Signs Men Should See a Eurologist Brisbane

Many men delay seeking medical help for reproductive or urinary concerns, often hoping symptoms will resolve on their own. However, early consultation with a eurologist Brisbane can prevent minor issues from developing into serious health problems.

Below are common signs that indicate it may be time to see a specialist.


Persistent Erectile Problems

Occasional erectile difficulties are common, but ongoing erectile dysfunction may signal underlying issues such as hormonal imbalance, poor blood circulation, or chronic health conditions. A eurologist Brisbane can identify the cause and recommend appropriate treatment.


Testicular Pain, Swelling, or Lumps

Any pain, swelling, or unusual lumps in the testicles should never be ignored. These symptoms may indicate infection, injury, or more serious conditions such as testicular cancer. Early assessment by a eurologist Brisbane is essential.


Difficulty Conceiving

If pregnancy has not occurred after 12 months of regular unprotected intercourse, male fertility issues may be a factor. A eurologist Brisbane can perform fertility testing and guide treatment options.


Urinary Problems

Symptoms such as frequent urination, weak urine stream, pain during urination, or difficulty emptying the bladder may be linked to prostate or urinary tract conditions. Consulting a eurologist Brisbane allows for accurate diagnosis and early management.


Low Libido or Hormonal Symptoms

Reduced sex drive, fatigue, mood changes, or loss of muscle mass may be signs of low testosterone. Hormone testing and professional advice from a eurologist Brisbane can help restore balance and improve quality of life.


Final Thoughts

Paying attention to changes in reproductive and urinary health is an important part of overall wellness. Seeing a qualified eurologist Brisbane early ensures timely treatment, peace of mind, and better long-term health outcomes.

Male Reproductive Health: A Complete Guide to Functions, Problems, and Care

Male reproductive health is an essential part of overall well-being, yet it is often overlooked or misunderstood. Understanding how the male reproductive system works, common health issues, and ways to maintain reproductive health can help men live healthier and more confident lives.

 

What Is the Male Reproductive System?

The male reproductive system is a group of organs responsible for producing, storing, and delivering sperm. It also produces male hormones, mainly testosterone, which play a vital role in physical development, fertility, and sexual function.

Main Organs of the Male Reproductive System

  • Testes (Testicles): Produce sperm and testosterone
  • Scrotum: Holds and protects the testes
  • Epididymis: Stores and matures sperm
  • Vas Deferens: Transports sperm
  • Seminal Vesicles & Prostate Gland: Produce seminal fluid
  • Penis: Delivers semen during ejaculation

Functions of the Male Reproductive System

The primary functions include:

  • Sperm production (spermatogenesis)
  • Hormone production (testosterone)
  • Sexual function and reproduction
  • Ejaculation and fertility

Testosterone also affects muscle mass, bone density, voice depth, mood, and libido.


Common Male Reproductive Health Problems

1. Erectile Dysfunction (ED)

Erectile dysfunction is the inability to achieve or maintain an erection. It can be caused by stress, anxiety, diabetes, heart disease, or hormonal imbalance.

2. Low Testosterone Levels

Low testosterone may cause fatigue, low sex drive, depression, and reduced muscle mass. Aging, obesity, and certain medical conditions are common causes.

3. Infertility

Male infertility often results from low sperm count, poor sperm quality, or blocked reproductive ducts. Lifestyle factors such as smoking and excessive alcohol intake also contribute.

4. Prostate Problems

  • Prostatitis (inflammation)
  • Benign Prostatic Hyperplasia (BPH)
  • Prostate cancer

Regular check-ups help detect prostate issues early.

5. Testicular Disorders

  • Testicular cancer
  • Testicular torsion
  • Varicocele

Early detection through self-examination is crucial.


Tips to Maintain Male Reproductive Health

Maintaining male reproductive health is essential for fertility, hormone balance, sexual performance, and overall quality of life. Whether you are experiencing symptoms or simply want to stay proactive, following these evidence-based tips can help reduce the risk of reproductive health problems and support long-term wellness.

