@rlpostrp I just learned (I think) that the Foley catheter during RALP is not just to enable urination, it is also the "stent" that enables the urethra to heal in the form of a tube, and so if that is correct then I should do as you did and request or demand that the catheter be installed after the anesthesia is administered.
As far as the removal, I wonder what they would have said if you said that you weren't willing to have it removed without substantial anesthesia? Apparently legally they cannot just hold you down and force it out of you, and so they would either have to comply with your wishes or send you home without removing it.
On one hand, I could see them arguing against "unnecessary anesthesia", but on the other hand, isn't it AT LEAST equally unethical to send a patient home without removing the catheter...and then just allowing infection to develop, etc?
I honestly don't know what a urologist would do, under these circumstances.
My urologist "fired" me...as in "either you have the systematic biopsy or find another urologist, because if you don't do the biopsy then I won't help you with your other urological needs, either...and there will be no discussion"... and btw, he is the only urologist within a 2 hour drive from here.
I was hesitating about having a systematic biopsy and wanted to explore the possibility of having a fusion biopsy.
So I don't have any confidence at the current time that any urologist would necessarily do the ethical nor compassionate thing.