Hello - thanks for asking your question.
There are several considerations. Antibiotics and anti-spasmodic medications can be considered to treat the frequent cather discomfort.
Other appoaches include surgical cutting of the external urethral sphincter or endoscopic injection of paralytic agents directly into the external urethral sphincter muscle.
If those approaches are not feasible, you may want to discuss the option of a suprapubic cathether (an indwelling catheter that is placed directly into the bladder through the abdomen) with your 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.
Thanks,
Kevin, M.D.