Is it normal to leak through side of catherer?
New need help - 14.3%
its normal to leak through side of catherer - 85.7%

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New Member

Date Joined Oct 2010
Total Posts : 1
   Posted 10/12/2010 10:50 AM (GMT -6)   
I just got surgery for prostate cancer I been home 10 days and everything was looking alright until this morning. I was trying to have a bm and felt an urge to pee it was so intense that I was waiting to see it go down the tube, instead a stream of blood and urine leak out of the side of catherer. Am waiting for the doctor to get back to me. mean time i found this web site and am giving it a try. I am new to this and english is not my first language so excuse my spelling. any help would be great appreciated.

Forum Moderator

Date Joined Jan 2010
Total Posts : 7085
   Posted 10/12/2010 11:18 AM (GMT -6)   
A lot of us with Foley catheters have had the leakage around the tube.
It is usually just because of the urethra sutures (blood and scab tissue).
However, you should always check with your doctor if you have problems or questions.
Welcome to the place no one wants to be a member of - sorry that you have to be here.

Cajun Jeff
Veteran Member

Date Joined Mar 2009
Total Posts : 4119
   Posted 10/12/2010 11:48 AM (GMT -6)   
142 is right on. Talk to your Dr. Good luck.

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
Only issue at this time is ED

Regular Member

Date Joined Jun 2010
Total Posts : 87
   Posted 10/12/2010 1:55 PM (GMT -6)   
I talked with my doc about this and he said it is normal.  I wrapped the tube with toilet paper to keep from spraying everywhere and let it go.
Age 53
Pre OP PSA: 1/2008=5.9, 2/2010=6.0 (free=9%)
Biopsy, 4/10/2010 This was my 2nd Biopsy. The Uro put me out and took 36 samples. 3 samples positive 1%, 2%, 2% no evidence of perineural invasion. T1c

Dx April 2010
Gleason: 3+3=6
CT Scan: Neg
DaVinci: 8/11/10, Dr David Bryan, SSM DePaul-St Louis
Post Op Path:
Gleason 3+3=6
Tumor involves left lobe only
Tumor constitutes less than 5% of gland volume
No vascular or neural invasion detected
No capsular invasion detected
Distal urethral margin of resection free of tumor
Proximinal urethral margin of resection free of tumor
Radial margin of resection free of tumor
Seminal vesicles uninvolved by carcinoma
TM stage T2a (unilateral less than 1/2 of one side), NX, MX
ALL Margins uninvolved
Extra Prosatic extension: Absent
PSA: 9/10 <.1,

Regular Member

Date Joined Dec 2009
Total Posts : 348
   Posted 10/12/2010 2:58 PM (GMT -6)   
Happened to me too,

Regular Member

Date Joined Aug 2010
Total Posts : 234
   Posted 10/12/2010 3:25 PM (GMT -6)   
The only concern that I would have is the suggestion of "Waiting to see a flow from the tube" --and not seeing it.

I would be concerned -- Flow from the line should be natural and uninhibited.. To be spraying from around the outside, and NO tube flow, would lead me to think the tube was blocked (by a blood clot).
I would be worried that you felt the need to pee.. That should not happen, if the bladder was draining normally. Pressure from having a full bladder (not draining) might be of concern.
But your URO should know best.. Make sure they understand "No Flow" from the catheter, and Bladder-Pressure, and leaking from the outside.

You might go back and edit your original post and see if you can add a subject.. Good Health !
Nov 2009 = First-PSA 5.3 @ 60yo - Asymptomatic - DRE-Non-Palpable
Jan-'10 = TRUS Bx DX - AdenoCar T1c - GS(3+3)=6 , 5 & 45% max., L-MidZone
May-'10 = RRP-Nrv-Spare
Post Op. GS(3+4)=7, 1.1cm3, Pos Margins, EPE (focal) Lateral Left
Margin-Involvement (extensive) Posterior , Grade3 x 8mm
+8week PSA<0.01, ED-85%, Incont-30%
+16W PSA<0.01, ED -85%, Cont -5%
+17W First 'DRY' day. ED -90%

Veteran Member

Date Joined Nov 2007
Total Posts : 598
   Posted 10/12/2010 5:06 PM (GMT -6)   
perfectly normal and common. don't worry about it. Just put a piece of toilet paper around the end of your penis to catch it.  There are lots of involuntary muscle contractions during a bowel movement. they get hampered by the catheter. 

