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Catheter out soon - need some advice

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Purgatory
Elite Member
Joined : Oct 2008
Posts : 25448
Posted 12/10/2008 4:58 AM (GMT -8)
My catheter is due to come out at on Monday morning, December 15th.  It will have been in place for 32 days at that point since surgery.  I have several questions.

Will it hurt much being taken out?   I have never had one before.

Will I have uncontrollabe urine flow once it is taken out?

Do we need to bring any supplies to the doctor's office that morning?  The urologist office never said anything one way or the other.

Should taking out the catheter end all these horrible bladder spasms I still continue to have daily?

I don't understand if I will need diapers like Depends or some talk about pads or panty liners, this is all new ground to me, any information will help.

I cant wait to have this ever annoying and irratating catheter out of me.  Thanks for any help.

David in SC

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lawink
Veteran Member
Joined : Oct 2006
Posts : 621
Posted 12/10/2008 5:02 AM (GMT -8)
Hi David!

In Bob's case, there was no pain, effortless removal. He brought a depends pull up with him and a pad . . .wore both home. Not everyone has "uncontrolled" leakage, but there for sure will be drips and drops until you get used to having that catheter out. You of course need to be prepared.

Good luck and keep us posted!

;o) Linda & Bob
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Steve n Dallas
Veteran Member
Joined : Mar 2008
Posts : 5242
Posted 12/10/2008 5:28 AM (GMT -8)
It's pretty much painless. You'll leak like Niagra Falls when it's first removed. Doc will point you to the toilet to see if you can stop the stream. I used these: http://www.cvs.com/CVSApp/catalog/shop_product_detail.jsp?filterBy=&skuId=264671&productId=264671&navAction=jump&navCount=3 Spasms will still be there.
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glabers
Regular Member
Joined : Nov 2008
Posts : 31
Posted 12/10/2008 5:33 AM (GMT -8)
Frankly, any level of pain to get it out was well worth it to me. As it was coming out, the nurse could have punched me in the face and I would've just smiled from sheer joy that it was being removed. For me, I was able to immediately pee, then stop, then pee and stop again. That was a good sign to the nurse. We then put my pad on and left after a brief conversation/consultation. (this was the day my wife pulled out the Elmo diaper, and we all went hysterical).

Bring extra pads and your questions. I'd take a nice painkiller in advance to both help you relax and assist with any possible pain, but I should tell you that I had no pain. Some sensations it was removed, but no pain. It's like giving birth to a tiny weeny baby. :)
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LV-TX
Veteran Member
Joined : Jul 2008
Posts : 966
Posted 12/10/2008 6:27 AM (GMT -8)
I had no pain with the removal. The doc deflated the balloon and it almost fell out on it's own. My bladder wasn't filled prior to removal to check for leaks like others indicated, nor was I to pee and stop and pee again with the doc checking. He just removed the little buddy and gave me a sample pull up diaper and said see you in a couple of weeks for the PSA test. I never had the spasms, so I can't comment if you will still have them or not. I leaked continually for almost two months...only recently has it improved to just a few pads a day.
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Bluenose
Regular Member
Joined : May 2008
Posts : 260
Posted 12/10/2008 7:25 AM (GMT -8)

 No pain with removal, an unusual feeling though. My bladder was filled prior to removal. I was fine while sitting but when I stood to pee in the cup....whoaa, looked like a fire hose had been let loose! Finally gained control of that situation and filled said cup half-way, the other half, well you know.....it wasn't in the cup! Nurse came in and asked "did you pee", she looked around say's "oh yeah YOU did"! We were both laughing pretty hard. She said it happens all the time.....I went ahead put on my Depends pad (advice from the forum) and headed for the house. Only used one pad during the daytime early in my recovery to once in awhile I'll still slip on a liner....because, sometimes I'm just chicken..

  The Depends pads worked really good for me, I'd advise you to take a few of those....as far as a bucket and mop, they have those in the office!! :)  you'll do fine David, good luck brother!

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hangin-in
Regular Member
Joined : Sep 2008
Posts : 81
Posted 12/10/2008 7:44 AM (GMT -8)

My experience.