Men in Australia, especially those seeking care from a urologist Brisbane (also commonly searched as eurologist Brisbane), are encouraged to prioritize prevention and early medical consultation.

1. Maintain a Healthy Lifestyle

A healthy lifestyle directly affects testosterone levels, sperm quality, and blood circulation.

  • Eat a balanced diet rich in fruits, vegetables, whole grains, healthy fats, and lean protein such as fish, chicken, eggs, and legumes
  • Include foods high in zinc, omega-3 fatty acids, and antioxidants to support sperm health
  • Exercise regularly to improve cardiovascular health and hormone regulation
  • Maintain a healthy weight, as obesity is linked to low testosterone and reduced fertility

2. Avoid Harmful Habits

Certain habits can significantly harm male reproductive function.

  • Quit smoking, as tobacco reduces sperm count, damages sperm DNA, and increases erectile dysfunction risk
  • Limit alcohol consumption, since excessive drinking can lower testosterone levels and impair sexual performance
  • Avoid illegal drug use, including anabolic steroids, which can disrupt hormone production and fertility

3. Manage Stress Effectively

Chronic stress increases cortisol levels, which can interfere with testosterone production and sexual desire.

  • Practice relaxation techniques such as meditation, deep breathing, or mindfulness
  • Engage in regular physical activity to reduce stress naturally
  • Ensure adequate sleep, as poor sleep is associated with hormonal imbalance

If stress-related symptoms persist, a consultation with a urologist Brisbane (also commonly searched as eurologist Brisbane) or healthcare professional may be recommended.

4. Practice Safe Sex

Safe sexual practices are crucial for protecting reproductive health.

  • Use condoms to reduce the risk of sexually transmitted infections (STIs)
  • Untreated STIs can cause inflammation, scarring, and fertility issues
  • Regular sexual health screenings are advised, especially for sexually active individuals

5. Get Regular Medical Check-ups

Routine medical evaluations help detect reproductive issues early, before complications develop.

  • Schedule regular health check-ups and blood tests to monitor hormone levels
  • Men over 40 should discuss prostate health screenings with a doctor
  • A urologist Brisbane (also commonly searched as eurologist Brisbane) specializes in male reproductive health, urinary conditions, fertility issues, erectile dysfunction, and prostate disorders

When to See a Doctor

Early medical consultation improves treatment success and long-term outcomes. You should seek advice from a doctor or urologist Brisbane (also commonly searched as eurologist Brisbane) if you experience:

  • Persistent erectile dysfunction or difficulty maintaining an erection
  • Pain, swelling, lumps, or discomfort in the testicles
  • Difficulty conceiving after 12 months of trying
  • Low libido, fatigue, mood changes, or other symptoms of hormonal imbalance
  • Urinary problems such as weak stream, frequent urination, or pain

Seeing a qualified urologist Brisbane (also commonly searched as eurologist Brisbane) allows for accurate diagnosis, personalized treatment, and professional guidance on maintaining optimal male reproductive health.


Frequently Asked Questions (FAQs)

Is male reproductive health affected by age?

Yes. Testosterone levels and sperm quality may decline with age, but healthy lifestyle choices can slow the effects.

Can diet improve male fertility?

Yes. Foods rich in zinc, omega-3 fatty acids, and antioxidants support sperm health.

How often should men check their reproductive health?

Men should perform monthly testicular self-exams and visit a doctor annually or as recommended.

 

Book Your Appointment Today

If you’re in need of a urologist in Brisbane, Dr. Jo Schoeman is here to help. With a commitment to patient-centered care and advanced treatment options, Dr. Schoeman is dedicated to improving the lives of her patients. Contact our office today to schedule a consultation and take the first step toward better urological health.

