Stricture of the urethra: Have you had a suprapubic catheter? Other?

Posted by victor1930 @victor1930, Jun 11, 2019

I have a severe ureteral stricture due to a traumatic catherization. As a result, I have a very thin
stream when I pee and do so very frequently and it takes a long while each time… This leads to
retention of urine when I void causing me to have constant UTI’s. I have had 3 Internal
urethrotomies (VIU’s) with no success. My doctor is recommending having an indwelling
Suprapubic catheter. Do any of you know of any other options that are available to me?
Also, what are the Pro’s and Con’s of having a Suprapubic catheter installed?
Victor

My doctor has recommended having a suprapubic catheter due to constant UTI's caused by severe urine retention.. Is anybody who is using a suprapubic catheter; has used one; or knows someone who has used one; have answers to my concerns:
. Will I have to be "put under": or have localised anasthesia?
My uretheral stricture has a small aperture at the present time. Will i have leakage (due to gravity) from the water tube despite the SP catheter?
Are there any other concerns that I should be aware of ?
Many thanks,
Victor A.

REPLY

Hi @victor1930, you may have noticed I moved your post to the original discussion you started so that all your posts would be in one place. Simply click VIEW AND REPLY in your email notification to get to your post.

I'd like to tag @predictable and @jakedduck1 as they may be interested in your latest development.

What has your research shown so far?

REPLY
@victor1930

My doctor has recommended having a suprapubic catheter due to constant UTI's caused by severe urine retention.. Is anybody who is using a suprapubic catheter; has used one; or knows someone who has used one; have answers to my concerns:
. Will I have to be "put under": or have localised anasthesia?
My uretheral stricture has a small aperture at the present time. Will i have leakage (due to gravity) from the water tube despite the SP catheter?
Are there any other concerns that I should be aware of ?
Many thanks,
Victor A.

Jump to this post

@victor1930
Hi Victor,
Although my first choice would probably be a Urethoplasty, a Superpubic has urethral catheters beat in my opinion. I’d ask your doctor about studies that seem to indicate an increase in bladder cancer. As long as you have regular cystoscopy and catch any cancer in its earliest stage it my not be an issue. Also about the possibility of leakage through the urethra as well as the Superpubic, both of which can occur.
Also I’d ask about the potential of increased bladder stones. Infections are lower with Superpubic vs Urethral. Tell you doctor you want to know ALL the risks as well as the benefits.
I wish you luck,
Jake

REPLY

@victor1930
I just wanted to mention I have known many paraplegic and quadriplegic people and I don’t remember any who preferred a urethral catheter. Some especially younger guys had the Superpubic primarily to improve their sex life.
Jake

REPLY
@jakedduck1

@victor1930
Hi Victor,
Although my first choice would probably be a Urethoplasty, a Superpubic has urethral catheters beat in my opinion. I’d ask your doctor about studies that seem to indicate an increase in bladder cancer. As long as you have regular cystoscopy and catch any cancer in its earliest stage it my not be an issue. Also about the possibility of leakage through the urethra as well as the Superpubic, both of which can occur.
Also I’d ask about the potential of increased bladder stones. Infections are lower with Superpubic vs Urethral. Tell you doctor you want to know ALL the risks as well as the benefits.
I wish you luck,
Jake

Jump to this post

I'd like to revive the option raised first above by Leonard (@jakedduck1) for purposes of discussion. I'm referring to the "external condom type catheter" that avoids all insertions into the bladder or urethra and merely uses a condom that is manufactured with an external tube extension from the end of the penis. My experience is borrowed from my brother-in-law — a quadriplegic who lived nearly 40 years after his accident in 1977, most of that time living alone in a three-room apartment where he spent time for only a few meals every month and a good night's sleep most nights (except when we took him out on a camping and canoeing excursion or when he rode his arm-driven 3-wheel bicycle across Iowa). He was an amazing man ("was" because he died 3 years ago due to other causes unrelated to his urinary tract).

Through those 40 years, he used the external condom catheter that he fitted onto his penis every day (with some difficulty due to his inability to achieve an erection). But it served him well, and his experience with UTIs was not much different from mine — about once a year. Victor, I hope you can consider this option, which could take you past your century mark in the future. Martin

REPLY
Please sign in or register to post a reply.