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What Causes Difficulty Urinating After Instertion Of Foleys Catheter?

Posted on Thu, 30 Oct 2014

Question: I have a 18fr foley XXXXXXX indefinitely from Oct 6, 2014 from my doctor, for much difficulty urinating. Currently on waiting list for a cystogram. The first couple of days were ok, by 3rd day i wke up with frequent, strong spasms a couple of days i woke up with spasms, erections with semen coming out and some in the tubing but no bleeding and little pain or soreness. It happened 3 times since. is it dangerous, will it stop ?

Answered by Dr. Deepak Kishore Kaltari (24 minutes later)

Brief Answer:
The spasm will settle nothing to worry

Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day
Dear Sir

When foleys catheter is inserted and the bulb inflated, the bulb acts as foreign body and induces bladder spasm. This symptoms are quite common during first 2 to 3 weeks after insertion. The spasm will usually subside and there is no cause for concern. They are not dangerous.
If the symptoms still persist then bladder relaxants can be used in consultation with your Physician.

Do get back to me if you need any further assistance, will be glad to assist you .

Take care

Best regards
Dr Deepak Kaltari
MBBS, MS, MCH
Consultant Surgeon

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Deepak Kishore Kaltari (19 minutes later)

Thank you. the spontaneous ejaculation and semen in the catheter tubing is ok ? i have not touched the catheter other than to do XXXXXXX care as directed. it has only occurred 3 times.

Answered by Dr. Deepak Kishore Kaltari (36 minutes later)

Brief Answer:
Ejaculation is acceptable

Detailed Answer:
Dear Sir

Even evacuation and semen in catheter is acceptable and there is definitely no cause for concern. It should settle down. It occurs due to bladder neck stimulation by bulb of foleys.

Wishing you and your family a very happy and healthy life.

Take care

Best regards
Deepak

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Deepak Kishore Kaltari (22 minutes later)

Thank you, one last question, will the foley be removed during the cystogram and replaced pending results or left out ?

Answered by Dr. Deepak Kishore Kaltari (7 minutes later)

Brief Answer:
Will depend on Cystogram finding

Detailed Answer:
Hi

Cystogram will usually require removal of foleys to take Micturating Cystourthrogram film. If you had long standing urinary obstruction symptoms then fresh foleys preferably Silicon foleys catheter need to be placed. Exact decision will depend on indication for which it was inserted and also based on Cystogram finding.

Take care

Best regards
Dr Deepak

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari