I finally (after much negotiation etc) I got some samples of catheters that I can actually fit in. I have tried many many catheters and finally found I had to insert a stiffening wire to get anything past my bladder neck. So far I have gotten in a 14Fr with little difficulty. Others were impossible, other than adding a wire I had given up. The cath that works is a Coloplast SpeediCath Tieman tipped number 28494. It is also available in sizes from 12 to 18 FR.
I had called Coloplast and the friendly idiot who helped me sent mostly catheters that I had said I had already tried. Having to get prescriptions for every size and variation it took forever annoying my doctor many many times. So if you call Coloplast for samples just demand samples of the above mentioned and order them from Comfor medical or other dealer and forget trying to deal with Coloplast.
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spencoid2
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i tried to find these and gave up. did not get return calls etc. i do have phone problems. so i have the speedicath ordered and hope they continue to work. will try again to get the rusch. Any chance you want to trade some rusch for speedis? going through the prescription bullshit for each type and size and each provider takes hours here. we can not depend on getting return calls because the phones are so fucked.
I don't know if you would like mine, there are Fr 16 (orange tip). From what you have said you would use Fr 12 (white tip). Here is the exact webpage to order the Rusch catheters:
i got samples of both 14 and 16 FR, have not tried the 16 yet but they will probably be even better than the 14 due to increased stiffness. thinking about it now i think it is the stiffness that is most important. i bookmarked the link in case i need the Rusch at some point.
I didn't think about the size. The narrower the size the less plastic and less ridgid the catheter would be. So may the Fr 16 would be better. Good luck.
Have you asked your doc about Coude' tip catheters? They can be helpful when your sphincter or bladder neck is narrow. Sometimes a stiff catheter can produce a "false passage" which is a pocket created near the base where the urethra makes a sharper turn into the bladder. A cystoscopy can verify the condition.
Pre-lubricated catheters can be more comfortable to use.
The Coude tip is designed to negotiate the external sphincter as there is a bend there. I was initially using coude tip and they stopped working. Switched to straight tip. I had plenty of experience to avoid a false passage.
The Tieman tip is slightly more tapered and I wish it were not coude but it works anyway. I am pretty sure it is the stiffer plastic of these catheters.
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