Dr Jo Schoeman, Urologist
Suite 46, Level 4
The Wesley Medical Centre
Wesley Hospital
Auchenflower Brisbane

Dr Michael Gillman

A BIG WELCOME to Dr Michael Gillman who will be consulting from my rooms as from January 2026

 Dr Michael Gillman has over 25 years’ experience as a medical practitioner.

Dr Gillman has specific expertise in male sexual health and male sexual dysfunction. He is a Fellow of the Royal Australian College of General Practitioners and a professional affiliate member of Australasian Chapter of Sexual Health Medicine (AChSHM) which has been established within the Adult Medicine Division of the Royal Australian College of Physicians.
Above all this he is a GOOD man with a good sense of humor! He has been known to resurrect many ‘old-fellows’. See what he can do for you. Follow the link below
Click to see his website for more information
Dr Jo Schoeman, Urologist
Suite 46, Level 4
The Wesley Medical Centre
Wesley Hospital
Auchenflower Brisbane

Microbiome of the Male Reproductive System: The Hidden Factor in Men’s Health

When most people think about the microbiome, they imagine gut bacteria affecting digestion and immunity. But did you know that the male reproductive system also has its own unique microbiome? This hidden ecosystem of microorganisms plays a surprising role in fertility, hormone balance, and overall sexual health.

What Is the Male Reproductive Microbiome?

The male reproductive microbiome refers to the community of bacteria and other microorganisms living in the penis, testes, prostate, and semen. While it’s less studied than the gut microbiome, research shows that these microbes are crucial for maintaining reproductive health.

A balanced microbiome supports sperm quality, prevents infections, and even influences the immune environment of the reproductive tract. On the other hand, imbalances—sometimes caused by antibiotics, poor hygiene, infections, or lifestyle factors—can lead to fertility issues and other complications.

How the Microbiome Affects Fertility

Studies suggest that an unhealthy male reproductive microbiome may contribute to:

  • Reduced sperm motility – making it harder for sperm to reach the egg.

  • Decreased sperm count – fewer sperm can lower the chance of conception.

  • DNA fragmentation – damaged sperm DNA can affect embryo quality.

  • Inflammation – chronic inflammation in the reproductive tract can impair fertility and sexual health.

Even small changes in microbial balance can have a measurable impact on reproductive outcomes, highlighting why men’s microbiomes deserve attention.

Factors That Influence the Male Microbiome

Several lifestyle and environmental factors can disrupt the delicate balance of microbes:

  • Antibiotic use – kills both harmful and beneficial bacteria.

  • Diet – processed foods, sugar, and alcohol can negatively impact microbial health.

  • Hygiene – poor genital hygiene can allow harmful bacteria to thrive.

  • Sexual activity – sexually transmitted infections can alter microbial balance.

  • Chronic stress – stress hormones can influence bacterial populations and immunity.

Maintaining healthy habits is essential for keeping the microbiome in check.

Supporting a Healthy Male Microbiome

Here are practical ways men can support their reproductive microbial health:

  1. Balanced diet: Include fiber-rich fruits, vegetables, fermented foods, and lean protein.

  2. Probiotics: Supplements or natural sources (like yogurt or kefir) can help maintain beneficial bacteria.

  3. Safe sexual practices: Use protection and get regular STI screenings.

  4. Gentle hygiene: Avoid harsh soaps; washing with mild cleansers is best.

  5. Lifestyle management: Reduce alcohol, quit smoking, manage stress, and exercise regularly.

Why It Matters

The male reproductive microbiome is more than just a scientific curiosity—it’s a critical component of sexual and reproductive health. By understanding and supporting this hidden ecosystem, men can improve fertility, reduce infection risk, and even support hormone balance and overall wellness.


Conclusion:
Men’s health isn’t just about testosterone, erections, or sperm count—it’s also about the microscopic world living inside the reproductive system. Paying attention to the male reproductive microbiome is a small step with potentially big benefits for fertility, sexual function, and overall health.

