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Question
Posted by: Hank | 2008/02/05

Should I use an indwelling catheter?

RE: RE: Indwelling Catheter Usage
:
As a 68 yr. old male, I do intermittentf-catheterization 3 times daily plus generally once during the night. Urination between catheterizing is very difficult or not ossible. I can urinate normallyt when near-full.

Trying to catheterize more than 3-times daily is impractical enough to be impossible, since I still work. Does wearing a Foley type catheter make sense for me? Conversely, say alternating -- one month intermittent catI heterization, one month wearing a Foley.

I understand wearing a Foley is not particulalry pleasant but neither is the frustration of feeling a strong urge to urinate but not being able to. Thus making numerous unproductive bathroom visits. I also understand long-term Foley use is supposedly not recommended.

I would appreciate some advice on my dilemma. I have had prostrate cancer treated/cured with radiation therapy a year earlier.

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Our expert says:
Expert ImageCyberDoc

Dear Hank
We usually try to avoid using an indwelling catheter if possible – it tends to cause infections and calcifications in the bladder and may cause serious kidney complications. However, I can understand your frustration. What is the reason for the difficulty in urinating – do you know whether the problem lies with the bladder wall muscle or the sphincter muscle ? Maybe you should get a second opinion from an urologist that specializes in prostate cancer about your options (like Dr Lance Coetzee in Pretoria)
See http://www.aafp.org/afp/20000115/369.html
Dr Bets

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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