I posted this on the urology board, but it probably should be in Geriatrics.
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 ?
Cath Policies? Right now cath care Q shift, empty bag q 4hours and prn.