Male intermittent catheter

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I have recently because of urinary problems, very likely increased because of my peg and hernia problems  been trained to use an intermittent catheter by Luton & Dunstable Hospital.

This is not my regular hospital but I mention it because of the very good nurse there who spent an hour training me how to use it. She used a Bard size 14 which she says is the best.

There are many companies making them, selling them and  offer free samples but only to those who have been trained. They make a big fuss about the training. It isnt that complicated although the instruction sheets dont mention what I am going to write. First of all I found out that the bladder even if you dont drink will not stay empty. Since I inserted and took it out twice and the second time (later than the first) had urine in. There is nothing one can do about it but it is a great drawback. The problem with inserting it is that you really need three hands and only have two. Maybe there exists a catheter and there are very many, which solves this problem.

Anyway the catheter is like a long straw made from plastic but not rigid since the body is not straight. Today straws are made that bend I dont know why catheters cant be made like that. They are about the same thickness or just a bit thicker and are coated with some kind of gel for two reasons. One some kind of anesthetic to numb the body and also it should glide in easily and smoothly. This has the drawback that it comes out too easily when putting it in and somehow has to be held tight to stop it coming out. Now because of infection one should not touch the catheter so there is sliding 'slide' on it to be able to move it. Since it is not rigid one cant hold it at the end and slide it in so one first has to hold it near the middle and then move the 'slide' without touching the catheter and making sure it doesnt slide out before inserting the rest of it. This I found this the difficult part since one has to hold the catheter in place and that can only be done by squeezing the 'member' (I prefer that word to the correct one) to hold it. This cant be done too low down so one has to insert as much as possible at first. This needs getting used to. I am sure there ought to be some easier way to do it. Maybe such a catheter exists. It needs what is called an applicator. Which holds the catheter and you move it in.  Something similar to a kind of gun which holds the middle of the catheter at the top and by pulling the trigger it moves it along. The catheter being in a casing and the gun also strips the casing away as it rolls it in to stop infection. 

If anyone is using another make which they think sounds better I would like to hear from them.

  • Today straws are made that bend I dont know why catheters cant be made like that.

    Some catheters are extremely flexible. I think the ones used for self-catheterisation are generally stiffer for two reasons; first to 'nudge' past slight obstructions. A softer catheter might not make it. Secondly, I think a stiffer tube is easier to manage for the non-expert user - every catheter has it's problems, and soft ones can be irritatingly difficult to manipulate. 

    You might find it gets easier with practice, but if it's a big issue or doesn't, then I'd go back and tell her the issues and ask if you can try another.

    She sounds like a very sensible and knowledgeable person, but I think she's a bit naughty to claim any one model is 'the best' - there's no such thing; there are many different models, and sometimes different ones suit different people. And sorry, I can't suggest an alternative; my knowledge is 15 years out of date!

    - - -

    Heinous

    If I can't beat this, I'm going for the draw.

    Meanwhile, my priority is to live while I have the option.

  • I am at the moment making a 'collection'. Asking all companies to send me samples and if  necessary to pay as well.

    It seems they are mainly US companies and they have a law that they cant be sold only to people who really need them. I dont know if there is such a law here but some companies have this policy before sending to users. That means they ask for proof you need them. I send them my training card from Luton hospital and they seem satisfied with that. I hope in due course to give my opinion of each catheter that I am able to receive. It is getting easier for me with practice, but as I wrote they could be made even easier. I must say that the nurse spoke to me, meaning she told me what I wanted to know, like the things I have written, not what I usually get, a lot of things I am not really interested in. She was very knowledgeable and seemed to have a very lot of experience knowing exactly what I needed. She wrote me out a whole 'training' card and stamped it with the hospital and her own stamp. That is the kind of thing the catheter makers want to see before giving you any. She also knew my problems of why I needed it, without me having to say much (I cant talk anyway). I suppose a few things. That after going to the toilet and then using the catheter and still finding urine that means I suffer from retention. And if it goes in very easily which it does then prostate is not the problem. I must say passing urine after the first time using it, although it didnt exactly hurt was slightly different, but now after using it a bit passing urine is as normal. 

    Info CliniMed

    )

    Thank you so much that gives me everything I need, so I will send some samples from our range to you. Have a good weekend.

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    Hi,

    That’s great thankyou, I will arrange for some samples to be sent, could you please confirm your house number.

     Kind Regards,

    Emma Bryce

    To: Bryce, Emma <Emma.Bryce@wellspect.com>
    Subject: Re: sample request

  • I am at the moment making a 'collection'. Asking all companies to send me samples and if  necessary to pay as well.

    It seems they are mainly US companies and they have a law that they cant be sold only to people who really need them. I dont know if there is such a law here but some companies have this policy before sending to users. That means they ask for proof you need them. I send them my training card from Luton hospital and they seem satisfied with that. I hope in due course to give my opinion of each catheter that I am able to receive. It is getting easier for me with practice, but as I wrote they could be made even easier. I must say that the nurse spoke to me, meaning she told me what I wanted to know, like the things I have written, not what I usually get, a lot of things I am not really interested in. She was very knowledgeable and seemed to have a very lot of experience knowing exactly what I needed. She wrote me out a whole 'training' card and stamped it with the hospital and her own stamp. That is the kind of thing the catheter makers want to see before giving you any. She also knew my problems of why I needed it, without me having to say much (I cant talk anyway). I suppose a few things. That after going to the toilet and then using the catheter and still finding urine that means I suffer from retention. And if it goes in very easily which it does then prostate is not the problem. I must say passing urine after the first time using it, although it didnt exactly hurt was slightly different, but now after using it a bit passing urine is as normal. 

    Info CliniMed

    )

    Thank you so much that gives me everything I need, so I will send some samples from our range to you. Have a good weekend.

    ----------------------------------------------------------------------------

    Hi,

    That’s great thankyou, I will arrange for some samples to be sent, could you please confirm your house number.

     Kind Regards,

    Emma Bryce

    To: Bryce, Emma <Emma.Bryce@wellspect.com>
    Subject: Re: sample request

  • So far about ten companies have replied that I am going to get samples and some have already sent. The ones I already have are manfred-sauer, gentle-cath, hunter-urology, clini-med and of course Bard. I intend to make a study of them. I am surprised this has not yet been done or at least if it has I am not aware of it.

    The headings would be something like this. If they are already coated with gel, how easy it is to insert, and how many hands you really need, if it hurts although one cant always tell from using just one and not all people are the same. Or like with the Bard one I am using, one has to hold the 'slider' tight and my fingers are not so 'deft' otherwise the catheter which is very slippery (and has to be) will just slip out. Some say they can also be folded to carry with you. 

    Maybe others have more suggestions. 

  • I intend to make a study of them. I am surprised this has not yet been done or at least if it has I am not aware of it

    Good idea!

    Studies comparing products are very rare, as most studies are paid for by the companies, so tend to compare their product with the most basic catheter in the world.

    - - -

    Heinous

    If I can't beat this, I'm going for the draw.

    Meanwhile, my priority is to live while I have the option.