Post Catheter Removal Irritation

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Sunbird
Regular Member


Date Joined Apr 2008
Total Posts : 127
   Posted 2/25/2010 2:09 PM (GMT -6)   
I had my catheter removed Monday, and since then I have noticed redness around the urethra where it exits my penis.  I kept the area well lubricated with neosporin while the catheter was in.  Penis feels somewhat sore too.  Just wondering if this redness is a result of the catheter being in for two weeks and then being yanked out?  Anybody else have the same problem after catheter removal.  I was on antibiotics up to the day the catheter was removed, so it's hard to believe I have an infection.  At least the swelling in my scrotum is subsiding.
1996, Age 48, Stage III Colon Ca, Colon Resection followed by 18 chemo treatments.
 
2000, Colon Ca Metastasis to upper left lung lobe.  Lung lobe surgically removed.  24 chemo treatments scheduled.  Took 1, declined the rest.
 
9/08 PSA is 2.8, 12/08 PSA is 4.56??  Chalk it up to prostatitis due to urinary retention after Nissen Fundo Surgery.  VA docs prescribe 30 days of Septra.  Prostate feels normal.  PSA hovers around 4.1.  VA docs want prostate biopsy but can't seem to get me into the schedule.  Continue through Spring and Fall of 2009 thinking I have prostatitis.  Bacteria cultures are always neg.  PSA drops to 3.1 10/09.
 
12/09 Prostate Biopsy performed
3 of 10 cores positive, 5%, 25%, & 35%, 3 + 3= Gleason Six with perineural invasion.
 
Doc wants CT Scan due to prior Colon Ca. Findings: "The seminal vesicles are irregular & there is nodularity in the periprostatic fat such that local extension cannot be excluded.  Shotty lymph nodes in both groin measuring 2.3 cm."
 
Doc wants Endo-rectal MRI (OUCH!) Findings: Mild central zone BPH, no discrete focus of carcinoma is identified, no evidience of invasion into the periprostatic fat or seminal vesicles.  Normal size iliac chain lymph nodes.
 
2/08/10 Open RP surgery.  Findings: Gleason Six upgraded to Seven.  3 + 4, Stage pT2c, Bilateral w/perineural invasion, No pos lymph nodes,  margins uninvolved, no extraprostatic extension, no seminal vesicle extension,  39 grams, blood loss 1200 ml (didn't want a transfusion & didn't get one) nerve bundles spared bilaterally.  current age-61


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4014
   Posted 2/25/2010 3:38 PM (GMT -6)   
Was the cath in since Feb 8th? Odds are what your seeing is normal. If it starts to look worse - seek medical treatment.
 
I had mine in for five weeks and was on antibiotocs almost the whole time.
Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
11/20/09 - 18 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 5866
   Posted 2/25/2010 3:57 PM (GMT -6)   
The antibiotics they put me on for post-surgery were for potential infection of the surgical area. I did quite a bit of research on those when the UTIs started, and discovered that the best for major internal potential problems do nothing for the urinary tract, so had to get a second type.
But yes, I also had a lot of irritation in the several days after the cath was removed (redness, not painful), and then 3 different bouts of infection over two months following that. A UTI will put you on your knees when you pee, so I suspect you'll be calling the doc first, posting later if that's the case.

defender3
Regular Member


Date Joined Nov 2009
Total Posts : 98
   Posted 2/25/2010 4:40 PM (GMT -6)   
I had the same thing and believe it was due to the catheter being in for 9 days. I continued to use a topical antibiotic for 5-days post removal and believe all the redness and irritation was gone by 10-days post removal. +1 to what 142 stated about a UTI - you'll know if you have one - it gets your attention.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 24187
   Posted 2/25/2010 5:02 PM (GMT -6)   
Not sure if it might be something else, I have been on continuous catheters for almost 5 full months now, having them changed out 4-6 week intervals for hygeine purpose, never had any soreness or redness from any of them. I think it would be worth leting my doctor know.

david in sc
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 2/25/2010 6:38 PM (GMT -6)   
I didn't have anything to add to this topic until I read David's reply.

