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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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@budisnothome Well...same old question to be asked...what would have happened if you had asked for better anesthesia during the removal and installation of the suprapubic catheter?
I can certainly see a doctor refusing to do a NEW procedure to a patient who insists on better anesthesia, but it's harder for me to believe that a doctor would have told you "well, I don't do better anesthesia, so if you're going to insist on that you will have to find another doctor", because I think that that would be a clear-cut case of malpractice... refusing anesthesia such that the patient has to go home still "broken" and get on the phone and start calling around to find the urologist who will do it with anesthesia.
If a patient died because the doctor agreed to use anesthesia, then I think a legitimate defense would be "the patient refused treatment without anesthesia", but if the patient died because the doctor sent them home "broken" simply to avoid having to give the patient anesthesia, I don't think that that would be at all defensible... I think that that would be a clear-cut case of malpractice.
@capatov Thanks for that feedback...that's encouraging to hear.
The only two experiences I have regarding controlled substances is that:
1.) An average medical practice that I used to go to didn't keep any pain relievers on site other than Tylenol, and when I asked why they said "because our employees will steal it".... And this was in a relatively upscale area at a relatively upscale medical facility.
2.) My previous primary care provider, who was so straight and narrow that he would remind you of Mr Rogers, and always said "have a blessed day" to every patient when they left, was called down to Sacramento 3 hours away because he prescribed painkillers to someone, and somehow the DEA or medical board or somebody decided that he needed to be investigated about that. So I just figured if it can happen to a guy like that, it could happen to any medical provider.
But perhaps these could be isolated incidents, or perhaps this is more of a California thing... I don't know.
ha! As if they used anaesthetic (not in my experience) or had someone experienced to do it (again, not for me). Get a nurse from urology or a urologist or you may regret it - while peeing blood. repeat several times: Insist on anaesthetic left in 15 minutes before insertion and a coude catheter. they get one chance only. good luck.
Man I get it! Don’t want that either. I just had an appointment with the Urologist at UF Health in Jacksonville. They listened to all my concerns and offered alternatives where they could. They were respectful and understanding. The surgeon was very accommodating. If a doctor says my way or the highway - take the highway to another doc right down the road. I have fired 2 Urologist so far and found UF Health - and glad I did.
You have a valid concern to be concerned about catheterization. There are problems at times with blockages and possible bleeding, but I have to catheterize for the rest of my life because I have an enlarged bladder. With proper technique and knowledg all of these fears can be overcome. The other option for capitalization this actually inserted a tube through your groin into your bladder and that involves replacement every four or five weeks and there’s a lot of infection that could happen.