Catheter discomfort

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diamonds3
Regular Member


Date Joined Jan 2011
Total Posts : 112
   Posted 3/7/2011 8:42 PM (GMT -6)   
My husband just had surgery and is having discomfort from the catheter. Someone suggested an ointment for the tip of the penis. Can you tell me what that was? Thanks

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Post Edited By Moderator (James C.) : 3/8/2011 8:59:36 AM (GMT-7)


Mackattack
Regular Member


Date Joined Jan 2011
Total Posts : 78
   Posted 3/7/2011 9:03 PM (GMT -6)   
KY or vaseline or anything like that.  All you are trying to do is alleviate friction at the tip of the penis. 
PSA 3.9 - October 2010 at annual physical
PSA 4.1 - November 2010 after a month of antibiotic, DRE Normal
Age 41 in December 2010 at Dx of 6 of 12 cores positive T1C and Gleason 3 + 3

open RP on 2/14/11 at Mass General

Post Surgery Pathology Report: Gleason 6, T2, Cancer in 35% of Prostate, All Margins Clear

davidg
Veteran Member


Date Joined Feb 2011
Total Posts : 4022
   Posted 3/7/2011 9:26 PM (GMT -6)   
The hospital gave me lidocaine, it was great. just don't get any on your hands. Use gauze to spread it around penis tip around catheter. These two days are the toughest, things will get much better really quickly.

Galileo
Veteran Member


Date Joined Nov 2008
Total Posts : 587
   Posted 3/7/2011 9:28 PM (GMT -6)   
I was given a little tube of lidocaine, as well. My surgeon gave it to me when he came by my bed to check on me. Really took the sting out.

davidg
Veteran Member


Date Joined Feb 2011
Total Posts : 4022
   Posted 3/7/2011 9:33 PM (GMT -6)   
I enjoyed telling my wife to spread it every single hour for an entire week. Thought it was kind of funny. It definitely helped.

Susan R
Veteran Member


Date Joined Dec 2010
Total Posts : 510
   Posted 3/7/2011 9:33 PM (GMT -6)   
My husband used Neosporin with pain relief.

Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 3590
   Posted 3/7/2011 10:03 PM (GMT -6)   
yep Neosporin here as well.

Best of luck on recovery.

Cajun Jeff
9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1% cancer core
10/08 Nerve-Sparing open radicalSurgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clea
r3 month: PSA <0.1
19th month: PSA <0.1
2 year PSA <0.1
Only issue at this time is ED but getting better

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 23848
   Posted 3/7/2011 10:07 PM (GMT -6)   
I am definitely odd man out here, you have been given excellent advice thus far. With a total of 21 catheters and about 1 1/2 years of cath time, not once did I ever have to put anything on the penis tip, it was never an issue. Keeping it clean, however, is very important to keep down infections.

David
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 2/11 1.24
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10,

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 5809
   Posted 3/7/2011 10:13 PM (GMT -6)   
It is best to use something non-petroleum based. Polysporin was what I was given. I was told by the nurses - do NOT use petroleum jelly or the like.
First wash with water and gentle soap. Then apply the ointment with a gauze pad, moving away from the penis head down the tube (to avoid pushing anything in).
Cleaning needs to be done several times a day, more if he has leakage around the outside of the tube (I did - had spasms).

Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1250
   Posted 3/7/2011 11:22 PM (GMT -6)   
Hey, Diamonds, great to hear from you. I had no issue with the catheter. Had it for 10 days and loved it as I was able to drink all the tea I wanted in the evening and sleep all night. However, I was also delighted to be rid of it.

So, I can't give you any help with your question, but I did want to say hi, and also say I hope you'll post again soon and give us an update on how he's doing --- and, how you're doing.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours.  Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
 
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7 
 
First post op PSA Sept 09  less than 0.02
PSA on Oct 23, 2009 less than 0.02
PSA on Jan 8, 2010  less than 0.02
PSA on April 9, 2010 less than 0.02 
PSA on July 9, 2010 (one year) less than 0.02
  

dogbot
Regular Member


Date Joined Aug 2009
Total Posts : 145
   Posted 3/8/2011 4:59 AM (GMT -6)   
I was one of the lucky ones as I had no problems with the catheter and soreness, and never used any creams, but obviously kept every thing clean.
 
All the best from England.

Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1779
   Posted 3/8/2011 6:50 AM (GMT -6)   
Diamond, our surgeon recommended an antibiotic ointment, such as Neosporin. Said to apply it liberally to the tip of the penis around the opening...worked well for my husband.

axle
Regular Member


Date Joined Feb 2011
Total Posts : 35
   Posted 3/8/2011 10:48 AM (GMT -6)   
I was specifically told by the hospital nurses not to use neosporin. The gave me a product called E-Z Lubricating Jelly. This is the same product that doctors apply to medical devices and gloved fingers before inserting them into bodies. The E-Z stuff worked great for me.
Age 58; da Vinci on 1/26/2011
PSA History: 10/2005 = 1.7; 10/2007 = 2.8; 10/2009 = 3.6; 10/2010 = 4.9
Abnormal DRE in 2009; Increasingly abnormal DRE in 2010
Thank you POPs!
Biopsy on 11/23/2010: GS = 3+4 (right side) with 4 of 6 cores positive @ 40%.
Post-OP pathology: GS=3+4; tumor = 35%; pT3b; R. seminal vesicle invasion; Extraprostatic extension into the R. bladder neck; margins uninvolve

knotreel
Veteran Member


Date Joined Jan 2006
Total Posts : 575
   Posted 3/8/2011 1:38 PM (GMT -6)   
I was told by nurses upon discharge to use neosprin if needed, like purg said is clean it often to remove the crud ( dryed mucus and the like) this causes irration to the tip of the penis. There seems to be completely oppsite opinions of the neosprin type of ouintment and I never tried any other so I guess it one of those things, that work either way but clean is important in my mind. Take a close look at the first inch or so and see if there is any crusty build up. I used a clean damp bath cloth with just a bit of hand soap and wiped away from my penis, then I made sure the penis would slide comfortably over the catheter.
I hope it gets more comfortable.
Ron
06-08 1st biopsy neg psa 4
10-09 psa 5.5 2nd biopsy 1/12 pos. 10%, G(4+3) age 65
12-15-09 RRP Tulane NOLA Dr Lee
Path, 1%, clr marg, no EPE, no SVI, nodes cl, G(4+3)
100% incontinent @ 12 months
ED, pre-op severe, post op total
10/10 Dr Boone, Methodist recomended AUS
AUS/ IPP performed 1/11/11 Methodist Houston
post op psa's 0.04,<0.1,<0.1,<0.01@12 mo.

Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 3959
   Posted 3/8/2011 2:39 PM (GMT -6)   

I had my cath in for five weeks and never used anything on the tip.

One BIG trick I did learn.... The little bulb whatchmacall it that holds the cath in is usually filled with like 45ml (or 45 something) . Having your doc empty out a third of the fluid will make sitting at a desk much easier...


wigged-out
Regular Member


Date Joined Dec 2009
Total Posts : 130
   Posted 3/8/2011 4:35 PM (GMT -6)   
Diamonds3.

The key to success is to not develop an infection in or around the penis. For this reason my surgeon told me to wash up four times a day with a mild soap (dove unscented, and doesn't sting) and apply Bacitracin antibiotic ointment to the tip of penis and 3 inches of the catheter.

This wil not only make him feel better, but in my case it helped with the "I smell like some kind of farm animal" dilemma.

Some of the pain might be associated with little crusty things, so cleanliness is next to .....

I never got to a point where I didn't notice the catheter. It was only a week, then bye bye.

W-O
Age: 55- good health. Exercise regularly, 200#.
Needle Biopsy 11/09- 12 samples. 11 OK. Right Lateral Mid- Adenocarcinoma Gleason score 3+3=6 9 involving 5% of specimen.
PSA risingto 8.0 thru 2010.
2nd biopsy- 2 positive cores, one a 3+3=6, 3% and the other a 3+4=7, 20%
Very last PSA- 12
DaVinci 2/14/11 Cath out 2/21/11 Path=10%, Gleason6+7 No lymph, pca contained to organ. Lots of pads.

NEIrish
Regular Member


Date Joined Aug 2010
Total Posts : 245
   Posted 3/8/2011 11:54 PM (GMT -6)   
First, did your doc have instructions for cleaning after surgery? Despite what we all individually have been told, you should follow your discharge instructions from your own medical team.
Second, for what's it's worth, my husband was told to use bacitracin 3 times a day to remove the crusting that inevitably forms at the insertion point. I had stayed with my husband throughout his hospitalization and the staff showed me how to use sterile gauze in ONE DIRECTION ONLY around the penile tip to cleanse the area and keep irritation from developing. He never developed any soreness or redness as a result.
Third, welcome to a great site, and hope your husband has a problem-free, comfortable healing time...
Husband 60yrs., no symptms: PSA 10/04 2.73, 12/06 3.64, 5/09 3.9, 10/09 4.6, 1/10 5.0w/ free PSA 24
6 core biop 4/1/10 path rept: rt mid: adnocarc. G=3+3, 5% of core; R apx v. susp. minute ca, R base bnign w/ mod. atrophy, L side atrphy only; 2nd opnion JH confrmd
MRI - 15mm nodule
BiLatRP surg 7/6/10, path: T2c, nodes, sem.ves, extra caps. neg., adenoc both sides G=3+3 cntinent, Viagr-8/27 ED

English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2062
   Posted 3/9/2011 6:35 AM (GMT -6)   
Follow the advice the nursing team gave you. If they gave you none, then phone them and ask for some.
Otherwise remember to clean your hands before touching the penis or cath etc.
Use sterile gauze, warm water and a neutral (un-perfumed) soap, and regularly, and gently.

Also do not use any petroleum based products such as vaseline near the catheter, they will damage the rubber, same as not using Vaseline with condoms.

Alf
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