Frequent Urinary Tract Infection After Catheterization


Jul 18, 2015

I'm a 20 year old female, I had a nose operation and came out with a Catheter from the hospital as I was unable to pee after my op. I had been getting urine infection almost every second week with the Catheter. I finally got that out at the end of June and following a failed twc I was taught self catheterisation.

2 days later I ended up in hospital unable to perform it where they drained my bladder for me. I was then released 5 days later managing to catheterise myself.

After coming out of hospital I have been getting these sharp pains I my sides, initially just my left side but know my right side under my ribs and goes round to my back. I went to the doctors on Monday and showed I had a severe urine infection... I was given ciprofloxacin 500mg and tramadol 50mg 4 times a day... I also was told my kidneys were a bit inflamed.

I went back on Friday as I was feeling worse! They done a dip test which showed no infection but was sent to the lab anyway, I was taken of the tramadol and put on paracetamol and codeine if I needed it (which I do) I have now been constipated since Monday as well!

I'm still getting this horrible sharp pain in my sides and lower back as well as very nauseous ( not been sick though) and extremely tired all the time. I'm getting really sick of it all now and just don't know what to do nothing is taking the pain away, any suggestions would be great! I'm sick of constant visits to the doctor but don't seem to get anywhere with them.

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Cardiovascular :: Deciding To Refuse Cardiac Catheterization

After doing the best I can to ferret out the risks vs benefits of cardiac catheterization.  92% of my brain says, "No."  That niggling 8% is a real pain.

I am female.  I am over 60.  I have not had a myocardial infarction, (that they're telling me about anyway).  I have some stress wall hypertrophy, but that's pretty much it.  If I could get the physicians/cardiologists, to give me better evidence of need for such an invasive procedure, I might consider it...however...

I know me.  Just having the procedure would be psychologically, and, therefore, physically, ruinous.  I think I understand - but who can understand this really - that choosing not to have the catheterization, and whatever may happen as a result, means I might sign out quite unexpected.  But is this a better way to live?  I think so.

I have not felt "well" for at 7 years.  (I'll spare you the ailments).  However, I don't get colds, flu (no vaccinations)...I don't have hypertension.  I'm told I have angina, but I am convinced that the post-meal sensations I get are due to gastric/diaphragm...more on that order of things.  I don't have frank chest "pain."

I'm figuring that it will be a complete crapshoot to refuse the catheterization, but I am 100% certain, that there is a better chance of me surviving an invasive procedure if I don't die before I have it, then lending myself to what looks like a never-ending routine of invasive procedures.

What I'm currently hoping for, but have been unable to get, is a cardiologist who will agree to fully monitor me; one who truly understands the various medications available and who would find one that is best suited for this particular body, and who considers cardiac catheterization, et al, a last resort, rather than a first.  (Nice fantasy).

So far, I've had the general practitioner I see, attempt to scare the hell out of me without telling me on what evidence he was doing so.  (I would change to another GP if there was another one around).  That kind of tactic is not only useless, but demoralizing.  When it comes to "heart," demoralization can, without a doubt, lead to "heart trouble."

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My story in a nutshell. 68 years old with BPH probably since my late 20’s. Watch and Wait strategy with on-and-off trials of Tamsulosin (Flomax) with poor results.  Symptoms were the  normal retention issues resulting in frequent urination with incomplete emptying, urgency, and having to go to the bathroom at night in increasing frequencies. Near the end, two or three uti’s per year often accompanied by gross hematuria (bleeding).  

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Six weeks later my bladder was rehabilitated to the extent they could do a Turp, and the hydronephrosis was gone. After doing some research and a lot of thinking I decided to put off the Turp due to the potential of irreversible side effects, primarily retrograde ejaculation. Two years later, I am still doing CIC while waiting for newer procedures with better outcomes and fewer side effects.

I will detail my experiences with CIC in following posts -- but to summarize, once mastered, it’s a painless five minute procedure that allows you to empty your bladder completely any time you want. With CIC, I therefore have no retention issues, no urgency, and in most cases sleep 6-8 hours through the night without having to get up and go to the bathroom. No UTI’s in over 18 months. And because my bladder has been partially rehabilitated, I can urinate normally about 50% of the time without using the Crede maneuver.  My IPSS Score (International Prostate Symptom Score) would be Zero (the best), albeit with a little mechanical assist.

As of now, nothing that I have read about the various current procedures has tempted me to have an operation. That could, or could not change, in the future, but the nice thing about CIC is that you can stop it any time you want with no repercussions. The caveat is that CIC should be done under the supervision of a doctor who will monitor your BPH as required. Similar to seeing a doctor on a regular basis during a Watch n’ Wait BPH strategy.

I know many of you here have already had operations like Turp, and in most cases people seem pleased with the outcomes. CIC certainly isn’t’ for everyone, and I can understand why someone does not want to carry around a urinary “tool box” with them. On the other hand, with practice, it’s not the traumatic and scary procedure some think. I can honestly say right now that for me it’s about as traumatic as brushing my teeth.

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For any number of reasons, the majority of urologists don’t seem to offer CIC as an alternative to surgery. My current urologist doesn’t as far as I know, but he’s OK with what I’m doing because it works for me. So, either you have to find a urologist you can convince to go along, or go to some of the major teaching hospitals where CIC is probably more in use and better understood. That is where I was taught, albeit not very well, but that is another story.

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