Urogynecology Expert Forum
Difficult problem PLEASE HELP!
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Questions in the Urogynecology forum are answered by Bruce Crawford, MD, J. Kyle Mathews, MD, and other medical professionals and experts. Topics covered include overactive bladders, bladder pain, fallen/drooping bladder, bowel urgency, bowel prolapse, cystitis, incontinence, pain with intercourse, rectal prolapse, surgery, urinary urgency, and uterine prolapse.

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Difficult problem PLEASE HELP!

I am a 22 year old girl who used to self harm, and unfortunately due to self harm injury can no longer pass urine unaided. I am permanently catheterised with a 12ch indwelling urethral foley catheter. My problem today is two fold ... Firstly I have had extreme pain in my urethra, bladder spasms, leakage, and lower back pain for two days now due to the catheter and I'm wondering if I should attend a and e to get it checked out as my next urology appointment is not until next Wednesday and I can't stand it, as I have PTSD and the kind of pain the catheter causes brings on flashbacks of the trauma I suffered as a child. Difficult one. Further to this... I have to make the decision whether to have a supra pubic catheter... My doctor has initially advised against it due to saying they can cause problems etc but not really giving a substantial reason why, however for me it would be a way out of this flashback causing scenario ... Any ideas on what I should do much appreciated thank you :)
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Sorry to read of your problem.  You should contact your doctor if you are experiencing pain.  Depending on your prognosis, are you going to have to self cath or have a catheter permanently, you could consider a Mitrofanoff procedure.  This is a procedure done to create a catherizable stoma for the bladder.  I would suggest you discuss this with your Urologist.  
J. Kyle Mathews, MD
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