Male urethral catheterization can be difficult and is still a familiar problem for urologists. A laborious male urethral catheterization is often consequent to the presence of a bulky prostate due to benign prostatic enlargement, a condition intimately related to aging with an increasing prevalence in elderly people. The task of passing a urethral catheter in this atypical condition often leads to repeated and unsuccessful attempts, which can cause the patient distress, and are often related to a wide range of complications, sometimes leading to medico-legal lawsuits. We describe a simple and safe technique only requiring equipment readily available in every urology department.
Advanced prostate cancer- How can my side-effects be managed?
The Long, Wet Road Back to Normal | Prostate Cancer Foundation
The disease is developed in the prostate gland as the cells in the prostate start to grow out of control. Patients who suffer from prostate cancer often experience urinary problems either due to the condition or to the treatment itself. The prostate gland surrounds the urethra, the tube that transports urine from the bladder through the penis. In addition, surgery may damage the nerves or the bladder outlet muscle, the sphincter. There are numerous treatment options for patients with prostate cancer, including expectant management watchful waiting or active surveillance, surgery, radiation therapy, cryosurgery cryotherapy , hormone therapy , chemotherapy , vaccine treatment, and bone-directed treatment. These are expected to ease the urinary symptoms, but there are other techniques that can help.
Radiation therapy, including external beam radiation therapy EBRT and brachytherapy, is an alternative form of treatment for prostate cancer. EBRT may be used after other treatments, such as surgery, to manage cancer that has recurred or is at high risk of recurrence. Radiation therapy has an excellent record of success, providing long-term disease control and survival rates equivalent to other treatments, including surgery. Radiation cannot be seen, smelled or felt.
Sometimes the prostate cancer can press on the urethra or grow in such a way that it prevents urine from emptying from the bladder. This is termed urinary retention. A build-up of urine in the bladder may not only be uncomfortable but may also cause a backflow of the urine into the kidney tubes ureters which may then stop the kidneys draining properly leading to them becoming swollen this is called hydronephrosis. If a man is in urinary retention a urinary catheter or drainage tube will be inserted into the bladder via the penis to drain the urine off.