self catheterisation

If you have questions about prostate disease (such as prostatitis) or related conditions (such as incontinence connected to prostate conditions) please post them here for our experts and charity partners to answer.

Moderator: talkhealth

Locked
8 posts
peterpan1951
Posts: 5
Joined: Thu Feb 18, 2016 8:03 am
Quote

by peterpan1951 on Wed Nov 02, 2016 6:05 pm

self catheterisation

My partner has had 2 operations for reduction of prostae. On each occasion lots of scar tissue has formed and he is now back to not being able to pass urine without a catheter. Today we have been told to go to the hospital to be shown self catheterisation. Is there any other option to this?

User avatar
Carolyn Blears
Posts: 2
Joined: Wed Oct 26, 2016 12:22 pm
Quote

by Carolyn Blears on Thu Nov 03, 2016 4:55 pm

Re: self catheterisation

Your District Nurse can help support you with this at a more local clinic or your Local continence advisor could look at supporting you with different types of catheters .
for contact numbers of both speak to your GP.
Carolyn Blears
Specialist Continence Nurse Promocon
http://www.talkhealthpartnership.com/on ... blears.php

User avatar
Dr Jon Rees
Posts: 79
Joined: Mon Nov 21, 2011 3:07 pm
Quote

by Dr Jon Rees on Fri Nov 04, 2016 12:06 am

Re: self catheterisation

intermittent self-catheterisation probably is the best option here. My only comment would be - whilst it sounds very scary and unpleasant, both men and women rapidly learn how to do self catheterisation and very quickly get used to it, and find it far less of a problem then they expect. New products are really user friendly and discrete. Hopefully, if that is what he needs to do, he will find it really improves his symptoms and won't be the problem he anticipates.
Dr Jon Rees
GP, Backwell & Nailsea Medical Group with specialist interest in Men’s Health and Urology

http://www.talkhealthpartnership.com/on ... n_rees.php

peterpan1951
Posts: 5
Joined: Thu Feb 18, 2016 8:03 am
Quote

by peterpan1951 on Sat Nov 05, 2016 9:18 am

Re: self catheterisation

Thank you for your reply. We live in Spain and maybe things are a little different here. Could an alternative be a prostatic stent? As my partner is only 65 the thought of self catheterisation 3 times a day through his penis is one he really doesnt want to contemplate. Would love more information on alternatives if there are any please.

User avatar
Mr Benjamin Challacombe
Posts: 121
Joined: Mon Nov 12, 2012 2:41 pm
Quote

by Mr Benjamin Challacombe on Wed Nov 09, 2016 12:27 am

Re: self catheterisation

It is a little unclear what the reason is here
There are 2 reasons for self cath
ie to empty the bladder or prevent a stricture from re forming
some men have to do it for both
if it is to prevent a stricture then usually it is only needed 2 x weekly and can be reduced to 1 x weekly
Prostatic stents are only medium term solutions as most become displaced with time so not used in many centres
Mr Benjamin J Challacombe
Consultant Urological Surgeon and Honorary Senior Lecturer

http://www.talkhealthpartnership.com/on ... acombe.php

peterpan1951
Posts: 5
Joined: Thu Feb 18, 2016 8:03 am
Quote

by peterpan1951 on Wed Nov 09, 2016 8:29 am

Re: self catheterisation

Good morning Dr Benjamin and thank you for your time in replying. The reason for the self catheterisation is because my partner produces excessive scar tissue (here called esclerosis) and this has caused blockages in the entrance to the bladder. Unfortunately this means he cannot empty his bladder. He also has 2 diverticulas in the bladder. We went to the hospital on Monday for instruction on how to do this self catheterisation and unfortunately even the specialist nurse was unable to put in the catheter. 3 times they tried but without success. She had to put back in a normal catheter which they will change again in a weeks time for a larger one to try to keep open. We were not given another appointment by the consultant as he assumed that this was the last option. We now have an appointment with the consultant on December 21st. Having done some research i understand there is such a thing as a nickel titanium stent but apparently (so i was told) this may not be available here in Spain. When we next see the consultant we shall ask what is the possibility for this procedure for my partner. I am now trying to find out if this stent is available in the UK. I am at a loss as to what to do next. Any help you can give would be much appreciated.

User avatar
Mr Benjamin Challacombe
Posts: 121
Joined: Mon Nov 12, 2012 2:41 pm
Quote

by Mr Benjamin Challacombe on Wed Nov 16, 2016 11:31 pm

Re: self catheterisation

Sounds like he is doing self cath for both the main reasons
if he can't do it as it is too narrow then a further cystoscopy and dilatation may help
I wouldn't go for a stent as these don't last long and can fall out.
Another option is a suprapubic catheter or a chat with a reconstructive urologist..
Mr Benjamin J Challacombe
Consultant Urological Surgeon and Honorary Senior Lecturer

http://www.talkhealthpartnership.com/on ... acombe.php

peterpan1951
Posts: 5
Joined: Thu Feb 18, 2016 8:03 am
Quote

by peterpan1951 on Thu Nov 17, 2016 9:10 am

Re: self catheterisation

Thank you Mr. Challacombe for your reply. I feel we must now wait until 21st.December to see the consultant here to see what, if anything, he suggests. Kind regards.

Locked
8 posts