Written by Dr.Albana Greca Sejdini, Md, MMedSc
Is insertion of a PERMANENT catheter the best option
by Mrs Lee
permanent urinary catheter
QUESTION: My husband, aged 72, has been advised by the doctor(Government hospital) to have a catheter inserted permanently. This requires a hole put in his stomach for the insertion of the catheter. With regards to your concerns, based on your saying, I do suspect a very critical condition where your husband is in.
He had been relying on the use of a catheter via penis for some 8 months together with two types of drugs, which apparently are not working for him, besides making him fall all the time.
Surgery is not recommended on account of his age and health condition.He suffers from advanced Parkinsons Disease.
Given this situation, it appears he needs to depend on a catheter. Apparently long term use of the catheter via the penis is not advisable.
However, remain the permanent catheter method, what exactly is the procedure and what is the degree of risk involved?
Also what are the usual problems encountered, if any, by users. Your views will be greatly appreciated.
ANSWER: Hi Mrs. Lee,
First, accept my best wishes for your husband. Hope everything will be settled the best way. Next, I want to wish you and your familiars continuous strong willing and patience along your way of alleviating your husband's conditions.
In lack of the results obtained from the lab and other diagnostic tests; I am not sure if your husband has only an enlarged prostate or prostate cancer.
However, in both cases, the permanent catheter that his doctors advised to perform is because your husband cannot urinate naturally (his prostate is so enlarged or cancer has invaded the channel where the urine flows).
Therefore, doctors want to make an artificial flow of urine from bladder. So they will apply the catheter in any part of the bladder, so the urine will flow in a stoma (an external bag where the urine will flow). You will only need to change his stoma regularly according to the doctor's advice.
I am not sure whether they will put your husband under generalized anesthesia or only locally, just to make the connection. In general, this kind of intervention is simple and no severe side effects have been seen so far.
In your husband's case, it remains the fact that he is not in a good health condition, he is old, suffer from Parkinson, and has urinary problems (the most important is the spread of infection).
However, the medical team will take precautions to prevent these effects because it is included in every hospital's protocol (whether governmental or private).
There are many people who live with urinary stoma for many years with the only need to keep clean and change regularly.
If you are asking for how long; then, there is not a precise answer. We cannot determine our own life expectancy, but we can only do the best of what rely on us.
All the best!
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