Needinfo2, I sympathise with your father, I know just how painful bladder spasms can be.
I have a suprapubic catheter which is generally ok, but I do experience major spasms when the catheter is changed - every 4 weeks.
They are very painful, but for me, fairly shortlived, just as the old catheter is removed and the new one inserted. For the rest of the month, I generally don't have too much trouble, but occasionally the positioning of the catheter can cause discomfort. I have now learned how to adjust it to relieve that discomfort.
Clearly your father has a different issue if he is experiencing spasms even with no urethral catheter. I can't explain that.
The medications I have to relieve spasms are Ditropan, commonly known as Oxybutinin and Vesicare (Solifenacin Succinate). Oxybutinin has some unpleasant side effects but Vesicare doesn't appear to have any - at least not for me. However here in Australia, Vesicare is very expensive and not Govt subsidised whereas Oxybutinin is. I only need to take anything on the days of a catheter change when I know the spasms will happen.
I am not sure what to advise given that the spasms are not being caused by a catheter, but Medication such as Vesicare would seem the most likely solution.
I do hope he can soon get some relief.
Age 68 at Dx
10/08 to 03/13 PSA 2.9 < 7.1
07/13 Bx 4+ cores from 12 GL 4+5 Scans clear
Path: Gl 4+3 PNI, bladder mgn +, SV, LN Neg, pT3a N0 Mx
10/13 PSA .03
11/13 PSA .07
12/13 12 month ADT
01/14 37 sess of RT
05/14 Incontinence back
11/14 Retentive due to RT nerve damage. SPC installed
12/14 ADT Break
05/14 - 09/15 PSA <.01
Post Edited (Chask) : 4/15/2016 3:07:10 AM (GMT-6)