Yes, by all means, if anything doesn't seem right call your doctor. He wants you to have the best possible recovery but he can't if he doesn't know what is going on.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads
6 mo. PSA 0.00 -- 1 light pad/day
9 mo. PSA 0.00 -- 1 light pad/day ED remains


Sunbird
Regular Member


Date Joined Apr 2008
Total Posts : 127
   Posted 2/25/2010 6:50 PM (GMT -6)   
OK, thanks for the replies.......
1996, Age 48, Stage III Colon Ca, Colon Resection followed by 18 chemo treatments.
 
2000, Colon Ca Metastasis to upper left lung lobe.  Lung lobe surgically removed.  24 chemo treatments scheduled.  Took 1, declined the rest.
 
9/08 PSA is 2.8, 12/08 PSA is 4.56??  Chalk it up to prostatitis due to urinary retention after Nissen Fundo Surgery.  VA docs prescribe 30 days of Septra.  Prostate feels normal.  PSA hovers around 4.1.  VA docs want prostate biopsy but can't seem to get me into the schedule.  Continue through Spring and Fall of 2009 thinking I have prostatitis.  Bacteria cultures are always neg.  PSA drops to 3.1 10/09.
 
12/09 Prostate Biopsy performed
3 of 10 cores positive, 5%, 25%, & 35%, 3 + 3= Gleason Six with perineural invasion.
 
Doc wants CT Scan due to prior Colon Ca. Findings: "The seminal vesicles are irregular & there is nodularity in the periprostatic fat such that local extension cannot be excluded.  Shotty lymph nodes in both groin measuring 2.3 cm."
 
Doc wants Endo-rectal MRI (OUCH!) Findings: Mild central zone BPH, no discrete focus of carcinoma is identified, no evidience of invasion into the periprostatic fat or seminal vesicles.  Normal size iliac chain lymph nodes.
 
2/08/10 Open RP surgery.  Findings: Gleason Six upgraded to Seven.  3 + 4, Stage pT2c, Bilateral w/perineural invasion, No pos lymph nodes,  margins uninvolved, no extraprostatic extension, no seminal vesicle extension,  39 grams, blood loss 1200 ml (didn't want a transfusion & didn't get one) nerve bundles spared bilaterally.  current age-61


goodvibes
New Member


Date Joined Jan 2010
Total Posts : 8
   Posted 2/25/2010 9:56 PM (GMT -6)   
Hi Sunbird,

I had my catheter in from Feb. 8th to Feb. 18th of this year. My penis was also red and irritated during and after the catheter removal. The redness cleared in about 3 days after the removal.

One thing to note is that many people are allergic to neosporin. (I know I am.) The HMO I belong to no longer sells triple antibiotic ointment in their pharmacies due to a large number of people complaining about their reaction to neosporin.

If you are still using an ointment, you might want to switch to a double antibiotic ointment with just Bactracin Zinc and Polymyxin B Sulfate.

I hope it clears up for you soon.

Robin
Age at diagnosis: 62, PSA 7.74; Biopsy - Oct. 13, 2009 - 10 cores, 1 positive - Left Apex 50%; Gleason 4+3 = 7, Stage T1c; Robotic surgery on 02/08/2010 Age 63
Final Pathologic Diagnosis
- Gleason Grade: 3+3 = score 6; prostate size and weight: 4.7 x 3.9 x 3.5 cm; 40 g
- tumor quantitation: 15% of sampled right lobe; 25% of sampled left lobe
- extraprostatic extension: not identified; lymphovascular invasion: not identified
- perineural invasion: present
- seminal vesicle invasion: not identified
- margins: positive for invasive carcinoma
- location of positive margin: left anterior apical
- extent of positive margin: unifocal (1 mm focus)
- nature of positive margin: intraprostatic
treatment effect: not identified; lymph nodes: none submitted
- TNM: pT2c pNX

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