Hi @victor1930. Glad you joined us on Mayo Connect and hope we can be helpful by sharing our own experiences with bladder and urethra urinary problems. My urethra gets periodic checking during cystoscope examinations of former cancer sites on the lining of my bladder. I also had transurethral resection of prostate (TURP) procedure that removed prostate tissue through my urethra. That was about 10 years ago, and I have had no serious UTI problems since.
However, my late father had problems that seem identical to yours. When his urethra became useless as a urine pathway, his urologist persuaded him to accept a suprapubic catheter installed to carry his urine through his body wall and into an external bag. While that worked well for a number of years, from time to time he would suffer from infection/inflammation in and around the catheter's path through his body wall. As he passed his 90th birthday, these instances occurred more often and were more serious, perhaps mainly because of his advanced age, declining ability to care for himself, and failure of the medical staff of his final residence hall to help him deal with the problem. He was nearly 95 when he breathed his last -- not from infection, so far as we know.
Hopefully my dad's experience will suggest what information you may wish to have before making a decision on a suprapubic catheter. And I hope you have full confidence in the advice and treatment that your urologist offers you. If you have any doubts, you may wish to ask for a second opinion from a disinterested urologist. Martin
Hi Martin'
Do you know of this possible option ( in lieu of a suprapubic catheter) :
"Option is not to reconstruct the urethra at all, and instead make a bypass for the urine instead. Here, the urethra is opened under the scrotum, and a paddle of skin sewn to the urethra. Thus, with the bulbar urethra sewn to the skin, the urine can easily come out. However, the patient will need to sit to urinate. This is a reasonable solution for the severely scarred urethra in a more elderly patient.:"
Victor