Leaking around catheter question

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Regular Member

Date Joined Apr 2007
Total Posts : 66
   Posted 5/15/2007 8:26 AM (GMT -7)   
Has anyone had it explained to them why urine leaks around the catheter directly after a bowel movement?
3 so far- 1st uneventful except for some leakage.
2nd- same thing except for a little bit of blood clots around the catheter.
3rd- same thing except more new blood (but not alot) around the catheter, just wondering what was making this occur. I know it's supposed to be normal, just don't know why.
Age 52
Diagnosed 2/19/07
10 of 24 cores positive
Gleason 3+3=6
DaVinci Prostatectomy scheduled for May 11, 2007
Stage: T2a
Father and uncle had prostate cancer

Forum Moderator

Date Joined Apr 2007
Total Posts : 32602
   Posted 5/15/2007 9:47 AM (GMT -7)   


This is a guess but if I remember correctly you can have leaking around catheter when you bear down to have bowel movement.  This may  happen to males with urinary catheters no matter what the procedure was.




Moderator Prostate Cancer

Depression 25 years, Husband Crohns Disease 30 years

My Father and his 5 siblings all died of Cancer.
"If you doubt you can accomplish something, then you can’t accomplish it. You have to have confidence in your ability, and then be tough enough to follow through.”

~Rosalyn Carter

Cedar Chopper
Regular Member

Date Joined Mar 2007
Total Posts : 432
   Posted 5/15/2007 12:27 PM (GMT -7)   


I had both urine and blood leaks (outside the catheter) during BMs.  This is what I observed:

The muscle contractions involved in a bowel movement (both voluntary and involuntary) also put pressures on the bladder & urethra.  These muscle movements "unseat" the inflatable spherical valve in the urethra holding the catheter in place and the urine leaks around it.  The blood is from the newly sutured (sans prostrate) urethra that  is healing around the catheter tube. The blood  is probably caused by a combination of the muscle contractions slightly tearing the suturing - and the urine leaking past.

Once, after a somewhat constipated BM, bloody urine actually migrated back into my bladder and flowed into the bag.  This upset my over-active imagination!  As others here have suggested, eat foods that give you  a soft BM for a few weeks.

My Physician's only concern about these "leaks" was that I not take aspirin nor other blood thinning agents until there was no sign of blood.  Probably a good idea for at least six weeks for most (Ask you own doctor, please.) patients from any major surgery, anyways.

I'm in week 13 and all of you newly recovering patients, please be patient! :-)

For weeks I thought I'd never be off pads again.  I still leak a little, mostly after a long day at work - before I lay down for the evening.  (I agree with the others, it seems to be fatigue setting in!)  Some of us recover faster than others.  I am believing all of recover in due time. tongue

Because God first Loved us (cf. John 3:16), each of us is a temple for His Presence.


2 Years of PSA between 4 and 5.5
Biopsy 23DEC06 
Only 5 percent cancer in one of 8 samples.
Gleeson 3+3=6
Radical Prostatectomy 16FEB07 at age 54.
1+" tumor - touching inside edge of gland.
Texas Hill Country
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New Member

Date Joined Jul 2011
Total Posts : 2
   Posted 7/19/2011 8:09 PM (GMT -7)   
I just had the robotic laparoscopic prostatectomy. (mouthful) This is all very new to me. I am 44 years old and very overwhelmed. I just had the leakage around the catheter. I've seen others say it's normal but has anyone experienced pain with it? The first few times it happened the pain was minimal. This last time it felt like there was a huge build up and was terribly painful until quite a bit urine leaked around the catheter. It scared the mess out of me. Has anyone else experienced that? Is there something I can do differently? It hasn't been the same every time.

Forum Moderator

Date Joined Jan 2010
Total Posts : 6427
   Posted 7/19/2011 8:24 PM (GMT -7)   
For me the leakage and significant but brief pain were results of bladder spasms. As always, the best advice is to call your surgeon's service and ask whenever you have unexpected things happen. I would have expected that the surgeon or nurses at checkout from the hospital would have mentioned this, but in my case, the reality was much more painful than the academic discussion.
Welcome to HW - sorry you have the need to be here, but speak up with any questions, or just to vent of need be.
DaVinci 10/2009
My adjuvant IGRT journey (2010) -

Veteran Member

Date Joined Jan 2010
Total Posts : 2825
   Posted 7/19/2011 8:33 PM (GMT -7)   
hiya -
- what is happening is common, in moderation - the leaking during bowel movement may be due to undue muscle pressure to pass the stool - would recommend a stool softener ( not a laxative) - to make it easier to have a b.m. - also - don't rush it - that area has been through a lot of trauma and some communication may be off - grab a book and relax..

- blood clots are typical as you heal up - even new blood spotting can happen - I was fine for the first week and then bled each day (irritation to the urethra) for the next two weeks - the visiting nurse and my urologist were not worried at all - once the catheter was out - it all cleared up the next day.

-polysporin on the urethra opening by the catheter can help keep infections at bay.

-don't be hard on yourself - we all heal up at different rates - wishing you all the best,


Regular Member

Date Joined Jul 2011
Total Posts : 115
   Posted 7/21/2011 10:23 PM (GMT -7)   
I agree with most,the reason is probably pressure from gas.Do you have alot of gas?I sure did,but most of you systoms seem normal,keep an eye on the burning though,call Uro and get it tested in case of an infection which I did since I didn't take antibiotics after surgeryalso good advice on stool softners and be very carefull what you eat,mashed potatoes ,rice ,good stuff,stay away from heavy greacy meats,and vegtables that cause gas.Good luck be positive!TAI-CHI is wonderful...
3+3=6 gleason
larp,bone & ct neg,seminal ,neg
12 samples 3 pos,1 suspect high grade
Larp 5/31/11
PSA 5.2

New Member

Date Joined Jul 2011
Total Posts : 2
   Posted 7/25/2011 8:37 PM (GMT -7)   
I want to thank you all. I had the catheter removed and I am doing well now. I was quite overwhelmed and it was to to have a community of people who can relate. I suddenly didn't feel all alone. Thanks again

Veteran Member

Date Joined Jun 2013
Total Posts : 1083
   Posted 9/15/2013 12:28 PM (GMT -7)   
I'm having the same problem of leaking blood and urine around the catheter during BM's or when trying to pass gas. I feel like I have to pee and find little or nothing in the catheter bag. Then I stand over the toilet and pee and blood flies out. disgusting. My doc says it's normal; doesn't feel very normal!

New Member

Date Joined Sep 2013
Total Posts : 2
   Posted 9/15/2013 3:07 PM (GMT -7)   
Had my robotic prostatectomy Dec 23, 2012. Had to have a resection and reconstruction of my bladder due to the intrusion of my massive prostate into the bladder. I had a foley catheter for 3 weeks after surgery. Like a lot of other people experienced, it leaked every time I had a BM and I often felt like I had to pee. This is normal. The whole time I had the catheter in I was depressed and wondered if I was ever going to get better. The day after the catheter came out I felt like a new person.

This part of the experience will pass, and then you'll deal with and get past new challenges. Keep in touch with your surgeon, ask questions, be patient.
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