MtPockets
Very helpful member
- Joined
- Jun 1, 2006
- Messages
- 1,544
- Reason
- PALS
- Diagnosis
- 05/2006
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- Gulfport
catherazation problems with spcinhter
Relief at last, thank God Almighty relief at last. Sorry for so much detail but if anyone else is having or will have this problem, I wanted you to know the possible options. These bladder spasms are very painful.:shock:
My problems may all be related to the spcinhter muscle spasms and enlarged prostrate.
Went to VA hospital yesterday and spent about 4 hours there while they figured things out. Their solution for now was to go to a much larger catheter. Size 23. Did not know there were bigger ones, but they say they go even larger than that. They wanted to try this while waiting to get me an appointment with the urologist. It seems also that I may have the problem described below. that can be solved by a special Cather called a COUDE that is curved on the end.:shock:
Urology - catherazation problems with spcinhter
Expert: Arthur Goldstein, M.D. - 7/19/2007
Question
QUESTION: I am a 35yr, old quadriplegic who catheterize to urinate. But I have been having problems get my catheter to pass my spcinhter at times. It's tight as soon as I insert my catheter. I have tried using flomax and I'm presently taking uroxatral but my problem continues every so many days it's like it has a mind of it's own. Help please.
ANSWER: Jay, although you did not state your sex, I am going to assume that you are a male. My suspicion is that you either have a stricture (narrow area in the urethra secondary to scar tissue) or some early enlargement of the prostate that is causing the difficulty. The diagnosis can easily be made by your urologist if he does a cystoscopy. For a stricture, the treatment would be periodic dilations. However, the more likely scenario is that it is your prostate is causing the problem. This can usually be resolved by using a special type of catheter with a COUDE (curved) type end. With insertion, the curve should be facing upward so that as it rides through and over the prostate gland the tip is pointing upward towards the ceiling. These catheters are readily available but it might require a prescription and demonstration of use by your urologist. I would try the COUDE catheter first. if this doesn't wok for you, your urologist would have to check you further. If the COUDE is successful and you just take the Uroxatral to make insertion easier, you probably could discontinue this if okay with your urologist. Good luck.
Relief at last, thank God Almighty relief at last. Sorry for so much detail but if anyone else is having or will have this problem, I wanted you to know the possible options. These bladder spasms are very painful.:shock:
My problems may all be related to the spcinhter muscle spasms and enlarged prostrate.
Went to VA hospital yesterday and spent about 4 hours there while they figured things out. Their solution for now was to go to a much larger catheter. Size 23. Did not know there were bigger ones, but they say they go even larger than that. They wanted to try this while waiting to get me an appointment with the urologist. It seems also that I may have the problem described below. that can be solved by a special Cather called a COUDE that is curved on the end.:shock:
Urology - catherazation problems with spcinhter
Expert: Arthur Goldstein, M.D. - 7/19/2007
Question
QUESTION: I am a 35yr, old quadriplegic who catheterize to urinate. But I have been having problems get my catheter to pass my spcinhter at times. It's tight as soon as I insert my catheter. I have tried using flomax and I'm presently taking uroxatral but my problem continues every so many days it's like it has a mind of it's own. Help please.
ANSWER: Jay, although you did not state your sex, I am going to assume that you are a male. My suspicion is that you either have a stricture (narrow area in the urethra secondary to scar tissue) or some early enlargement of the prostate that is causing the difficulty. The diagnosis can easily be made by your urologist if he does a cystoscopy. For a stricture, the treatment would be periodic dilations. However, the more likely scenario is that it is your prostate is causing the problem. This can usually be resolved by using a special type of catheter with a COUDE (curved) type end. With insertion, the curve should be facing upward so that as it rides through and over the prostate gland the tip is pointing upward towards the ceiling. These catheters are readily available but it might require a prescription and demonstration of use by your urologist. I would try the COUDE catheter first. if this doesn't wok for you, your urologist would have to check you further. If the COUDE is successful and you just take the Uroxatral to make insertion easier, you probably could discontinue this if okay with your urologist. Good luck.