Anybody here ever refuse to be catheterized through their urethra?
Anybody here ever refuse to be catheterized through their urethra?
I'm curious what will happen to me if I refuse to be catheterized through my urethra...especially in an emergency room situation, such as a kidney stone lodged in my urethral stricture due to a severely enlarged prostate.
Would they forcibly hold me down and force a catheter up my urethra, or would they instead do a suprapubic catheter, or would they just refuse treatment and send me home to die?
Apparently urethral catheterization must not be terribly uncomfortable for most men, but for others it seems to be the most excruciating pain they've ever felt in their lives, and my research seems to indicate that there is nothing urologists like better than to shove catheters and multiple other even larger devices up men's urethra's, with little or no aesthetic.
I'm not afraid of a radical prostatectomy or a suprapubic catheter, but the thought of being catheterized through my urethra scares the hell out of me.
I can understand how the first 1/4 inch or so might be easy because of lubricant, but that lubricant is going to be wiped off the further it goes in, and then also where does the lubrication come from when it eventually has to be pulled out?
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I think your fear is a little misplaced. When I was 81 I had a catheter for the whole year. Had it replaced every month. Different nurse each time. Some were better than others but usually there was no pain at all.
My father used a catheter on himself several times a day for an enlarged prostate. If you don't want someone else doing it, do it yourself. Make sure you use the right size tube.
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7 Reactions@vernscw Thanks... Last week I asked my great primary care physician if she could approve me for self-catheterization lessons and she said yes, so hopefully that will happen.
It will serve possibly two purposes... Tell me whether or not I'm one of those people who finds it excruciating, and if it is tolerable it will then allow me to keep a self-catheterization emergency kit here at home so that if I experience sudden acute urinary retention I can possibly avoid an emergency-basis catheterization in the emergency room or by a paramedic... I would like my first time to be more like gentle sex than rape, if possible. 🙂
Haven't urinated on my own since last March and self cath 5-6 times a day. It's really no big deal. Easily learned and even easier getting used to.
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5 ReactionsI believe you, and others who say the same, and yet there are men who say that being catheterized is excruciating, and I can't figure out why the difference.
All I have to compare it to is a colonoscopy, and of course they use general anesthesia for that.
@jercalif You should talk to more men who were in terrible pain because they couldn’t urinate. THEN, they would tell you how great the catheter was!!
Your fear is common, and it’s really no big deal
Phil
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6 Reactions@heavyphil
No kidding. I was admitted to the hospital in March in renal failure due to urine retention caused by (unknown at the time) prostate cancer. I'd stick a crazy straw up there not to have to go thru that pain again. 😮
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8 ReactionsAssuming that I do not have cancer outside of my prostate, and already having a severely enlarged prostate (82cc):
If the decision were entirely up to me, I would have a radical RALP tomorrow, and have them install a suprapubic catheter during the operation or as soon after as possible, because that would solve three problems for me:
1.) No more worries about prostate cancer,
2.) No more worries about urinary retention, including from a kidney stone getting stuck in my narrowed urethral stricture.
3.) No more worries about even larger diameter objects being pushed up my urethra to treat my enlarged prostate or cancer in the prostate. For example, the thing they push up there to do green light laser treatments looks huge in diameter... At least to me it does.
@jercalif HAHA!!! YOU WISH!!!
That would just be the beginning of troubles you never knew existed! Chill out, brother, and be careful what you wish for - sometimes those wishes come true with disastrous results…
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3 ReactionsI realize that things can go horribly wrong with any serious surgery, and that even successful surgeries have a certain percentage of negative permanent side effects (loss of sexual function, incontinence, etc.), but ultimately each person is going to have a different set of priorities. To me, the radical RALP plus suprapubic catheter would be worth a loss of sexual function and incontinence, and if the surgery results in my being in intolerable agony...well, there is always suicide as an option to relieve the pain.
@jercalif
Two of my most notable catheterizations were:
1. I had enlarged prostate years ago, I begged ER nurse till she installed it and got 1.3 liters out. Ended my very severe pain!!!
2. Two weeks later went to urologist to treat the above BPH. On the table, nurse started rubbing "it" prior to new catheter and said, exactly this: "bet they didn't do this for you in the ER??" As "it" was just getting interesting she added, "numbing gel" and it kicked in. All my dreams were for naught (instead of naughty)!
Go for it and tell them to use numbing gel.
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