No pain with removal but definite discomfort. I brought along depends and pads to the office but it wasn't necessary because the Dr's office gave me an initial supply. No filling the bladder prior to the catheter coming out. However after removal, the nurse gave me lots of fluid to drink and had me wait in the area for 1-2 hours to be sure that I was urinating. Well, in my case. being one of the fortunate ones,  I didn't need the pads at all - full continence from the get go. I left the office after 2 hours.

Unfortunately, several days later I couldn't urinate and I had terrible pain. I was admitted to the emergency room and a catheter was reinserted and left in for several more days after which I didn't have any more problems. They think there must have been some swelling or some other blockage in the urethra that cleared up with the second catheter insertion.

Good luck to you.

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DoingFine
Regular Member
Joined : Sep 2008
Posts : 46
Posted 12/10/2008 8:07 AM (GMT -8)
I was also having bladder spasms (even while taking detrol). Although I did not really believe it when told they would stop when the catheter was removed . . . they did! No more spasms.

As with most everyone else, there was really no pain as the catheter was removed, just a strange feeling (then a happy feeling!).
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Galileo
Veteran Member
Joined : Nov 2008
Posts : 701
Posted 12/10/2008 8:42 AM (GMT -8)
Mine wasn't painful coming out. Uncomfortable (a slight burning) but it was over in seconds and then FREEDOM.
I had a nurse do it. Before taking it out, she squirted sterile water up the cath tube into my bladder. When it felt full, she did the removal. She had me standing over a container to catch the outflow.
I took a deep breath and exhaled steadily through the removal. Maybe that helped me, I don't know.

Water, urine, a little blood, all gushed out.

I brought along something--pads, I think--to wear home. Maybe it was Depends.

It was a happy day.


Best wishes.
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Purgatory
Elite Member
Joined : Oct 2008
Posts : 25448
Posted 12/10/2008 8:43 AM (GMT -8)
Thanks for all the stories here, gives me some more confidence, even though I take the meds for the spasms 4x a day, still have them bad at times, mild at others, just trying live out the next 4 1/2 days with the catheter inside me. As far as the rest of my healing, I feel mostly good, espec. around the incision, very little pain there, no longer require pain meds of any sorts, precription or over the counter. Patience is definitely one of the biggest factors when dealing with PC I conclude, and I am just barely getting started after surgery.

David in SC
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chrisinmaine
Regular Member
Joined : Aug 2008
Posts : 31
Posted 12/10/2008 10:25 AM (GMT -8)
For me the joy of removal erased any memory of pain--if it even existed at all. A deep breath, then an exhale as it was being pulled out worked as an effective distraction to the extraction. I am not a great pee on demand person so I did not go right away. After a few attempts they sent me away for a few hours, suggested that I drink some water and come back and empty my bladder. I drank about a quart and held it with no leaks. They then gave me an ultrasound and that confirmed that my bladder emptied ok. That was the best pee of my life! Other than the occasional drip for a week or two I only had to wear very small pads. I had spasms while the catheter was in but never after it was out. I am a lucky man.
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Sam Benton
Regular Member
Joined : Dec 2008
Posts : 35
Posted 12/10/2008 1:05 PM (GMT -8)
That catheter drove me crazy, and I was nervous when they removed it. But the nurse told me to take a deep breath and let it out while she pulled and it was uncomfortable but not painful. I read that a lot of you guys use depends. I have been using a triangle shaped pad called Tena anyone heard of them? they fit pretty well.
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Rolerbe
Regular Member
Joined : Dec 2008
Posts : 235
Posted 12/10/2008 1:53 PM (GMT -8)
I really liked the Tena (Serenity) pads. They fit much better and are the right 'weight' (i.e. light) for me. I bought a pack before the surgery, then could not find them anywhere afterwards having been discontinued by all the local pharmacies. I'm using the depends pad now, but its bigger than I need and much less comfortable. :-(
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RBinCountry
Regular Member
Joined : Apr 2008
Posts : 270
Posted 12/10/2008 1:59 PM (GMT -8)
Purg,
I was filled up with solution prior to removal and told to hold it when the catheter was pulled out. I had no pain or discomfort whatsoever, and found amazingly that I could hold the solution in me. Later though I started the leaking. In fact on the way home I stopped and got a big diet Coke at the drive thru - that was a mistake. By the time I got home I had soaked down the pad.