Book Your Appointment Today

If you’re in need of a urologist in Brisbane, Dr. Jo Schoeman is here to help. With a commitment to patient-centered care and advanced treatment options, Dr. Schoeman is dedicated to improving the lives of her patients. Contact our office today to schedule a consultation and take the first step toward better urological health.

Dr Jo Schoeman, Urologist
Suite 46, Level 4
The Wesley Medical Centre
Wesley Hospital
Auchenflower Brisbane

Subclinical Hypogonadism: Low Testosterone Without Obvious Symptoms

Testosterone is often called the “male hormone,” and for good reason—it affects muscle mass, mood, energy, libido, and overall male health. But what if your testosterone is low and you don’t even notice obvious symptoms? This is the hidden condition known as subclinical hypogonadism.

What Is Subclinical Hypogonadism?

Subclinical hypogonadism is a mild or early stage of testosterone deficiency. Unlike classic low testosterone, which presents with clear symptoms like fatigue, low libido, or erectile dysfunction, subclinical hypogonadism often shows subtle or nearly invisible signs.

Because the symptoms are mild or non-specific, many men don’t realize something is wrong until complications appear later, such as reduced bone density, low muscle mass, or mood disturbances.

Who Is at Risk?

Subclinical hypogonadism can affect men of all ages but is more common in:

  • Men over 40–50 years old

  • Men with obesity or metabolic syndrome

  • Men with chronic illnesses like diabetes or kidney disease

  • Men with a history of testicular injury or hormonal disorders

Even younger men can experience low testosterone due to stress, poor lifestyle habits, or underlying health conditions.

Symptoms That Are Often Overlooked

Unlike classic hypogonadism, subclinical cases may present with very subtle symptoms, such as:

  • Slightly lower energy levels or fatigue that seems “normal”

  • Mood changes, irritability, or mild depression

  • Difficulty building or maintaining muscle mass

  • Occasional decrease in sexual desire

  • Reduced motivation or mental clarity

Because these changes are gradual, men often dismiss them as part of aging or a busy lifestyle.

Why Early Detection Matters

Even mild testosterone deficiency can affect long-term health. Untreated subclinical hypogonadism may contribute to:

  • Osteoporosis – weaker bones, increased fracture risk

  • Cardiovascular issues – low testosterone is linked to higher risk of heart disease

  • Metabolic problems – weight gain, insulin resistance, and diabetes risk

  • Reduced quality of life – low mood, fatigue, and decreased physical performance

Early detection allows lifestyle interventions and, in some cases, medical treatment to prevent long-term complications.

How Subclinical Hypogonadism Is Diagnosed

Diagnosis requires:

  1. Blood tests – measuring total and free testosterone levels

  2. Symptom assessment – even subtle signs are important

  3. Evaluation of underlying conditions – obesity, chronic illness, or medications may play a role

Because testosterone levels fluctuate naturally, multiple tests at different times may be necessary.

Managing Subclinical Hypogonadism

Lifestyle modifications are often the first line of defense:

  • Regular exercise, especially resistance training

  • Balanced diet rich in protein, healthy fats, and micronutrients

  • Adequate sleep to support hormone production

  • Stress management through mindfulness, meditation, or therapy

In some cases, hormone replacement therapy may be recommended under the guidance of a healthcare professional.

Key Takeaways

Subclinical hypogonadism is a “hidden” condition—men can feel mostly normal while their testosterone is slowly declining. Awareness, early detection, and proactive lifestyle changes are critical to maintain health, energy, and quality of life.

Book Your Appointment Today

If you’re in need of a urologist in Brisbane, Dr. Jo Schoeman is here to help. With a commitment to patient-centered care and advanced treatment options, Dr. Schoeman is dedicated to improving the lives of his patients. Contact our office today to schedule a consultation and take the first step toward better urological health.

Dr Jo Schoeman, Urologist
Suite 46, Level 4
The Wesley Medical Centre
Wesley Hospital
Auchenflower Brisbane

New Premises

Renovations have started on our new premises. This promises to be modern and fresh.

