Suprapubic catheter following TURP and stricture formation
Posted , 6 users are following.
A friend who is an registered nurse sent me a link to a study comparing the outcome for patients who had suprapubic catheterization to the outcome for patients who had the usual Foley through the urethra. The results were astounding to me. Transurethral drainage (standard Foley) resulted in strictures in the anterior urethra of 10-11% of the cases. In another study, the rate for the transurethral Foley was 17%. Also, strictures at the bladder neck occured in 3-5% of the cases.
When a suprapubic catheter is used for post TURP drainage, only patient out of 94 had a stricture in the anterior urethra.
Some of these studies were done over 25 years ago, so I don't understand why supra pubic catheters are not used more often after TURP! Anyone contemplating TURP should do a search, such as Google, to find these reports for yourself. Also, having had a terrible and irreparable outcome from my procedures for BPH, if you are going to use the trans urethral Foley, please be tested for latex sensitivity before your surgery. An easy way to do that yourself is to get a latex strap from a medical supply store and wear it around your leg for a couple of days.
Glenn
2 likes, 9 replies
glenn77
Posted
paul29249 glenn77
Posted
derek76 glenn77
Posted
dai12345 glenn77
Posted
glenn77 dai12345
Posted
I think you'll find the answer to that in another reply. How uncomfortable was the suprapubic. That may be my ultimate destiny
derek76 glenn77
Posted
I had a suprapubic when I had heart surgery. I had told them that I had prostatitis but they said it wasn't a problem. When they tried to get a catheter in it evidently would not go past my prostate.
It was not uncomfortable just a nuisance along with a portable ECG recorder and tube draining fluid from my lung into another bag
.
dai12345 glenn77
Posted
glenn77 dai12345
Posted
Thanks. It's good to know that it's somthing I might tolerate if it comes to it, and my strictures close down the urethra some day. Was the tube flush against the stomach under your clothes during the day? How long was the external tube, and could someone else tell that it was under your clothing? Did the tube ever clog on you are require flushing?
glenn77 dai12345
Posted
Sorrry I didn't answer your question earlier as I was in a rush. After the Greenlight laser procedure for my median lobe BPH, they took the catheter out after a day. Then, about 36 hours later, around midnight on a Saturday, I found myself in retention because the GL lots of hanging pieces of shreaded prostate that caused inflammation and swelling. I went to the ER and with difficulty, they inserted another catheter. When I called the urologist's office on Monday when they reopened, they told me that my doctor had gone on vacation and I would have to keep the catheter in until Thursday. When I had Gyrus TURP two months later to clean up the mess from the GL, they left the cath for 5 or 6 days again.