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Why should you not pee standing up?

Physicists have found that peeing standing up significantly increases the velocity of the stream and potential for backsplash, amounting to less hygienic, more bacteria-filled bathrooms. So if dads aren't going to pee sitting down for their prostates, they can do it for their partners.

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Busy men might want to consider sitting down when they pee — not because it’s one of the few moments of the day they can rest, but because it might be better for them. For older men with prostate problems, in particular, sitting down to urinate could help them empty their bladders more effectively and reduce the risks of cysts and other health complications. “Men may start peeing sitting if their prostates are large and they need to help relax the pelvic muscles in an effort to help push the urine out,” says Jamin Brahmbhatt, M.D., a urologist and professor at the University of Central Florida College of Medicine. Scientists aren’t exactly sure what causes an enlarged prostate gland, or benign prostate hypertrophy. But the likelihood of having one increases with age. Hormones have something to do with it, as men who had their testicles removed at a young age due to cancer do not have these problems, research shows. And when men with enlarged prostates have their testicles removed, their prostates tend to shrink. The good news is that an enlarged prostate is thought to be a natural part of aging and not necessarily a precursor to prostate cancer. The bad news? All that pressure from the prostate can increase the risk of bladder cysts, infections, and discomfort or difficulty while urinating. But when men with enlarged prostates pee sitting down, studies suggest they’re able to empty their bladders more quickly and effectively, which can reduce some of these problems. Still, once your prostate is so troublesome that you’re sitting down just to pee effectively, you’re probably overdue for an appointment with your urologist. “It should be a reason to talk to your doctor or urologist about medical or surgical options,” Brahmbhatt says. This is especially the case if you’re under the age of 50. Young men shouldn’t be experiencing age-related prostate enlargement or trouble peeing. If you’re noticing changes in stream, or blood in your urine, seek immediate medical attention. For younger, healthy men, sitting to pee probably won’t provide any benefit to their prostates one way or another. But it still might be a more hygienic option. Physicists have found that peeing standing up significantly increases the velocity of the stream and potential for backsplash, amounting to less hygienic, more bacteria-filled bathrooms. So if dads aren’t going to pee sitting down for their prostates, they can do it for their partners. It will be good practice for their 50th birthdays. “There are men that have bad aim and can soak the toilet with splatters of urine,” Brahmbhatt says. “Sitting and urinating on the toilet does increase your odds of making sure the urine is actually going down the drain.”

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Can a man take his own catheter out?

Most patients are able to remove his or her catheter at home. This is perfectly safe and avoids an unnecessary trip to the office.

The urinary catheter is frequently called a “Foley.” This is because it is named after its inventor, the famous Minnesota Urologist Dr. Frederick Foley. There are many different varieties and sizes, but the basic principles are the same. It is a rubber or silicone drainage tube with retention balloon on the tip. The retention balloon holds it in the bladder so urine can drain out and collect in a collection bag (see diagram below). It is a closed system to decrease the chances of infection developing.

Most patients are able to remove his or her catheter at home.

This is perfectly safe and avoids an unnecessary trip to the office.

Follow these steps to remove it.

Identify the “Balloon Port” at the end of the catheter (see the diagram). It has a colored valve on the end and has several numbers printed on the colored valve. This is the part of the catheter that holds the water in the retention balloon at the tip, which inside your bladder. Cut the valve off the “Balloon Port”. Do this by cutting the neck of the tube just behind the valve. The valve will come off and water will trickle out of the tube. This is clean water that was inside the balloon at the tip of the catheter. Wait for all the water to trickle out. When it stops, the balloon inside your bladder has been deflated. Pull the entire catheter out with a steady pull. Do not jerk it or yank it out – if you do, it will come out but will be more uncomfortable. Throw all the tubing and the collection bag away.

Tips from experienced patients:

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