The men's pads will hold a lot, and I never found them to fail in that regard. Even when I was at my worst no one esle knew the difference. I would definitely take a pad to wear from the office. You will need standard brief underwear. Don't worry - it will be a glorious trip to be rid of the catheter.
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Purgatory
Elite Member
Joined : Oct 2008
Posts : 25448
Posted 12/10/2008 2:39 PM (GMT -8)
Thanks one and all, I knew by now that I could count on all of you for some real rounded opinions. Made me feel a little bit more confident. I did something either brave or stupid today, couldnt stand being stuck in the house on a very rainy day all alone, and since I had my wife put on my leg bag this AM, I took off and drove for the first time even with the cath in place. My dr. had told me not too. I went to WalMart 2 miles away to pick up some med, went to drive in at Mickey D, picked up 3 items at the grocery store, and stopped and bought a lottery ticket, then came home. Was gone for an hour total, but totally wiped out by the time I got home, didn't realize how weak I really am coming up on the 4 week mark from surgery. Told my wife I won't try that stunt again until after the cath is out next Monday.

David in SC
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LV-TX
Veteran Member
Joined : Jul 2008
Posts : 966
Posted 12/10/2008 2:50 PM (GMT -8)
Not a wise move to drive with the cath in place. If you had an accident your insurance could deny the claims even if you did not have any medication in you at the time. And to make matters worse, the other party could sue for negligence on your part (triple damages anyone)...you knew you weren't suppose to drive in the first place. Not scolding...but you were lucky this time.
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Purgatory
Elite Member
Joined : Oct 2008
Posts : 25448
Posted 12/10/2008 3:06 PM (GMT -8)
Les,

Point well taken, I get it. It was a one time moment of madness or weakness, never felt comfortable the entire time.

David
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Bluenose
Regular Member
Joined : May 2008
Posts : 260
Posted 12/10/2008 5:48 PM (GMT -8)

  ah heck David, sometimes you just have to go for it!!  Even if you do get a spankin'.....

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LV-TX
Veteran Member
Joined : Jul 2008
Posts : 966
Posted 12/11/2008 6:36 AM (GMT -8)
Sorry David...didn't mean to sound so harsh...after all the old saying...It's better to ask for forgiveness than for permission. Anyway...its just a few days and all this catheter will be behind you...and then you can lament like I did for your buddy....<smiling>
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Purgatory
Elite Member
Joined : Oct 2008
Posts : 25448
Posted 12/11/2008 7:30 AM (GMT -8)
Les,

No harshness detected, no foul. I knew I shouldn't have, my wife was suspicious I was going to make a get away that morning when I asked for her help putting on the leg bag. My youngest son was suppose to come over yesterday afternoon and drive me around, but he ended up working a double shift on his job. I was so upset and disapointed, I said screw it, I am out of here, and thus I went. I can now wait the last 3 1/2 days to get this annoyance out of me. Its pouring rain here in SC, not much incentive to go anywhere. There may be times I wished I could just pee in a bag and not worry about it, but I can't imagine that right now. 32 days of this is quite enough for my liking.

David in SC

P.S> Wonder when they will do my first post surgery PSA?
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RBinCountry
Regular Member
Joined : Apr 2008
Posts : 270
Posted 12/11/2008 2:51 PM (GMT -8)
Well,
I guess I need a licking also - I drove the hour and a half back to the doc the day mine was removed (simply because my wife's driving gets on my nerves). I didn't think anything about insurance etc.. I do recall that I tired much more easily the first few weeks out from surgery.

You're going to be a happy uncorked recoverer - keep us informed and enlightened. Best wishes...
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Dave7
Regular Member
Joined : Jul 2006
Posts : 204
Posted 12/11/2008 4:47 PM (GMT -8)
The nurse took mine out and it hurt. She stuck a syringe in the little y-tube extension and extracted the fluid from the bulb that was holding the thing in place.
I don't think she extracted all the fluid because it hurt like hell when she pulled it out.

I needed to have it reinserted later and the next time it was removed a doctor did it. He filled one and a half syringes with the fliud he extracted before he pulled it out. The nurse had only used one syringe and I guess she figured that was good enough. Or perhaps it was her sick way of extracting vengence upon men in the world.

It shouldn't hurt if they extract all the fluid in the bulb holding it in.
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