 Urology Related Forums
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Welcome to the Urology Forum! This forum is for questions and support regarding urology issues such as: Benign Prostate Disease, Curvature (Penis), Cystisis, Kidney Stones, Pediatric Urology, Prostate, Sexual Dysfunction, Urinary Tract Infections, Urological Cancers.
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| TECTOPCAT 7/30/2004 | . | My father had a Foley catheter in for about 2 months due to surgery and rehab. The surgery was brain surgery and was for hydrocephalus. No infection worked fine etc. He had some incontinence prior to surgery primarily due to enlarged prostate-he was diagnosed with prostate cancer years ago but his PS has always been relatively low and he is now 80. He is uncircumcized. Yesterday he had the catheter removed but after 6 hours was only able to urinate about half a cup so a new catheter was inserted and he was able to empty his bladder. We didn't get a lot of feedback just the suggestion that it be tried again in about 2 weeks. My question(s): Do these discouraging results mean he will always need a catheter? More importantly is there something that can be done to promote continence before then? Kegal exercises for men? Other exercises? More walking? Are there special rehap nurses or PT that help with this. He is probably not up to self catherization. A rehab doctor once mentioned weaning off of the Foley but I’m not sure how that is done. Any suggestions? Thank you |
| Forum-M.D.-KYP 7/30/2004 | TECTOPCAT | Having a catheter in for 2 months can lead to something called neurogenic bladder, leading to difficulty in urination. Tough to predict if a catheter will always be needed. "Weaning off" the foley means a gradual tapering off of the foley to help allow the bladder regain independent function (i.e. instead of simply stopping the foley, only remove it for certain hours of the day). A regimen can be devised with your rehabilitiation doctor. You may want to investigate for any signs of obstruction that can lead to urinary retention. An enlarged or inflammed prostate would be the most likely causes. If there is no obvious cause, a cystoscopy can be considered for a more comprehensive evaluation. If there continues to be difficulty urinating, a suprapubic catheter can be considered - this is a more permanent catheter. These options can be discussed with your personal urologist. Followup with your personal physician is essential. This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case. Kevin, M.D. Medical Weblog: http://www.kevinmd.com/blog/ **Note: I'll be away until August 14th - The forums will re-open then.** |
| kevinmd 7/30/2004 C2 | **Back on August 14th** | **Note: I'll be away until August 14th - The forums will re-open then.** |
| kenoking 8/5/2004 C3 | . | I had the same problem of not being able to urinate when the catheter was removed. I was given a straight rubber catheter and was taught how to insert it into my uretha. A very easy and painless procedure. So whenever I was unable to urinate I just inserted the straight catheter and I passed my urine. After a couple of days I no longer had to use the catheter I was flowing freely and of cause I then had to use pads. I keep the straight catheter handy at all times just in case I block up. | [Thread closed to new comments] |
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