Catheter placement in my Penis - Advanced Prostate...

Advanced Prostate Cancer

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Catheter placement in my Penis

Sun1115 profile image
9 Replies

Ok for now , I have to where Catheter . Every week I have to have a new Foley put in , at the ER . I am vey sensitive to pain in urethra. Is there any way to get relief . I thred this process every week . Are there places I can go for a local sedation ? My ER will not do it . Are there drugs I could take for pain relief ? I can’t be the only one with this problem. My Turp procedure didn’t work and my urologist hasn’t suggested anything else so far . This has been going on for five weeks now appreciate any input. I am very frustrated. I have had prostate cancer for about 6 years. Treatment in the past has been Chemo , Radiation to the my Prostate. I am 75 years .

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Sun1115
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9 Replies
MJCA profile image
MJCA

I have to use a catheter too. Instead of getting a foley all the time, the urologist provided me the option of using intermittent catheters. This means I use a catheter on myself 4-5 times per day. It does not stay in me like a foley. If you are in the U.S. you can only obtain intermittent catheters by prescription. They take a little getting used to, but are more convenient and more comfortable than a foley.

strummer profile image
strummer

have you tried self-catheterizing? my husband finds it much better. Dr can give you RX for the equipment. He uses lubricated caths. May ask your Dr about using Lidocaine cream prior to insertion. My husband went to his urologist to change the foley catheter not ER. The urology nurses are pros! You may try that instead of ER

Magnus1964 profile image
Magnus1964

I don't know if this will help but since you are using a foley catheter you might consider the Bard flip top instead of a urinary bag. Here is the website:

locostmedicalsupply.com/bar...

spencoid2 profile image
spencoid2

Pain in the urogenital system can be referred from locations other than where it seems to originate. Pain that feels like it is in your urethra may be originating in your bladder. I had a Foley on a few occasions and hated it, could not wait to get it out. My main problem was bladder spasms which caused intense pain. The inflated balloon of the Foley can make you feel like your bladder is full when it is in fact empty. Spasms are a reaction to this. If this is what is causing your pain you might benefit from some sort of antispasmodic drug.

I also agree with others that intermittent catheters are more tolerable but if the reason for the Foley is to provide support while the urethra regenerates it can not be replaced with an intermittent. After your TURP was a Foley lift in for 2 to 3 weeks while your urethra healed? Actually the Urethra is obliterated and reforms around the catheter so it is important to keep it in for an extended time.

spencoid2 profile image
spencoid2 in reply to spencoid2

Also a prostate that has been irradiated can take a very long to heal after a TURP. I had an emergency TURP over three years ago and it has still not healed. I am shedding scar tissue and having pain frequently and often have to self catheterize. A TURP should be avoided at all cost after radiation. I had difficulty urinating after the radiation probably due to radiation cystitis. A "Urolift" was helpful for a number of years. It was developed specifically to help people with radiation cystitis who are not good candidates for a TURP. If you had a TURP after radiation treatment the Foley probably should have been left in for three to four weeks. I believe mine was in for four weeks which was very difficult to tolerate.

wolverine11 profile image
wolverine11

Why so often for the catheter change?, you should be able to go at least a month. My indwelling catheter was changed about every six weeks And was much better at the urologist office. Wore catheter for 7 months urolift failed. I was put on double dose of proscar 10 mg plus double dose of flomax for one month before catheter was removed.that was about seven months ago now using single dosage able to urinate .initially, getting up three or four times to void but now I'm down to one or two times a night things are much better good luck to you.

diamondrn profile image
diamondrn

I had a Foley catheter replaced once a month for about a year until I was finally able to get a TURP.

Trospium helped the spasms >>> mayoclinic.org/drugs-supple...

KJMinPhx profile image
KJMinPhx

It may be the size of the catheter. I found that a French 16 was too big and was terribly uncomfortable. They then tried the French 14 and that is very tolerable. Unfortunately, because I have lesions in my ureter I now have to wear nephrostomy tubes, but I found a French 14 to work when I was having to wear an indwelling catheter

j-o-h-n profile image
j-o-h-n

I had a urinary stent put in and out every 3 months for several years with no pain at all. Into my willy up to my dilly (kidney)..

Good Luck, Good Health and Good Humor.

j-o-h-n Friday 02/25/2022 5:38 PM EST

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