Could it be a prostate problem? An enlarged prostate can make it harder to pass a catheter. I would think your urologist would have thought of that though. Supra is nice. I've had mine over 15 years
On Tue, May 1, 2018 at 1:02 PM, RONALD L PRACHT <[email protected]> wrote: > I cant understand how this can change in the matter of a few days but it > did. Im home alone most days and have little help. ive got to keep the > foley in a month, then the deciding starts. Im sure when they pull the > foley that the catherization tube will slip in at first. Will it stay that > way.............probally not. Im on Flomax now and oxybutin, im hoping that > helps.............not sure if it will. I don't fully understand why the > spincter is spasming or staying closed. I guess I will try anything to get > it working, but at some point Im going to have to look into a superpubic. I > cant see how a condom cathe could work very well long term, and wont work > at all without removing the spincter. I just don't want to make the wrong > decision. Ive already screwed up on my syrinx and letting the docs put a > patch in my stomach after my appendix burst in 2011. I just want to know > when the smoke clears if the superpubic sucks that I did all I could to > keep what little life I have rolling. I have very little support guys. > Thanks for the help. > > Ron > > > On Tuesday, May 1, 2018 12:13 PM, Quad Dude <[email protected]> wrote: > > > Hi Ron, > > The only 2 alternative solutions I can think of will likely be unappealing > to you. > > Since it appears your bladder sphincter is clamping down too hard, you > could get a sphincterotomy which debilitates the bladder sphincter and > allows for the free flow of urine, however, you would need to wear an > external (condom) catheter from that point forward. > > Another possibly more appealing solution could be to get a suprapubic > catheter placement. This is done through a simple surgical procedure which > creates a pathway from your abdomen directly to your bladder and your > bladder would empty through this pathway via a Foley catheter. The side > benefit of this method of bladder management is it "frees Willie" and can > make day to day management a bit easier. The procedure is also reversible > as the passageway from the abdomen to your bladder will close on its own > over a relatively short period of time (multiple hours or days) if you > remove the Foley catheter. > > These may have already been discussed with your urologist. I definitely > encourage getting 2nd opinions before opting for any surgical procedures, > urology or otherwise. > > I hope you find an acceptable solution that works for you. > > Steve - C4, 30 years, auto accident > > On Tue, May 1, 2018 at 4:37 AM, RONALD L PRACHT <[email protected]> > wrote: > > Im a c7 quad, 20 years post that has been straight cathing for 20 years > with little issue. Three years ago I started leaking a bit but just dealt > with it until the tubes wouldn't go in( pass sphincter) without an hour of > pushing and sometimes 5 tries. 3 months ago things got so bad that my > bladder was full and I couldn't insert the tube at all and my body went > into severe autonomic dysreflexia. I was taken by ambulance to the hospital > and they inserted a foley for 3 weeks. After the foley was taken out they > gave me some antibiotics and the tube was slipping in like butter for the > next 8 days. Out of nowhere the tube started getting harder and harder to > get in until it was near impossible. I was put on that drug that stops or > decreases bladder spasms back at the urologist visit after the emergency > room deal. Went back to the urologist today and they had to give me the > nurse, she tried to run a cathe tube in me but it wouldn't go so she tried > a caude cathe tube with the bent tip. this got through and urine came out > but lots of blood came out as well which never has happened. Finally the > doc came in and tried to get a foley in and finally did after awhile. The > blood wasn't coming from the bladder, it must have knicked a wall. My last > urologist visit they ran a camera in and it looked great no false passage > or issues. The question is why is the tube not getting past the internal > spincter? I suggested trying Flomax and im already on oxybutynin. if there > is no blockage or false passage then the spincter has to be in spasm or not > opening right? What else should I do? I have this foley now for a month > that I didn't want but I got anyway. I guess if I take the Flomax and > oxybutynin and after the four weeks remove the foley and im sure the tube > will go in but within a week it might start giving me trouble again. I > don't really understand how the spincter could give me this much trouble > and if it is what else I can do. I fear that im going to get a permanent > bag soon because they are tired of me. maybe they can rescope me to be sure > next time as well........im at a loss. > > > Ron > > > > >
