AUR

Posted , 10 users are following.

Acute Urinary Retention, have you suffered it?

Unfortunately it happened to me, for the first time, earlier this month, just as I was at the hospital waiting for my Urolift. I was sent home with a catheter and am awaiting a TWOC (trial without catheter)

If you have suffered AUR I would be interested to know what happened when the catheter was removed. In particular, how long did you have the catheter following AUR and could you pee okay when it was taken out? I have read that having a catheter may cause some incontinence after its removal, did you suffer from this, if so, how severe was it and how long did it last?

Personally I cannot understand why one needs to have a catheter in place for two weeks, I feel it is too long and that the longer it is is place the more complications it can cause. 

I am hoping that this episode of AUR is a one off and I can go ahead with the Urolift.

Thanks, in advance, for any insight.

Best wishes,

Steve.

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  • Posted

    I suffered retention once but it was a side-effect of my hernia surgery and the subsequent inability to have a bowel movement (which I believe was due in part to the pain meds (opiod) and lack of recommendation to use a stool softener.)  I had to go to the ER and had a catheter inserted.  I had it in for 3 days and had no issues of any kind once removed.  Since then I have had two trans-urethral surgeries and each time, had a catheter for 3 or 4 days.  I removed it myself at home and had no issues afterwards.  I have not heard of a catheter resulting in temporary incontinence.
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  • Posted

    I ended up in the emergency room and was given a foley. Had it for nine days, and actually peed better once it was removed.  Still had to have additonal urolift clips installed.  I now keep a box of pre-lubed intermittent coude catheters in my closet in case it happens again. They're not difficult to use and are less uncomfortable than a foley, IMHO.

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  • Posted

    Steve, 

    I experienced AUR for the first time on May 30 of this year.  I went to the ER and actually received TWO Foley catheters because the first one was leaking urine through my urethra. EACH TIME that the catheter was inserted, it HURT LIKE HELL!!!  The ER doctor said I had prostatitis and gave me an antibiotic. 

    I immediately called and made an appointment with my Urologist after the ER visit.  At the appointment, the Doctor said without examining me, that I DIDN’T have prostatitis, but AUR due to BPH, and scheduled me for a cystoscopy a few days later.  Since I had already been taking Flomax & Finasteride for BPH, what she told me was no surprise.  The cystoscopy verified that my urethra was severely obstructed by prostate tissue, and we discussed treatment options.  

    The original cystoscopy was easy with NO pain.  But they had to take out my Foley Catheter to do it, and  then put in a new Foley when the cystoscopy was finished.  Again, It HURT BADLY as the catheter went past the prostate area.  Because of the INTENSE pain I felt when getting the first two catheters, after the cystoscopy I ELECTED to have a Foley until my TURP surgery on June 20, INSTEAD of self-catheterizing (CIC) several times a day.  I DON'T KNOW anything about CIC and the pain involved (if any), and that's why I elected to have another Foley. 

    Of course, during the TURP surgery my catheter was again removed, and was replaced with another one that I kept for 5 days.  I had a Foley catheter for a total of 28 days straight. 

    Like you, I didn't know what was going to happen AFTER catheter removal because of the total time I had it.  I brought some Depends Undergarments with me in case I had urinary issues; I’M GLAD I BROUGHT THEM!  I WASN’T LEAKING, but every few minutes I had to urinate with a much urgency and didn’t always make it to a toilet in time.  That extreme urinary frequency and urgency didn’t last but a day or two.  Steve, I think that the frequency and urgency was due to the TURP surgery; not the catheter.  But I don't know that for sure. 

    The BOTTOM LINE is that I DIDN'T have any incontinence after catheter removal, and my urine steam was near-normal again. 

    Good luck to you! 

    ?Gary

     

      

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    • Posted

      Thank you Gary for such an in depth reply.

      It sounds as though you had a rough time but, hopefully, the worst is now behind you.

      I agree with you, from what I have read, that the frequency and urgency was due to the TURP, How are you now? I hope things are settling nicely and you are not suffering any adverse effects after the TURP.

      Best wishes,

      Steve.

       

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  • Posted

    Had numerous catheters mostly the 14 days and also self cathed, never had problems with Incontinence as a result. Have incontinence now after Prostate removed and likely to be for 12 months and had it for 6 months after a TURP, but it came good. These procedures also give you E/D but that is another story. Don't worry about it as they always paint the blackest picture.

    David

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  • Posted

    Hi Stephen!  I had AUR 4 years ago, almost to the day.  All new to me, it was!  They drained 2.5 LITERS from my distended bladder, shoved a catheter up, attached the bag to my leg, and said, "We have an appointment for you in FIVE WEEKS!"    

    I thought, "Bloody Hell I'll where this thing for five weeks!"  Did a whole lotta reading, found this site, learned a lot very quickly, and in a week switched to CIC.  Psychologically, emotionally, practically speaking, I HATE permanent catheters and will avoid at all costs.  Gee, why not add a colostomy bag that I don't need, while you're at it?!?!  frown  (Been cathing most of the past four years, used to get UTIs regularly, but haven't even had one of those in over 18 months..

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    • Posted

      2 and a half litres, wow, that's a lot. You say you switched to CIC and have been doing it for the past four years. Are you unable to pass urine normally so that you have to use a catheter every time you want to go? That would be truly awful if that were the case at least from my point of view. Have you rejected any form of surgical intervention?

      Thanks for your input.

