Dr. Khant Shahil Ramesh Bhai
Urology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
A few months ago, I have undergone surgery for urine burning problem. They said there is no need for self-catheterization. At present, there is no burning problem. Sometimes, slight burning or uneasiness occurs. The flow is quite reduced. Now, the doctors recommended for self-catheterization daily for many days. I have gone through various notes, guidelines and videos on the internet about self-catheterization process. However, I have a lot of fear in my mind about self-catheterization. I have no daring to do it and I am not confident. I request you to guide me properly in this context. Please also guide me where I can get painless, friction free catheters. Thank you.
Hi,
Welcome to icliniq.com.
Please relax and do not worry. I have gone through your case completely. You had a stricture in urethra for which endoscopic surgery was done. After this surgery, patients may require self-dilatation and not self-catheterization. Both are different. Self-dilatation is done after stricture surgery so that your urine passage should not get narrow again. Self-catheterization is done for problem with urinary bladder, if the power of your bladder is weak and that is not your case. Now, you will need self-dilatation either weekly once or twice (not daily) for first one to two months and after that once in every 15 days as required. Do not worry as this is a very common thing and it is nothing to fear. Only, you should do it by applying proper and adequate Lignocaine jelly. You have to use Nelaton catheter, starting from 14 french to 20 french if possible. I suggest you visit your nearby doctor and ask him to do for you for first month (twice weekly) and later when you get confidence you can do at home.
Patient's Query
Thank you doctor,
I have tried to insert the Nelaton catheter, but could not do it. Could you please suggest me more painless, friction free, smooth and soft catheter for self-dilatation? Can I do it in the hospital with anesthesia once in a week for the first month? Are there any medicines that could help me to strengthen my urinary system? Is further surgery the best option to solve the problem completely? I request you to please guide me by spending your valuable time.
Hi,
Welcome back to icliniq.com.
You should not try yourself and let the doctor in your city do it for the first one month. You start doing by the time you get confidence. Nelaton is the best available catheter. If you use more soft catheters, then it will not dilate your stricture part. This is a minor procedure. You do not require anesthesia every time and it is also not adviced. Further surgery is not a permanent solution and any surgery, you do there you might require self-dilatation again. There is no medicine, alternate to self-dilatation. So, I suggest you go ahead with self-dilatation by doctor for the first month.
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Urology
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