Opening date: 12 JANUARY 2026

 

Progress so far…

Shell: 7 Oct

Walls are up: 29 Oct

Floors: 8 Nov

Painted: 14 Nov

 

 

Furniture: 26 Nov

 

1 day before sign-off: 9 Dec

Hours before hand over: 10 Dec

Wishing you and yours a very merry Christmas and a fantastic 2026!

Ejaculation-sparing minimally invasive surgical therapies for benign prostatic hyperplasia – MIST

Ejaculation-sparing minimally invasive surgical therapies for benign prostatic hyperplasia (BPH) include water vapor thermal therapy (REZUM), prostatic urethral lift (PUL), temporarily implanted nitinol device (iTIND), Aquablation and prostatic artery embolization (PAE) and certain variations of transurethral resection (TURP) that involve selective tissue removal. These treatments aim to relieve symptoms while minimizing the risk of ejaculatory dysfunction, such as retrograde ejaculation, a common side effect of traditional prostate surgeries.
Ejaculation-sparing minimally invasive BPH therapies
  • Water Vapor Thermal Therapy (Rezum): This therapy delivers targeted steam energy to ablate excess prostate tissue. By using convection, the thermal energy minimizes spread to surrounding structures, achieving high rates of ejaculatory preservation (around 70-90%). It is often with general anesthesia.
  • Temporarily Implanted Nitinol Device (iTIND): A temporary device is placed in the prostatic urethra for 5 to 7 days to reshape the channel through localized pressure, then removed. Studies have shown no reports of ejaculatory dysfunction with this approach. 
  • Prostatic Urethral Lift (PUL) (UroLift): This non-ablative procedure uses small implants to pin back the enlarged prostate lobes, opening the urethra without cutting or heating tissue. It boasts one of the highest ejaculatory function preservation rates, often reported around 80-90% or higher, and can be performed in an office setting, typically under local anesthesia.
  • Prostatic Artery Embolization (PAE): Performed by interventional radiologists, this procedure involves blocking the blood supply to the prostate to cause it to shrink. It is associated with a high rate of ejaculatory preservation (around 70-90%), though its efficacy in improving urinary symptoms may be moderate compared to more invasive techniques.
  • Aquablation: This procedure uses a robotically controlled, heat-free, high-velocity waterjet to precisely remove prostate tissue based on real-time imaging. The surgical planning allows for deliberate sparing of the anatomical landmarks responsible for ejaculation, with reported preservation rates of 60-99.6% in various studies. Not readily available in Queensland.
  • Ejaculation-sparing TURP: Modified versions of the traditional TURP can be performed to preserve ejaculation. This involves careful removal of only the obstructing tissue, particularly the middle lobe, while leaving a safety margin around the verumontanum (where the ejaculatory ducts enter the urethra). 
Key Considerations
    • Patient Priority: These procedures are suitable for men who prioritize maintaining sexual and ejaculatory function over maximal urinary symptom relief, as the latter is often better achieved with traditional, but higher-risk, surgeries like Transurethral Resection of the Prostate (TURP).
    • Prostate Size: Different MISTs are suited to different prostate sizes and anatomies (e.g., UroLift for smaller prostates without an obstructive median lobe, Aquablation for a wider range of sizes).
    • Shared Decision-Making: A discussion with a urologist about patient preferences, prostate anatomy, and potential trade-offs is crucial for selecting the optimal treatment. 

 

Links: 
Information obtained with the help of AI
Dr Jo Schoeman
Functional Urologist
Wesley Hospital
Brisbane Queensland

Trental for Peyronie’s Disease

Pentoxifylline for Peyronie’s Disease: An Evidence-Based Therapeutic Approach

Pentoxifylline for Peyronie’s Disease: An Evidence-Based Therapeutic Approach – peyroniesdiseasecure.com

 

Peyronie’s disease (PD) involves abnormal scar tissue (plaques) forming in the penile tunica albuginea, causing penile curvature, pain, shortening, and often erectile dysfunction. Affecting 3-9% of middle-aged men, this condition carries physical and psychological burdens. Pentoxifylline (PTX), originally developed for vascular conditions, has emerged as a promising nonsurgical treatment due to its unique antifibrotic properties that target PD’s underlying mechanisms.