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  • Posted

    Probably the reason they put in the stay-in-place catheter (as opposed to one-time-use disposable ones) is just that its easier and safer for the doctor than to try and train you and get you supplied to do CIC.  I had been heading in the direction of UAR for a long time... years.  I wasn't having incontinence issues until I got prostatitis which is a urinary infection in men.  My prostate was inflamed and enlarged as told by the digital rectal exam.  My GP gave me antibiotics with the assumption, I guess, that when the infection went away so would me urinary retention.  The antibiotics did clear away the prostatitis but didn't help the BPH.  I began having overflow incontinence at this time; not really sure why though because I don't think my prostate grew that much in just a few days.  I was having urgency and frequency before that, worsening over a couple of years but was always able to hold it.  When I started wetting the bed and had to wear diapers under my clothing I went back to my GP who finally referred me to a Urologist. But before I could get in to see him, I did an ultrasound at the emergency clinic.  When they found I was retaining somewhere around 1600 ml they had a nurse cathaterize me.  I don't remember at any time did they offer to put in a foley catheter or one that stayed in place.  As soon as I started getting the CIC routine down the incontinence went away.  I elected not to do the surgery that they offered me (green light) and became comfortable with doing the CIC about 4 to 5 times a day.  I've been doing that now for about 16 months and am seeing an improvement in my bladder function.  Its very slow but I'm hoping to avoid the surgery.  My doctor says my prostate is "not that impressive" so I'm thinking that, in my case, a lot of my problem may be that my bladder got stretched out and the nerves were not telling me when it was filling up.  This forum has been very helpful to me especially due to a few people sharing their experience.  

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    • Posted

      Re your last point, Keith: YES!  As mentioned, my bladder was holding 2.5 liters of liquid, 4 years ago.  After I was drained out, and eventually got on CIC, I was still retaining 1000ml and not feeling it.  Thanks to Jim James and his cath-more-than-the-doc-wants-you-to method of bladder shrinking, and learning to "listen" for different/new signals, to tell that I needed to void, I shrank my bladder down from 600-900 post-voiding residue three yers ago, to the 250-350ml that is typical these days.  Check it out, for sure!  Discussions in this site's history!

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    • Posted

      Thanks for your reply Keith.

      It is good to hear that CIC is working for you and that you are happy with having to do it. Personally I don't think I would wish to have to go through that procedure every time I want to pee for the rest of my life. I just want to be as near to how I was before starting to show symptoms of BPH, don't we all, and I thought that urolift would be a good place to start as it appears to pose the least risk of adverse side effects.

      Best wishes.

      Steve.

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  • Posted

    Still do not know what caused my AUR, even my urologist, I have bph. AUR came in sudden while I was traveling in Japan, I had to go to walk in clinic to put in catheter at night, after I returned to hotel, the bladder filled up I had to go to ER in hospital near Osaka, the nurses put in catheter with a one liter bag, I had to cancel all my rest of the trip and return to US. Luckily my son is an urologist, his partner did the Urolift the next day, I have not have any problem any more. No more medicine no retention.

    hope your problem will go away after urolift like myself. Only caution I can offer is to find an experienced urologist. In my opinion, urolift is the safest procedure for bph.

    good luck!

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    • Posted

      Hi Dan,

      Sorry to hear that AUR ruined your trip to Japan, it couldn't have come at a worse time.

      You say you had the Urolift procedure upon your return to the U.S., the next day in fact. Did you still have the catheter prior to the procedure?  How long ago did you have it done? You sound pleased with the results, did you have any 'teething' problems?

      Thanks again for your reply.

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    • Posted

      Hi Stephen, now that you ask, I will get little more detailed. We made the trip to Japan 2 days before hurricane Irma hit Florida. We stayed in a hotel by airport  in Tokyo, waiting for guided tour to start. So we did some sight seeing and normal activity. Two days into the guided tour on the way to Fuji mountain I felt like need to peep all the time, actually I had leak on the way, then on the way I was suffering urge to peep but could not go. That was the most miserable experience I ever had, my wife told the tour guide to bring us to nearby walk in clinic, actually we should go to ER of a hospital in Japan. Of course I contacted my son in U S A, he said they should put a catheter and a leg bag, but walk in clinic only drained the urine, told me to put in a bag tomorrow morning through translator in a near by hospital. But as we returned to hotel, my bladder filled up again, that why we got in taxi and went to ER in. Hospital near Osaka. 

      My son told me I should return to U S, so I carried a one litter bag, not a leg bag, on the airplane and flew back to U S, to where my son works, not to my home. 

      That is why I had the procedure done the next day. After the procedure, dr. Did put in a catheter and told me to get some Depent underwear, I never had to use it, the day after urolift, I had blood in urine which he told me, i had no catheter on the third day on ward. After that I was fine, no urgency, no pain.

      my son did mentioned to me that not everyone recover as well as I did. But I am glad that I had this done. A note on the urolift, my son did not work on me but his partner did, however he recommended that I should have this over those other procedure. Prior to procedure, I was on alfusozin , a generic of Uroxatrol, but I had not had any prescription med, other than otc saw palmetto complex.

      hope this will help, did you ask your urologist how many successful cases that he  performed? I think this is an important question.

      good luck!

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    • Posted

      Hi Dan, many thanks for your detailed reply, it is much appreciated.

      It is interesting that you had the Urolift immediately after having the catheter removed as I went into retention at the hospital whilst waiting for the procedure. I was told the operation could not go ahead because I was in retention and was sent home with a catheter in place and told that it would be removed in two weeks after which, if I can pee okay, I will be re-scheduled for Urolift.

      My two weeks is up on Wednesday but I doubt if I will be rid of the thing because I have not heard from the hospital regarding its removal. Needless to say, I am not very happy.

      I am glad to hear the Urolift has been successful for you, it does give me hope for a good outcome. Thank you.

      Best wishes.

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    • Posted

      My procedure was done in hospital environment too. Ask your anastiologist to give you some pain med after procedure, I felt quite painful for about 4 hours after coming out from surgery room. Other than that, you will be fine.

      good luck!

       

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