Catheterisation

Ask our experts your questions about bladder problems including, continence, weak pelvic floor, overactive bladders or any other bladder related issues.

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Mr Benjamin Challacombe
Posts: 121
Joined: Mon Nov 12, 2012 2:41 pm
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by Mr Benjamin Challacombe on Wed Jul 16, 2014 6:59 pm

Re: Catheterisation

It sounds like he had chronic retention meaning his bladder had been stretched
there are no specific exercises to train the bladder power.
He could have a flip flow valve as opposed to have the catheter on free drainage which helps the bladder retain some tone
The only way to see if the bladder has enough tone to enable voiding is to perform the surgery (TURP or HoLEP with laser) although i agree he could still be left with a catheter if the bladder hasn't enough strength after it has been disobstructed.
The other option is passing a catheter himself twice a day (intermittent self catheterisation) and not having a permanent one which some men prefer.

How big did they say the prostate was? was it formally measured by ultrasound?, how much urine came out when they first catheterised him? more than 2 litres?
If over 100g/cc then holmium laser enucleation often the best technique to go for.
try this link:
http://www.ncbi.nlm.nih.gov/pubmed/24552209

Ben
Mr Benjamin J Challacombe
Consultant Urological Surgeon and Honorary Senior Lecturer

http://www.talkhealthpartnership.com/on ... acombe.php

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Debbie Gordon
Posts: 20
Joined: Mon Nov 11, 2013 1:33 pm
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by Debbie Gordon on Thu Jul 17, 2014 11:47 am

Re: Catheterisation

Unfortunately pelvic floor exercises will not help in this case. However, you may find it helpful to speak to one of the Continence nurses on the Bladder and Bowel Foundation helpline who will be able to answer any questions that you may have and offer practical advice. If you would like to do this please call 0845 345 0165 and leave your name and number. You will be called back.
Debbie Gordon
Independent Specialist Physiotherapist in Bladder & Bowel Health

http://www.talkhealthpartnership.com/on ... gordon.php

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