How to prevent Infection from blood leak following urethrotomy?
- 23 Sep 2013 by DeckerPete
- 24 September 2013
- infections, urethral stricture with infection
I have just undergone a urethrotomy of two short strictures. I have for the last five days been clear of the catheter and bag, but after each pee, I have have a small leakage of blood, which is soiling my underwear. This happened three years ago with the same operation, and from memory I bled (again only slightly) for at least a month. As I am seeking to avoid infection, my wife suggested to keep myself hygenic and to avoid infection that I use a pantyliner, as using an incontinence pad is a vast overkill, bulky and more costly. I refused stating to her that the pantyliner is too narrow. Although my boxers have an opening at the front in the position where I would place a pantyliner, I could use men's trunk briefs (with no fly opening), which are similar to women's briefs. She countered the narrow issue by saying that the night-time sanitary napkins/panty liners are much wider, and have a extra wider part which goes at the front of the underwear in the position where my staining appears. She also suggested for the short period I am leaking blood, that I wear her panties, to save buying new underwear (which will fit as she made me try them on!). I am reluctant to do this (It seems very girly to my male pride) What does anyone think? I am concerned mainly with the pantyliner aspect.
Added 25 Sep 2013:
I have had the catheter removed now for the last week. It's helpful to know infection is not a problem, but after I pee, I have a leakage of blood (as I did two years back). I guess part of the problem is going thru up to two pairs of pants a day. Getting blood out treated the right way is easy enough, it's wanting to reduce the need to wash my pants that occasioned the discussion on pantyliners by my wife. Would the night-time ones be "man enough" for the job? And would it not be weird for a man to use pantyliners - too girly? Decker
Sorry, but I would love to be a fly on the wall when you two are discussing the merits of pads and women's underwear. If you rinse your underwear with cold water as soon as you take them off, it will come out. If it is so much you can't get it out with water, peroxide does the trick, take it from a nurse who has had to get blood out of her uniforms for 45 yrs, lol. The bleeding is normal, and that in itself won't lead to infection. If you have something opened in your urethra, then bacteria could grow.
I think briefs or girls panties are going to give you more discomfort with the catheter. Sometimes bladder spasms can cause a little blood and urine to leak around the catheter and if the catheter gets pulled, it can cause bleeding. Is your catheter taped to your thigh? Or do you have a little belt around your thigh to hold it? If no, get some silk medical tape and tape the catheter's clear tubing to your thigh. Here is how to do it-pull off a good size piece of tape-3-4 inches, put the tape strips middle over the tubing and wrap it around the catheter until it comes together and touches leaving tape ends out to the sides to be applied to the thigh. This put's the tubing in a little loop and allows movement without pulling off the tape. Boy it is easier to show someone how to do this than describe it! Be sure there is plenty of slack to prevent tension on the catheter. This will allow you to move about without pulling. Just the tension of the catheter hanging can be enough to irritate. Urinary catheters are inserted into the urinary opening of the penis and slid up into the bladder then a small balloon is filled with water to hold the catheter in the neck of the bladder. When there is tension on the tube, it pulls that balloon which can cause little tears that can bleed plus the tension is very uncomfortable. Keeping the catheter in place will allow you to heal better and make things much more comfortable for you. When bathing/washing the penis, be sure that water flows downward from the penis down the catheter towards the bag. If you need to wash the catheter itself, be sure to use a clean laundered cloth and be sure to stroke away from the body opening towards the bag-NEVER from the end of the tube towards the body as this will bring bacteria up to the urinary opening (meatus). As KM says, this bloody discharge will not cause infection in itself. If your briefs get wet, change them. If you want to try using a panty liner or pad, you can but blood is easily removed, as KM states, with peroxide. I wouldnt use the tight briefs or panties however because I think it will cause too much pressure on the catheter and irritate the penis.
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