BPH and Catheters

  1. I work in LTC. I have 3 men with BPH with either Supra Pubic Catheter or a regular cath. I need help. We routinely use leg bags 24/7, which I've been told have anti-reflux valves on them.

    These poor guys, with the SP cath, continue to get UTI's. The guy with the regular cath won't drink enough, so his cath bag smells after a week or less after changing the collection bag. Due to pockets in his urethra the cath has to changed by the urologist, as do the SP caths since they are fairly new. I have not seen the benefit to the SP cath guys, in fact pain and healing complications have made their status unstable and have made a decline in their ambulation skills.

    One of these guys, with the SP cath was started on Pyridium for the pain tid x7 days.We also got an order to flush the cath, cause he started urinating from his penis.

    The guy that won't drink enough, with the regular cath, continues to leak urine, even with a larger diameter cath. We had to flush his cath last week x2, because it clogged up with sediment. He has dementia so he won't drink as much as he needs or eat enough.

    Any meds out there that would help with BPH ?
    Any good Internet sites ?
    Cranberry juice?
    Cath Policies? Right now cath care Q shift, empty bag q 4hours and prn.
    Thanks,
    boxermom
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  2. 6 Comments

  3. by   sehbear
    Sorry I answered the first one.....
    See ya there!
  4. by   Geeg
    All I know is that when I have had UTI's, pyridium was like a miracle for the pain.
  5. by   boxermom
    Thanks Geeg,
    I only have one of my 3 men still living. Their deaths weren't connected to a UTI. This patient also has bladder spasms and occasionally hematuria without infectoin. The urologist finely started him on Ditropan for the spasms. His dementia is worse and it takes all the patience staff has to get him to eat. If I was 20 years younger I'd go back to school to get my nurse practitioner lisence. If you're over 80, you don't get the same attention, but that comment belongs on another board.Thanks for the suggestion.
    Boxermom
  6. by   Hardknox
    My 94 year old father is in rehab with a catheter recently put in for urinary retention due to BPH. He had a TURP years ago, and has evidentally retained urine recently without symptoms. After a recent fall--which landed him in the hospital with a fx clavicle-- he started leaking urine and was cathed for a large residual. A foley cath was put in and he continued to leak around it so a larger tube was put in. Uro saw him and we are going back Monday for a consult and a cath change. They have him on flomax also. I am told that there are many elderly men who end up with catheters because they are too old for further TURP's and some have bladders that are stretched and without tone and hold up to 2,000 cc's of retained urine without symptoms. This info was from the office nurse at the urologist's office who routinely changes these catheter's monthly.

    I have googled in vain for a good internet site so I too would be interested in anything anyone has to inform us on this subject. I will try and find more info when we see the urologist on Monday and pass it on to you. Good Luck!
  7. by   wildwood
    A site to try is http://urology.jhu.edu/diseases/index.html from Johns Hopkins Brady Urological Institute.

    I work in urology (surgery) and use this site for information often. Hope it helps
  8. by   Hardknox
    Thanks, Wildwood. That site is very helpful.

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