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On catheter following gall bladder removal surgery. Scheduled for TURP surgery. Having back pain, temperature. Suggestions?

My partner has a catheter in following gall bladder removal surgery. He has been told he has an enlarged prostate and had trouble urinating after the operation. He had had a trial of void but was unsuccefull and is now on a waiting list for the TURP operation. Meantime he has to wear the catheter. He had woke up feeling quite unwell today with back pain and his temp is slowing going up at the moment it is 37.8. he had blood clots in his bag yesterday. He had a consult with his gall bladder surgeon yesterday and she told him he had injured his bladder whilst mowing the lawn with the catheter in. However he wasnt this sick yesterday. My guess is he has a bladder infection. Of course I am no doctor, that is why I am posting here. Can you help please? kind regards Alison
Asked On : Fri, 8 Mar 2013
Answers:  1 Views:  71
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Gastroenterologist, Surgical 's  Response
thanks for writing in.
I would like to know as to whether the urinary catheter has been passed through the urethra or directly into the bladder from below the umbilicus.
If it has peen passed per urethra then it can have a multitude of complications such as
1. ascendind urinary tract infection
2. bleeding
3. uraemia and renal failure.
Were the gall stones symptomatic in the first place. In an aged person devoid of abdominal symptoms suggestive of gall stones ,there is no need for urgent surgery. Only when symptomatic surgery is indicated.
Now for the urinary problem a course of antibiotics followed by surgical intervention is a must. In case if co morbid medical factors preclude surgery then the catherter route should be cahnged to suprapubic in the best interest of preventing infection and safeguarding the kidneys.
I hope this answers your querry.
Answered: Sat, 9 Mar 2013
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