bladder with cather

i have supria cather due infection i was getting but urology want to try self catherised which failed on many occassion.  I just wonder any thing else that can help

[rmprdl1964]

Hi,

I have had to self cath. several times a day from 1995 till 2008 when I had a suprapubic catheter placed untill a repair to the urethra would take place. I used to come down with UTI, kidney infections, orchitis and epididymitis at the rate of every 3 to 4 months. It was diagnosed that I have a neurogenic bladder. In 2008 while in hospital with a major kidney infection, I noticed that I was passing gas through the penis and catheter. I was diagnosed as having a hole between my prostate and rectum. The urologist feels that I have created the hole due to self catheterization.

Self cathing for a female should pose less problems than in a male. In the case of a male one has to manipulate the catheter past the penile urethra and then past the prostate. Since the urethra in women is mcuh shorter than in males, self cathing should not pose a problem.

Right now I would do anything if I could go back to the self cathing again instead of having a suprapubic catheter. Because I have a neurogenic bladder this is not a likely option.

The urologist suggested a urinary divertion to a dry stoma using part of my bowel. This does not really seem like an option to me. Over the last 6 months, I have a catheter fail after plugging off. Replacing a catheter having a reroute can pose a bigger problem than what I have now.

You can ask your urologist about urinary divertion, but I would not recommend it.

With the suprapubic catheter I experience daily pain in the form of abdominal cramping and bladder spasms. As a result of the bladder spasms, I have urine leaking from the penis and use condom catheters to deal with that.
I would do anything to be able to go back to self catheterization. I cannot understand as to why this should be a problem for you.

You also should get them to determine why you get these infections. There might be a serious underlying cause for these infections. You cannot just place a suprapubic without determining what causes the infections.

God bless,

Ron