Self Catherization for BPH
Posted , 10 users are following.
I'm 64 and was experiencing slow flow and was pretty sure I was not completely voiding my bladder. Peeing several times a night and hourly during the day. Mu Uro diagnosed BPH. I don't want to get hooked on meds. Initial cath'ing showed I was retaining 4 litres. Shocked, I am considering either a TURP or Urolift. Meanwhile I am self cath'ing and confirming that I do accumulate 4 litres of pee over a 3 day time frame. 2.7 litres after 24 hours! After cath'ing, I have no pee urge for 12 to 18 hours. This seems to make sense since my bladder is empty and, before this cath'ing started, apparently I was walking around with a gallon of pee in me which is hard to believe. I'm 8 lbs lighter after cath'ing!
Anyway, looking for recs on Uro lift versus TURP especially as it related to reducing retention. Or additional information on self cath'ing. I'm using the red ruibber cath with KY lub.
0 likes, 14 replies
Barnie tpinhou
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william10248 tpinhou
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jimjames tpinhou
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Hello and welcome. Yes, 4 liters is quite a lot to be holding so your bladder must be very stretched by now. Because of that, before you can even consider TURO, Urolift, or any other procedure, you must make sure that your bladder is strong and elastic enough to empty after the procedure. The best test for that is called Urodynamics. If your urologist hasnt mentioned it, he should.
Meanwhile, self cahterization (CIC) can help you rehabilitate your bladder and get it ready for surgery, although there are no guarantees.
I refer you to several of our self catherization threads for details, but very briefly you want to set your CIC frequency not by urge but by bladder volume. The idea is that your bladder should not be holding more than 400ml at any one time. If it does, it will remain in a stretched state. For someone like yourself, this generally comes out to cathing 6x/day.
Self catherization thread: https://patient.info/forums/discuss/self-catherization-an-alternative-to-turp-greenlight-holep--336874
Jim
oldbuzzard jimjames
Posted
Agree with Jim. And if you have enough bladder function for a prostate procedure to work, I would recommend against Urolift and TURP. If you're retaining that much you probably have a large median lobe which rules out Urolift and even if you don't, if your prostate is that big, you probably would be better off shrinking that strapping it. TURP is an outdated, highly invasive procedure with a long recovery and (although pretty rare) the possibility of life long devastating side effects like complete incontinence and/or impotence.
The go-to, non invasive non surgical procedure for most BPH is Rezum. Recovery can be annoying, but because you're already self cathing, other than some blood for a few weeks, for you it will be business as usual, until you start having better natural voids. But don't consider a procedure until a urodynamics confirms that your bladder functions well enough for any prostate procedure to help.
Because you still have some natural voids - chances are decent that if it doesn't function well enough now, a good, timed self cathing regimen could get it there.
Good Luck!
lester90053 tpinhou
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hank1953 lester90053
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derek76 hank1953
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derek76 hank1953
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lester90053 derek76
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My doctor prescribed it and I have had no problems for over a year.
derek76 lester90053
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hank1953 derek76
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derek76 hank1953
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jimjames tpinhou
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Jim
lester90053 jimjames
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Diuretics are only available by prescription so it's up to the doctor.