A member asked:

I self catheterise 2x daily have bleeding a lot after urination any suggestions how to prevent this gretting very tired also?

2 doctors weighed in across 2 answers
Dr. James Lin answered

Here are some ...: The following two scenarios may help you ease what you've been experiencing: 1. insert a suprapubic cystostomy tube for a certain duration or 2. refine the expectation & techniques of clean intermittent self-catheterization (CISC) so to minimize CISC-related injury to urethra resulting in less discomfort & bleeding. Principle for CISC may include: never let the urine inside the bladder > 400 cc.

Answered 10/31/2014

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Please see below: You had urethral stricture after brachytherapy for ca.prostate.So it is a bulbo-membranous urethral stricture.This occurs in 5-10% of patients like you.Has your urologist discussed options like cold knife internal urethrotomy,transurethral incision or laser incision to try and "get rid" of intermittent self-catheterization.These options don't always work but are worth trying.Best wishes to you.:)

Answered 9/26/2014

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