What do doctors do when they have to pee during surgery?

verywellhealth.com - Using Foley and Other Types of Urinary Catheters - Verywell Health

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When you're unable to urinate, the problem can quickly become serious. As urine builds up in the bladder, it becomes uncomfortable, then painful. If the problem continues, the bladder can become overly full and urine can back up into your kidneys, causing damage that can be permanent. When this happens, a sterile, flexible tube called a urinary catheter is inserted into the urethra (where urine leaves the body) and is gently pushed up until the end rests in your bladder. The catheter then drains the urine into an attached bag.

Urinary Catheters

Urinary catheters are often used during surgery, as you can't control your bladder while under anesthesia. For this purpose, a foley catheter is typically placed prior to surgery and keeps the bladder empty throughout. It often remains in place until the surgery is completed and you're awake and alert enough to begin urinating normally.

Foley Catheter

A foley catheter is a sterile urinary catheter that's intended to stay in place for an extended period of time. The tip of the catheter has a balloon on it that can be inflated in the bladder and hold the foley in place. Urine then drains from the bladder through the tube and into a collection bag. It's also referred to as an indwelling catheter. This type of catheter is used when a patient is unable to urinate on their own, either because they are too sick, sedated, or unable to urinate without assistance because of a medical issue.

Straight Catheters

If your bladder just needs to be drained once, and the catheter doesn't need to remain in place, a straight catheter, or straight cath, is inserted and then removed once your bladder is emptied.

Risks of Urinary Catheters

A urinary catheter, regardless of type, increases the risk of a urinary tract infection. Despite the fact that sterile technique is used to insert them, the introduction of any foreign body into the urinary tract increases the risk of infection. The longer a foley catheter stays in the bladder, or the greater the number of times a temporary catheter is inserted, the greater the chance of infection.

Why Catheters Are Used

Catheters are used for several reasons. The most common is urinary retention, or being unable to empty your bladder. Conditions that make using a bedpan painful, such as a broken hip, require the use of a urinary catheter, as well. Catheters also are used in people who are urine incontinent and have a wound or surgical incision that could come into contact with urine. Catheters are sometimes used to manage incontinence, but this is becoming less common due to the increased infection risk.

Also Known As: Foley, Foley cath, straight cath, straight catheter,

Common Misspellings: Folee, Foaley, cathater, cathetar,

Examples: The foley catheter was inserted before surgery, as the patient would be under anesthesia for at least three hours.

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Is PSA always elevated with prostatitis?

pcf.org - What is Prostatitis? What are the Symptoms? | PCF

Prostatitis, what is it?

Prostatitis is a painful condition in which the prostate is inflamed, swollen, and tender. It can be caused by a bacterial infection or just simply be inflamed.

Symptoms:

Pain in the perineum (the area between the rectum and the testicles)

Pain on defecation

Aches and pains in the joints or muscles and the lower back

Blood in the urine

Pain or burning during urination

Painful ejaculation

Prevalence of Prostatitis

Prostatitis is the most common cause of urinary tract infections in men, leading to approximately 2 million doctor’s visits each year in the United States. Half of all men will experience prostatitis during their lifetime. The National Center for Health Statistics estimates that about 25% of all men who see a doctor for urological problems have symptoms of prostatitis.

Is Prostatitis, Cancer?

No. Prostatitis is a benign ailment, which, while not always curable, is almost always treatable with antibiotics. Occasionally, inflammation due to prostatitis can raise your PSA level (prostate-specific antigen). However, it does not lead to cancer. Prostate cancer is believed to be due to a combination of factors including diet, lifestyle, genetics, and environmental exposures. There is, however, a question as to whether continued inflammation of the prostate may lead to the eventual development of prostate cancer, and studies are being done to determine if reducing inflammation can prevent prostate cancer.

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