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Suggest Treatment For Enlarged Urinary Bladder And Urine Retention
Question: The urologist said I was enlarged and retaining. The nurse inserted a foley, but not a coude. It hurt terribly, terribly. I had never had a urinary catheter before while conscious. I received no instructions. The catheter continued to hurt, especially when I walked. Eventually I found out that something, perhaps urine crystals, was forming on the outside of the catheter. As I moved my hip joint, the catheter moved in and out sandpapering the inside of my penis. Now I frequently clean the dried urine, or whatever, off the catheter and off the tip of my penis. The pain is much less. Should I choose another urologist?
Brief Answer:
Use of local anesthetic agent will help, request urologist to recatheterize
Detailed Answer:
Hello Mr XXXX.
Thank you for posting your question.
I understand your problem clearly and I can feel your pain.
The pain is most likely due to forcing the Foley's catheter without proper lubrication and application of adequate local anesthetic.
Nurses usually are well versed with the technique, but there can be lapses due to any number of reasons.
The trauma caused during catheterization is what is responsible for the typical "sandpapering" the inside of your penis.
The concentrated urine will definitely cause the burning pain, a small leak maybe happening from the bladder neck or it could be the catheter rubbing the raw insides of the urethra that is causing the pain.
I would advice you to ask your urologist to push some local anesthetic agent by the sides of the catheter and preferably, pass a catheter with a smaller diameter, but inflate the bulb with adequate amount of liquid so that no leak happens from the bladder.
Since this was not due to negligence of your urologist, there is no need to change the urologist, you need to discuss with the urologist and I am sure he/she will understand and solve your problem.
However, if you feel that you must change your doctor, the decision is yours.
I hope I have been able to help you, please do write back to me if you have any further concerns.
Wishing you speedy recovery and good health.
Warm regards
Use of local anesthetic agent will help, request urologist to recatheterize
Detailed Answer:
Hello Mr XXXX.
Thank you for posting your question.
I understand your problem clearly and I can feel your pain.
The pain is most likely due to forcing the Foley's catheter without proper lubrication and application of adequate local anesthetic.
Nurses usually are well versed with the technique, but there can be lapses due to any number of reasons.
The trauma caused during catheterization is what is responsible for the typical "sandpapering" the inside of your penis.
The concentrated urine will definitely cause the burning pain, a small leak maybe happening from the bladder neck or it could be the catheter rubbing the raw insides of the urethra that is causing the pain.
I would advice you to ask your urologist to push some local anesthetic agent by the sides of the catheter and preferably, pass a catheter with a smaller diameter, but inflate the bulb with adequate amount of liquid so that no leak happens from the bladder.
Since this was not due to negligence of your urologist, there is no need to change the urologist, you need to discuss with the urologist and I am sure he/she will understand and solve your problem.
However, if you feel that you must change your doctor, the decision is yours.
I hope I have been able to help you, please do write back to me if you have any further concerns.
Wishing you speedy recovery and good health.
Warm regards
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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