Due to BPH,Acute Urinary Retention. They wont treat problem. Just get me urinating and on my way. Since then I've had a Uti's that don't go away. What can I do?
UTI is probably the most common complication when having a foley. Hygiene is very important because the foley is a direct route to the bladder for bacteria. When you shower, be sure that you wash well around the catheter and that you always wipe in a downward, away from the body motion. Never wipe or wash from the end of the catheter tube towards your body because this can bring bacteria that can migrate up the tube. Dont be afraid to get in there good and wash though. Let the water flow down the catheter tubing. When you change bags, if you use a larger "night" bag and a daytime "leg" bag, be sure that you clean the bags well with a bleach solution or a vinegar solution, rinse well with clean tap water (unless you have untreated well water-then you might want to use bottled water or distilled but if you have treated water, tap is fine), hang to dry and always wipe the connection area with alcohol and let it dry before connecting to your foley tube to help reduce bacterial load on that surface. Be careful to never, ever let urine back flow from the tubing toward and into the bladder or foley tubing because this carries bacteria from the bag into your bladder. Drink plenty of water to keep urine dilute and flowing-this will also help keep UTI at bay. Water is best. Tea and coffee are dehydrating so they dont count as hydrating fluids. Water is best but juices are okay too. Take a 1000mg Vitamin C tablet each day because Vitamin C helps keep the bacteria from adhering to the bladder wall. Also, keep the tube strapped to your thigh. They have a special strap for this purpose. Whoever places your catheter should be able to get you one. If not then tape it with medical tape to keep it from pulling. The tube is held within the neck of the bladder with a small water filled balloon. If the tubing gets pulled, it can irritate the bladder neck tissues and if it gets pulled hard enough it can tear them and this doesnt feel too good and you may see blood in the urine. If you are diligent in following these 'tips" it should help reduce your UTI frequency..
BPH gets to the point that the only thing left to do is surgery. There are other things they can do that might lessen the problems with the catheter. They can do a supra pubic cystotomy, and opening right above the hair line into your bladder. They either use a a bag or a catheter in it. There is one thing that can really make infections bad, and that's allowing the catheter to move in and out of your penis, and to be pulled on. One thing that can help prevent infections is keeping your urine acidic. There are a few meds that will do this, and drinking lots of juice helps. You can also straight cath yourself every 6-8 hrs. The problem with this with BPH is its not too easy to cath someone with it, unless you're used to it. Intermittent caths for some reason cause less infection then foley caths. Often with foleys, the bacteria becomes colonized and isn't really causing infection.
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