Long-term Consequences of CIC (self-cath)

Posted , 9 users are following.

Could anyone who has been self-cathing for more than 5 years tell us if there have been any long-term consequences of daily CIC which worsen (or improve!) over time? For example, after 5 years or more does the urethra lose elasticity, or does the internal sphincter muscle weaken which leads to dripping problem?

I have been CICing for over 2 years now (4 times a day) and was hoping for some breakthrough technology to fix my BPH but I am starting to think that may not happen. So if I have to do CIC for the rest of my life I was wondering if things change at all after 5 years, say compared to how things are at 2 years?

I can live with CIC the way things are now, I just don't want things to get worse. One possibility is that the prostate keeps growing and makes it harder and harder to CIC as the years go on. Has this been a problem for anyone? Thanks.

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  • Posted

    Howard, I know of one person from another forum who did CIC for 11 years. But he gave up last year and opted for a procedure, claiming that he'd had enough. Another one is Barnie on this forum, who has been doing it for 9 years. My observations on others on long term CIC is that after a period of several months of significant improvement, things usually stay about the same. So CIC for life is a good possibility, only if one desires. Hank

    • Posted

      Thanks Hank - that is good news. I do not want to have any surgeries - just keep away from hospitals. Thank goodness for Medicare! Take care. Howard
  • Posted

    It will not stop your prostate from growing. When I went into hospital in 2012 for heart surgery they could not get the catheter past my 135grm prostate and had to use a supra pubic one. I did also have prostatitis  at the time.
  • Posted

    Hi, Howard31850. Good to hear from you again!

    I now have a little over 3 years of CIC so not too good a subject for your purpose. I would think that if your cathing does not cause bleeding, pain, or other signs of trauma, you should be O.K. assuming that your urethra and sphincters remain healthy.

    Warm regards, Alan.

     

    • Posted

      Thanks Alan. Good to hear from you. I just worry that many years of CIC might damage the urethra and the sphincter muscles but the note from Barnie is encouraging. CIC for me now is like brushing my teeth (as jimjames had promised - where is he?) so I could continue it forever. Take care. howard
  • Edited

    10 years now ...no problem.   I use 5/6 times a day.   I might be wrong but I have read that Prostate virtually stop growing after certain age...not sure, but maybe someone else can answer that point.  It certainly has NOT got harder to use
    • Posted

      Thanks Barnie for responding.  That I good news indeed! Do you also have natural voids? Did you at one time have natural voids when you started CIC but over the years they have stopped?

      I still have good natural voids in between CIC - about 150cc. So I worry that over the years CIC may make my bladder lazy and the natural voids will stop. Also do you ever have problems with dripping?

      I guess I worry too much. Thanks again and all the best. Howard

    • Posted

      Howard, I read that most prostate growth occurs between the ages of 50 and 70. Hank

    • Posted

      Hi Hank,

      I got my u/s results today - showed my prostate has grown to 297 cc from 240 last year! I turn 70 next year so I hope you are right. Howard

    • Posted

      I meet with my uro on Friday to discuss the results. He is very supportive of CIC, especially since my kidneys look ok but he wants to do a robotic simple prostatectomy on me!

    • Posted

      Howard, your prostate is large. However, as long as you don't have any problems with CIC or constipation, there is no reason to have any procedures. BTW, what is your diet like ? Meat, fruits, veggies, dairy, etc ? I've read that certain diets may encourage prostate growth. Hank

    • Posted

      Barnie - do you CIC at night? Does the urge to pee wake you up or do you just get up on your own or set an alarm? I always have trouble getting back to sleep after I CIC in the middle of the night.

    • Posted

      I have trouble sleeping in general but after I CIC sometimes it feels so good that I can lay on my stomach and have an empty bladder. I can go several hours if I CIC right before going to bed; when I need to go the feeling is more like a nervousness; I toss and turn and can't get comfortable. If I walk around a bit then I start to feel a pee urge.

      Incidently, I've noticed that sometimes when I can't go back to sleep, drinking some water makes me sleepy. Not even too much. I think I'm alert (not tired) because

      my body is telling me I'm dehydrated.

    • Posted

      Howard - I usually have trouble getting back to sleep after CIC in the night. So I stay up an hour or so, watching TV or reading. Sometimes I eat a small amount (1/4 cup of cereal, Bran Buds). It helps if I do some hamstring stretches, and arching the back up and own while on hands and knees, 30 to 50 reps. This gets me a little tired plus gets my metabolism up, so I can stay warm when it is a cold. Some other exercises might work as well.

      I have been CICing 4 years now and have not noticed relaxing of the sphincter, or dribbling. I have found that if I run the cath up to the sphincter, then grip the penis around the cath and pull the penis forward, it pulls the sphincter over the catheter, rather than pushing the catheter through the sphincter. I also droop the abdominals and other muscles down, and find the catheter goes in more easily. -Thomas

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