Sounds like you got some terrible advice, and from the Mayo yet. Their solution would be totally unacceptable to me. I went through a 2 year period of hell after my open surgery. I had 6 operations to re-open the bladder neck, 2 emergency dialations, and spent a total of 1 1/2 years on both foley and suprapubic catheters. I was not considered a good candidate for self-cath, some can handle it, some can't. My uro never suggested that I do that. I kept getting scarring issues that would close back up the opening sometimes in less than a month. In the end, salvage radiation that went very wrong, totally did in my bladder and bladder neck, and thus I had to have urostomy operation this past September. Now I pee through a stoma for the rest of my life.
You need to find a new doctor and get a new opinion. Plus, when people have to self cath, they usually have to do it 4-6 times a day, depending on their bladder size and input. Never heard of anyone being asked to do it once a day for 6 months, then once a week for life? Something is not right about this advice.
David in SC
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 11/10 Not taking it
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 9/23/10