Posted , 9 users are following.
Can anyone explain to me why urologists don't just put a stent into the urethra (above the sphicter muscle), rather than the patient having to self-cathetarise 3 to 4 times a day? Surely this would be a better option, in terms of risk of infection and also expense.
3 likes, 38 replies
anthony2858 frances31245
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I do not have a comment as to why there is not a better option when it comes to self cath. However I would like to hear why or when a Dr would recommend on to self cath. I had the Urolift done last year and still retain close to 400 cc after voiding and my Dr has not brought that up as an option. Any thoughts on that?
james87669 anthony2858
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cartoonman anthony2858
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anthony2858 cartoonman
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My doc prescribed Bethanachol, 3 time a day, he says that this helps the bladder to be compressed, I am not so sure about all that.
I set an apt with another dr for another opinion and coincedintly it happens to be in the same week that I have an apt with the doc who did my Urolift.
I guess what I want to know is holding 400cc after feeling like I have completly voided too much?
cartoonman anthony2858
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frances31245 anthony2858
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kenneth1955 frances31245
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frances31245 kenneth1955
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cartoonman frances31245
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Yes, there are caveats re UROLIFT: non-cancerous, prostate between 40-80 grams, no median lobe. In my case, my prostate was only 39 g, small, but still swollen. And a note: My original urologist said No median lobe, but then the radiologist, a year later, said there was one. The expert surgeon I chose (Dr. Steve Ganges, Salt Lake City (I'm in PA) said he thought there wasn't one, and there wasn't. Please have your guy get second opinions!!!! I can't stress it more. My uro wanted to give me a TURP in Aug 2014; I said no, and went searching. It paid off, big time. And now... my original uro is doing the UROLIFT too--- but as a "newbie." He's now a convert, but I went with Dr, Ganges (Google him), as he did the original FDA trials before the procedure was accepted in the US. Most experience, and I'm glad I did.
kenneth1955 frances31245
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cartoonman kenneth1955
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Please keep us apprised, and ask questions; there's a lot of experience on this thread! And we want the best for your guy.
And if I didn;'t mention earlier, I had the UROLIFT on a Tuesday, flew back to PA on Thursday, and was stacking firewood on Friday. Truly different from the old standby, TURP....
kenneth1955 cartoonman
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cartoonman kenneth1955
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kenneth1955 cartoonman
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cartoonman kenneth1955
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kenneth1955 cartoonman
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alan86734 kenneth1955
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The trouble is that I mistook it for something associated with the Euro currency so passed it by. Mia culpa!
In closing I would like to join in congratulating Cartoonman and Mrs and wish you both much hapiness ahead. As my Urology Nurse says, "Use it or lose it!"
cartoonman alan86734
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kenneth1955 alan86734
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alan86734 cartoonman
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Sorry if my replies are a little erratic; still having some computer problems here.
Glad your inner-former-cartoonist loves it. Why not go ahead and use it? I'm all for a little humor just so long as we laugh with each other rather than at each other. Have fun!
cartoonman alan86734
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alan86734 kenneth1955
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Many thanks for your kind thoughts. Yes, I did undergo the procedure but it was cardiac (triple bypass and aortic valve), but it included the customary (mandatory?) urinary catheterization, and this was the bit that concrned me.
When I re-started self-catheterization a year or so ago I discovered that my urethra was about 1 to 2 inches longer than allowed by the "standard" catheter length currently offered. Please refer to my post to ollie64 about 12 days ago. This is the subject I want to present in an article, once I figure out how best to go about it. The subject is the trend by catheter manufacturers to standardize on a single catheter length.
And once I learn how to navigate this superb web site. Ken, I was in the middle of editing this post when it got away fom me prematurely; please disregard "stray unattached meanderings"!
All the best, Ken!
cartoonman alan86734
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alan86734 cartoonman
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I think we are talking about two different types of catheter here. The Foley is the one that can injure me. The "Standard" insertable length for the indwelling catheter (Foley and the like) is 12 1/2 inches, actually measured by a Bard techie. Insertable length is defined as the distance measured from the base of the 'Y' to the inner surface of the inflated retention balloon. And I am measuring my urethra at 14 + inches.
Thus, if one of these catheters is inserted as far as it will go, i.e. the 'Y' butted up against the meatus, the retention balloon would not be in the bladder as expected, and inflation of the balloon could cause serious injury.
Since this condition is likely to result from an emergent gene in either of my parents then interest in the matter extends far beyond self to the other male family members of mine tracing their heritage back to our two progentitors.
There is a growing collection of published litrerature on the subject of standardized urinary catheters, so I'm hoping to bring about some form of collective action.
Warm regards. Alam.
cartoonman alan86734
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