Medical Specialty >> Urology

Doctors Lounge - Urology Answers

Back to Urology Answers List

If you think you may have a medical emergency, call your doctor or 911 immediately. Doctors Lounge ( does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site.

DISCLAIMER: The information provided on is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician. Please read our 'Terms and Conditions of Use' carefully before using this site.

Date of last update: 8/13/2017.

Forum Name: Urology Topics

Question: Difficulty Self Catheterrizing

 ariesman - Tue Apr 28, 2009 9:44 am

I am a male aged 48. I have been having great difficulty self catheterizing. Either getting the catheter past the prostate or through the bladder neck. The only time it goes smoothly is after an erection or ejaculation. I take flomax and baclofen. This is very serious as I do want want to get a foley catheter and I would not be able to have a normal life. Any thoughts as to why this is happening? Thank you!
 Dr.M.Aroon kamath - Sun Oct 11, 2009 9:48 am

User avatar Hi,
I truely sympathise with you. As a surgeon, i am well aware how difficult catheterizations can be at times.This could be due to a narrowing of the prostatic urethra or due to reflex spasm of the bladder neck.Try to be patient, never do it in a hurry, relax, lubricate well - if necessary empty sufficient local anesthetic jelly into the urethra, milk it upwards & let it act (wait for 10-15 min) and then catheterize.
Good luck next time and every time thereafter!

| Check a doctor's response to similar questions

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application

Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us