Occasional Urine Leakage
The investigators also asked about urinary leakage, assuming some men were using absorbent pads as a protective measure but might not be leaking urine on a regular basis. They found that at three months after surgery, 24% of men reported leaking urine “a lot” in the previous week, and at 12 months, 11% were still experiencing the problem. For the approximately 16% of people over the age of 18 who have an overactive bladder (OAB), this kind of upsetting incident can become a regular occurrence. Even if they make it to the bathroom in.
- Asked
- 3 Aug 2011 by scootertoot
- Updated
- 23 July 2015
- Topics
- prostate cancer
- Urinary incontinence is the unintentional loss of urine. Stress incontinence happens when physical movement or activity — such as coughing, laughing, sneezing, running or heavy lifting — puts pressure (stress) on your bladder, causing you to leak urine. Stress incontinence is not related to psychological stress.
- Stress incontinence occurs when there is unexpected leakage of urine caused by pressure or sudden muscle contractions on the bladder. This often occurs during exercise, heavy lifting, coughing.
- Urinary incontinence (UI) is often a symptom of an underlying condition. Treating that condition may remedy your symptoms of UI and other related side effects. Incontinence can be caused.
Patient has prostate cancer which has spread. Everytime he stands or moves he leaks around the Foley. Has been using depends as well as 2-3 guards. He has to change every few hours because everything is soaked.
How large is the balloon? If you look on the stem it should say a number and Fr (i.e. 16Fr) this is the size of the cath itself. There should be another number for the balloon size 5cc, 10cc or 30cc. If it is not a 30cc balloon, then putting a 30cc balloon in might help. This is the balloon of water that sits in the neck of the bladder that keeps the catheter from sliding out. You can gently pull down on the cath to be sure the balloon is seated in the neck of the bladder-sometimes the balloon can migrate up into the bladder and cause leaking. Also be sure that the cath is patent. If a cath is clogged, the urine will leak around the cath. especially if you are seeing large amounts like this, it can indicate a cath that might be blocked or partially blocked. If it is only partially blocked you may still see urine in the collection bag but since it isnt fully patent some is leaking around the cath. You might speak to the Dr about orders to flush the catheter to clear any matter that could be blocking the cath. If all else fails sometimes just going with a larger cath can help. Go up to the next size in diameter than the one he has in (have to get Drs orders for this, of course) Urine is very excoriating so be sure to be using a good barrier product to keep his skin from breaking down in the meantime.
Thanks for the info. Sorry I didn't mention that the Foley is a 24 and the balloon has 30cc. He fills the leg bag as well as leaking.
A 24 Fr is pretty small in diameter. He probably needs a larger cath. Perhaps a 22 Fr or a 20, maybe even an 18. Most of the ones I've seen in longer term are 18's to 14's w/30cc balloons. Talk to his Dr. If you have trouble getting past the prostate they can try a Coude cath.
Be sure he empties that leg bag hourly. If he produces a lot of urine he may be filling the bag then spilling over, leg bags dont hold much. Also be sure that the balloon is engaged in the neck of the bladder by gently retracting down on the cath until you feel the balloon engage-you wont be able to pull it down any further. I've have seen the balloons migrate up into the bladder instead of being in the neck of the bladder.
What Causes Occasional Urine Leakage
DzooBaby
Thanks so much. We will be sure to talk with the doctor.
Cath size 8fr is the smallest, 24fr is largest. If placement is checked, Flushing Cath can assure that it is not clogged. Increasing to the next size, if it 16fr go to a 18fr, w a MD order. Person Might be having bladder spasm or enlarged prostate.
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