Worried Guy
Veteran Member

Date Joined Jul 2009
Total Posts : 3743
   Posted 10/12/2010 8:37 PM (GMT -6)   
I leaked quite a bit around the tube. Unfortunately it was good training for my incontinence. (Sigh)
When they removed the foley, the nurse noticed the ball was only filled with 15ml of saline.

Jeff (the leaking one)
Married 34 years, DX Age 56. First routine PSA test on April 8, 09: 17.8. Start 2 weeks of Cipro to rule out protatitis. May '09 PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, 20%-70%, Gleason 3+4=7, 3+3=6. Bone and C/T scans neg.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7, Tumor size: 2.5 x 1.8 cm, location: both lobes and apex.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next See Uro 1/22/10 Trimix #1. Try 0.08- 25%, 0.12-25%, 2/26/10 try 0.16 First Success! 90%. 8/9/10 Now at 0.24 still 90%
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day. Try controlling fluids.
12/11/09 5 months: 3 pads per day, 400-450ml/day
02/26/10 7 months: 3 pads but leak is now 320 ml (5 day avg.)
03/22/10 8 months: 3 pads per day, 280 ml/day (5 day avg.) PT says all muscles are tight and working properly. "There must be another issue."
5/22/10 10 months: 2 pads per day, 190 ml/day Scope on June 15 "Short sphincter"
7/15/2010 one year: 2 pads per day. 140 ml/day, dry in bed.
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04
1/14 6 months - 0.05 (Siemens Centaur)
4/14 9 months - 0.04 (Siemens Centaur) and <0.01 (Roche ECLIA).
7/12 1 year - 0.03 (Siemens Centaur, direct chemilum); <0.01 (Roche Cobas 601 ECLIA)

Veteran Member

Date Joined May 2009
Total Posts : 2692
   Posted 10/12/2010 8:56 PM (GMT -6)   
I may also suggest not bearing down quite so hard. Maybe you need some stool softeners as well.

I had two other tubes that went into my ureters called stints as well as the catheter, so leakage was very common for me.

Good luck on your recovery.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01
1 year psa (364 days) .01
15 month PSA <.01

Forum Moderator

Date Joined Jan 2010
Total Posts : 7085
   Posted 10/12/2010 10:13 PM (GMT -6)   
Goodlife made a valid point - you should be on a good stool softener for weeks if not months after surgery. Straining is bad. STRAINING IS BAD. I'll pass on the repetitions, but just to be sure, you do not want to have even anything close to constipation for 6 months or more. SAS - Sit and Slide. After other colon surgeries, it beats pain and bleeding.

English Alf
Veteran Member

Date Joined Oct 2009
Total Posts : 2218
   Posted 10/13/2010 1:18 AM (GMT -6)   
Welcome to the Forum Yuyo,

What you describe happened to me too the first couple of days.

Do something to make it easier to have BMs

I found it really does work to take something to read with you. Also helped if I massaged the small of my back or rocked slowly from one buttock to the other.

However tell the doc if it's more than a little pee plus a little blood or if nothing much is going into the bag. (And remember that only a little bit of blood can make urine look very red)
Born Jun ‘60
Apr 09 PSA 8.6
DRE neg
Biop 2 of 12 pos
Gleason 3+3
29 Jul 09 DaVinci AVL-NKI Amsterdam
6 Aug 09 Cath out
PostOp Gleason 3+4 Bladder neck & Left SVI -T3b
No perin’l No vasc invasion Clear margins
Dry at night
21 Sep 09 No pads daytime
17 Nov 09 PSA 0.1
17 Mar 10 PSA 0.4 sent to RT
13 Apr 10 CT
28 Apr 10 start RT 66Gy
11 Jun 10 end RT
BMs weird
14 Sep 10 PSA <0.1
Erections OK
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