Feb 2020 at 14:28

Doctors tend to be very bad with catheters. Experienced nurses are infinitely better.

I had two of those giant three-ways fitted when my normal catheter got blocked by a blood clot and I went to A&E; the one inserted by the doctor was not only ham-fisted, it immediately blocked again and he didn't realise, resulting in several hours of agony. Finally the nurse replaced it and relief was at hand.

 
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