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It has been almost 4 years now since I started CIC due to my very large prostate (300 cc). I CIC 3 to 4 times a day and still have a good natural void in between because I do not have a median lobe or other bladder neck obstruction.
Other than a few UTIs over the years I have never had any problem doing CIC - until a few days ago. I use the Speedicath 14fr coude hydrophilic catheters and always add a little lubrication to help. No other catheter has worked as well as these.
So a few days ago I must have nicked the prostate during entry. That is the problem when we get too complacent with CIC - every time is like a new time requiring full attention.
There was some pain and a little bleeding then. But now the problem is really getting bad. The prostate side lobes seem to have swelled up from the nick just enough to block my normal voids and make getting the catheter in difficult and painful.
There is no problem getting through the upper part of the urethra but as soon as I hit the prostate it is like hitting a wall. Every time I CIC now I seem to re-injure the original injury so there is a little blood when the flow starts. It quickly clears up and when I pull out the catheter there is always a little blood in the lower part.
So I don't see how this original little nick can ever heal when I keep irritating it and cause it to bleed every 8 hours. And there is so much discomfort afterwards too for a few hours.
I do not have a UTI as the urine is clear. But I worry I am in a catch 22 because I need to give the injury time to heal but I cannot do that because I cannot do a NV do the swelling.
I've taken some NSAIDs to try and bring the swelling down and that helps a bit.
Any ideas out there from your experience would be greatly appreciated. Thanks.
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