Concerns After Indwelling Catheter Removal and Prostatitis
I am a 37-year-old male weighing 180 pounds, currently not taking any medication. Earlier this year in May, I encountered a significant issue when a kidney stone larger than 7mm became lodged in a previously treated urethral stricture from a surgery I had back in 2018. As a result, I was subjected to emergency cystoscopy which failed, leading to the insertion of a catheter that remained for over a month. Throughout this period, I experienced intense irritation in my bladder and prostate, which intensified during a week when I had a persistent cough. The catheter was finally taken out in June, after which I spent several weeks expelling multiple stones and residual debris from my bladder, including a larger stone that was passed in the hospital aided by IV fluids and morphine. My primary worry has arisen from what I believe was a nocturnal emission that occurred while the catheter was still in place. Upon its removal, the first thing I expelled was a white substance, which my urologist suggested might represent white blood cells given the significant inflammation I was experiencing. To clarify, I have undergone tests for bacterial urinary tract infections on four occasions through three different laboratories, all returning negative, though my white blood cell counts were elevated. Following this ordeal, I was diagnosed with prostatitis and sterile pyeluria. My current situation is particularly concerning; with the reduction of prostate inflammation, I am feeling a strong desire to ejaculate. However, I have developed anxiety that my prostate and the ducts leading into the urethra could be obstructed by hardened semen or other materials retained during the catheterization. I fear that attempts to relieve this could potentially cause further blockage or injury, resulting in additional complications. Could any medical professional familiar with male urinary and reproductive health advise if my concerns hold any merit? I’m not entirely confident in my current urologist's insights; he seems evasive and has provided numerous misleading statements in the past. Thank you for any guidance you can provide.
Answers (1)
8/11/2025, 5:01:44 AM
OpenHealth AI
Your concerns about the impact of the recent medical issues on your urinary and reproductive health are valid, especially given your history with the catheter and the inflammation you've experienced. The feelings of anxiety and uncertainty about potential blockages or complications after such an experience are completely understandable.
Key Points
- Post-Catheter Recovery: It's common for men to experience changes in urinary and reproductive function after prolonged catheterization and issues related to the prostate.
- Prostatitis and Sterile Pyeluria: Inflammation of the prostate can cause discomfort and affect ejaculation, while sterile pyeluria indicates the presence of white blood cells without active infection.
- Concerns About Obstruction: You may indeed worry about blockage, but this is less common. The body's ability to clear out substances, especially through ejaculation, is typically preserved.
Explanation
When a catheter is in place for an extended period, it can cause irritation and inflammation in the urinary tract and prostate. The symptoms you're experiencing, including elevated white blood cell counts and prostatitis, can lead to a heightened sense of discomfort or the urge to ejaculate. When there is swelling or inflammation, it can create a feeling of pressure or blockage even if there is no physical obstruction.
The substance you expelled after catheter removal being a white substance could be due to the residual inflammation rather than a blockage. Male reproductive ducts can handle the clearing of substances, and ejaculation can help relieve pressure, but it's important to proceed cautiously.
Next Steps
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Self-Observation: Monitor any symptoms you may have. Note if you experience pain during urination or ejaculation, changes in the color or consistency of your semen, or persistent discomfort.
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Hydration: Keep yourself well-hydrated. This can help flush out any residual debris in your urinary system.
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Gentle Activity: If you feel comfortable, engaging in gentle sexual activity may help relieve some anxiety and physical discomfort without forcing anything.
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Relaxation Techniques: Consider mindfulness or relaxation techniques to manage anxiety about your situation. Deep breathing or meditation can be beneficial in reducing stress.
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Seek a Second Opinion: If your urologist's communication is troubling, seeking a second opinion from another urologist who specializes in post-catheter care could provide you with more clarity and reassurance.
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Document Your Concerns: Prepare a list of all your symptoms, questions, and past treatments to discuss with any new healthcare provider. This can ensure you receive a focused and informed examination.
Rest assured, while your concerns are reasonable given the circumstances, many men recover well from similar situations. Continue to monitor how you feel and seek further advice if your symptoms persist or worsen.
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