u/Sufficient_Meal5696

Avoiding catheter infection

u/Mauser_1 gave good advice about avoiding a cath infection. I want to avoid that at all cost. here is what chatGPT says for guys like me who are wearing one and want to do it right.

My simple Foley infection-prevention rules

1) Wash hands before and after you touch the catheter or bag

That’s the big one.

2) Don’t disconnect the system unless you have to

Try to keep the catheter tubing and drainage bag as a closed system. The more you disconnect/reconnect things, the more opportunity for contamination.

3) Keep the bag below your bladder at all times

Always. Bed, chair, walking.
That helps prevent urine backing up toward the bladder.

4) Don’t let the tubing kink or tug

Good drainage matters. A backed-up catheter is a bigger problem than not cleaning it enough.

5) Empty the bag before it gets too full

Don’t let it overfill. When you empty it:

  • don’t let the drain spout touch the toilet or container
  • wipe it if instructed, then close it securely

6) Clean the penis/catheter area gently once a day

You do not need to be scrubbing it repeatedly.

What I’d do:

  • shower or use warm water and mild soap once daily
  • gently clean around the tip of the penis / catheter entry point
  • rinse and pat dry
  • a little Aquaphor or Vaseline at the meatus is fine if it’s irritated, if your team said that’s okay

7) Don’t use alcohol, peroxide, or aggressive wipes on the catheter site

Too irritating. Plain soap and water is enough.

8) Keep the catheter secured

Less movement = less irritation, less urethral trauma, less chance you’ll be fiddling with it.

What I would not do

  • not constant cleaning
  • not taking it apart to “sanitize” it
  • not wiping the tubing obsessively
  • not flushing it unless specifically instructed
  • not putting creams/antibiotic ointments everywhere

What would make me worry about infection or catheter trouble

Call if you get:

  • fever
  • shaking chills
  • worsening lower abdominal pain
  • cloudy foul-smelling urine plus symptoms (smell alone doesn’t mean UTI)
  • catheter stops draining
  • new confusion/feeling systemically sick
  • significant pus-like drainage around the catheter

My bottom-line answer to your instinct

“I don’t wanna touch it more than I have to.”

That instinct is actually pretty good.

Touch it as little as necessary, but do the basics well:

  • clean hands
  • once-daily gentle washing
  • keep it draining
  • keep it secured
  • don’t disconnect it unless needed
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u/Sufficient_Meal5696 — 1 day ago

Big schedule change

I was scheduled for RALP at Hopkins on July 29. Just got a call that they have an opening in 2 days - July 1. I'm taking it. It's been hard waiting for the last few months and suddenly now, it's going to be over. Many have asked about alternatives, and I've looked at everything. This is the best path for me, and one that I've been dreading but know its necessary. Now I get to have it over with and move on to healing. Flurry of bloodwork, pre-surgery physical, phone calls with friends and family, schedule changes. Phew. Wish me luck, and if you pray, I'll take it.

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u/Sufficient_Meal5696 — 7 days ago

Feeling lucky—if there is such a thing

I have Gleason 8 prostate cancer, surgery scheduled on July 29 at Hopkins. Hopefully contained in 2 spots left side. Upgraded to higher Gleason as they dialed in to the exact area MRI guided+ a few years. I should not even know that I have cancer. In 2022 I considered TRT (something I'd never do today). Doc did bloodwork and it came back w a PSA of 7.9. I had regular PSA's a few times and they were in the 2's. So the 8 was way off. Did a biopsy out of an abundance of caution and found a tiny (10% of 1 core or something like that) spot of Gleason 6 left side. PSA went immediately back down to around 2. So the PSA of 7.9 was diagnosed as prostatitis, which I had all symptoms of, and it left me aware I had early stage pc. Got into Hopkins surveillance program, and all stayed steady, until this spring. Gleason 8, 3+5. PSA was at 4.04, now back down to 2.8. I know that can happen, but it feels lucky that I saw it when I did. If not, it wouldn't be on my radar, and I'd be living with it for years longer possibly —who knows. Working to remember the positive through my anxiety.

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u/Sufficient_Meal5696 — 11 days ago

Looking for advice on Gameday

I'd like to have advice regarding how to be ready for the big day—mentally. I have a month to go until surgery, and waiting is tough. I think about the day of a lot. If you guys have any insight for me about this, I'll take it. thanks.

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u/Sufficient_Meal5696 — 14 days ago

Freaking out - need some advice

Ive been diagnosed with prostate cancer. Gleason 8. It supposedly is contained within the prostate left side. I have surgery set up at Hopkins in late July. Im so up and down I dont know whats going on w me I guess everyone freaks out a little. I cant stop crying Im so upset. Im sexually active, daily and it's hard to imagine life any differently. Im having tough time accepting all of this. I'll take any advice I can get. Thanks guys.

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u/Sufficient_Meal5696 — 30 days ago