I can't address any of the kidney issues, but will attempt some prostate answers. I understand that the immediate issue for him is the kidney, and so the prostate problems will be delayed somewhat, I suppose. However, if he doesn't already have one, he will need an experienced urologist to look at the enlarged prostate issues and to determine if this is the underlying issues causing his kidney retention and failure. There are several things a urologist can do for him, -from using instruments to remove part of the prostate to increase urinary tract size, to drugs to reduce the enlargement, to a couple of surgical options. For now, the catheter will keep the urine flowing out and things working fairly normally. Catheters are a part of daily life for some men, as intrusive as it seems, and can be a real blessing as he probably found out when they put one in and drained all that urine out of him. Proper care of the catheter will reduce the chance of infections. The tube and head of the penis needs to be kept clean and usually an antibiotic salve is used to block germs and to also lube the tube so it can slide somewhat and the ureter doesn't 'stick' and cause irritation. It seems that he is getting the correct care, in the proper sequence- first get the kidneys healthier, then address the prostate and urinary retention issues after that. Any intrusive work on the urinary system increases the chance of infection as long as his kidneys are compromised or still have infection in them. I know it seems everything must be done at once, but there's probably a good reason why things are being done slower. I do think the doctors need to communicate with you better, especially to let you know just what specialists are looking at him and for you to find out if there's a urologist involved. Kidney specialists are just that, as are urologist specialists with the bladder and the rest of the urinary system.
If you want or need some more answers, advice or just a shoulder to lean on, there's a bunch of guys and gals in the Prostate Cancer Forum here who have had some experiences with enlarged prostates, urinary blockages and such, so come on over, if you want. We can't speak to the kidney difficutlies, but some of them really know their pee....
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