Problems after catheter removal.

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My TURBT op was a dream, no problems or pain. BUT, when the at home nurse removed the catheter I couldn't pee. On second visit later that day, told to drink and drink. Within a few hours the bladder was going into spasm and no pee. I was in such agony  waiting for the nurse to return I nearly passed out . My daughter called ambulance  but they said see primary care within hour, but eventually agreed to send a paramedic.

Eventually hospital nurse arrived,  put a catheter in and now I wait for a week and do it all over again.

Anyone else had this problem, or give advice please.

  • Hi foxbrush

    Yes, I had similar problems. The TURBT went ok, I was discharged the following evening, then my urethra became blocked by a big clot and after 4 hours of agony I went to A&E where I had a most impressive bout of projectile vomiting.

    Having waited for two hours, and now delirious with pain, I stumbled into the gents and managed to expel the blockage making the loo look like a bloodied war zone. 

    Later I was checked over and needed no further treatment that night. Having the catheter removed was one of the most uncomfortable experiences ever as the balloon that was holding it in place was rubbing the TURBT wound when I moved. The nurse said it wouldn't hurt, she lied!

    CB

    I may appear to be listening but in my head I'm all at sea. 

  • Cheers Crustybladder, that sounds horrendous, glad you cleared it though. The nurses have another language, slight discomfort means agony .

  • Hi Foxbrush,I'm sorry to hear that you had problems with retention after the removal of the catheter.Fingers crossed that you can go when they remove the current one.Best wishes Jane

  • FormerMember
    FormerMember

    Hi Foxbrush,

    Sorry to hear about your experience which is pretty similar to my own. 2.5 weeks ago I underwent Nanoknife which basically electrocutes cancer cells. I was told to wait 14 days before getting it removed. Last Weds at 17:00 ( in retrospect not a good time in the day) I had the catheter removed but was unable to void despite having drunk a few glasses of water. 5 the next morning I awoke with what felt like severe stomach cramp but strangely no urge to pee. By 6 I was in real pain and feeling nauseous, I had to wake my wife who drove me to he nearest emergency to get recatherised, 

    The hospital advised me to wait a further 2 weeks and recommended an antibiotic and anti-spasm medicine. Since following the recommended dosage I have noticed a lessening of the discomfort associated with wearing the catheter, it could also be down in part to the fact that the tubing is a soft rubber as opposed to the hard plastic of the first one. 

    The medicines they prescribed and which I have been taking are:
    Tamnexyl - 400 mg 1-0-0 for 2 weeks ( this means once a day).
    Augmentin ( urinary spasms) - 500 mg 1-1-1 for 7 days ( this means 3 times a day).

    I also spoke with the clinic who did the Nanoknife and they recommended I take Tamsulosin for 2 months starting 3 days before the catheter removal which they advise should be done in 7 days. 

    I am also using Lidocaine gel to reduce the pain in the tip of my penis.

    For my next catheter removal I plan to go to the hospital early in the day so as to avoid any mishap.

    I have increased my water intake as well to between 1-2 litres per day.

    Fingers crossed I won't have a repeat cos it sucked.

    Steve

    Hope this helps.

  • Hi Steve. Miserable experience! Sympathies! May I, just in case anyone reading gets confused, note that Tamnexyl appears to be a brand of Tamsulosin, so you're already on that.

    Augmentin is the antibiotic not the anti-spasmodic.

    Tamsulosin relaxes the prostate and urinary tract. There is another anti-spasmodic, Solafenicin, which the hospital got the GPs to give my husband when he was having trouble retaining the into-bladder ['intravesical'] Mitomycin. it maybe helped him a bit but not much, for what that is/isn't worth. There is also a combination medication with the two in it.

    Hope this is helpful and all the best for next time.

    I have never seen any mention on here of different catheter materials, very interesting. My husband has only ever been subjected to what you describe as hard plastic ones, if there's a next time I'll ask as even just watching him try to move around I could see how uncomfortable and awkwardly inflexible they are. Also no-one's ever offered or even suggested the Lidocaine, has anyone else on here found that useful?

    Good wishes,

    Denby

  • Hi Steve, sounds like you are same as me. Hope it all works out for you. Interested in the anti spasms, that's what got me. Had the pain from full bladder but when tried to pee, pain increased ten fold and no pee. 

    May phone my doc and see what he says. I am on Tamsulosin , and  my second catheter is due out Friday, like you , not a good time really. 

    Wont mess about this time though, straight to A&E if any hint of problem.

    Wonder what causes the inability to pee, but best of luck to you.

    John

  • Catheter out this morning and had a little pee. I seem to be working again, yeh  albeit a bit painful to pee though.

  • How are things now Foxbrush ? Jane

  • Hi Jane, things were going well so I stated my anti coagulant again, then passed the biggest clot I have seen . Passing pink again, so its a wait and see now. Hope it clears soon.

    many thanks

    John

  • Hi John,That must have been painful for you,I do hope it all settles down again.Jane