                                     

Pathophysiological Basis: Pentoxifylline’s Mechanism

PD plaques develop through a complex inflammatory process initiated by penile trauma in genetically susceptible individuals. Key pathological events include:

  1. Oxidative Stress: Reactive oxygen species activate nuclear factor kappa-B (NF-κB)
  2. Fibrotic Signaling: NF-κB upregulates profibrotic factors (TGF-β1, PDGF), transforming fibroblasts into collagen-producing myofibroblasts
  3. Matrix Disruption: Excessive collagen deposition with reduced elastin creates inelastic scar tissue, potentially calcifying in 20-31% of cases

Pentoxifylline’s Multitargeted Actions:

  • TGF-β1 Suppression: Reduces collagen synthesis
  • Phosphodiesterase Inhibition: Elevates cAMP, blocking inflammatory cytokines
  • Oxidative Stress Reduction: Neutralizes free radicals
  • Fibrinolysis Enhancement: Improves microcirculation
  • Anticalcification Effects: May stabilize mineral deposition

Table 1: Pentoxifylline’s Actions Against Peyronie’s Pathogenesis

Pathological Process Pentoxifylline Intervention
TGF-β1 Upregulation Inhibits expression & signaling
ROS/RNS Surge Scavenges free radicals
NF-κB Activation Reduces activation via cAMP pathway
PDGF Upregulation Modulates growth factor activity
Fibrin Deposition Enhances fibrinolysis, improves circulation
Elastin Degradation Indirect protection via reduced MMP activity

Clinical Evidence: Efficacy Data

Research demonstrates PTX’s benefits across PD stages:

  1. Curvature and Plaque Improvement:
    • A 6-month RCT showed significant curvature reduction (~10°) with oral PTX (400mg twice daily) versus placebo
    • Combination therapy (oral PTX + perilesional injections + antioxidants) demonstrated 46.9% mean plaque reduction and 10.1° curvature improvement
  2. Calcification Management:
    • Patients with calcified plaques receiving PTX showed 91.9% stabilization/improvement versus 44.4% in untreated controls
    • Case reports document complete resolution of small calcifications after prolonged therapy
  3. Symptom Relief:
    • Combination regimens achieved 67.6% pain resolution
    • Significant improvements in erectile function reported with multimodal approaches
    • PTX with traction therapy improved penile hemodynamics

Treatment Protocols: Optimizing Outcomes

Oral Administration:

  • Dosage: 400mg 2-3 times daily (800-1200mg total)
  • Duration: Minimum 6 months, with benefits extending to 12-18 months
  • Administration: Take with food to reduce GI effects

Advanced Delivery Methods:

  • Perilesional Injections: 100mg around (not into) plaque every 2 weeks (significantly boosts outcomes)
  • Topical Adjuvants: Diclofenac 4% gel applied twice daily

Multimodal Synergy:

  • PTX + Antioxidants: Propolis (600mg), blueberry extract (160mg), vitamin E (600mg)
  • PTX + Traction Therapy: 1 hour daily device use
  • PTX + PDE5 Inhibitors: Particularly for comorbid erectile dysfunction

*Table 2: Evidence-Based Treatment Approaches*

Regimen Clinical Outcomes Therapeutic Advantage
Oral Monotherapy Curvature reduction (~10°), Plaque stabilization Simplicity, cost-effectiveness
Oral + Injections 46.9% plaque reduction, >10° curvature improvement Enhanced efficacy
Oral + Antioxidants Improved pain relief, rigidity Oxidative stress mitigation
Oral + Traction Therapy Curvature reduction, hemodynamic improvement Mechanical plaque modification
Extended Therapy (Calcification) 91.9% stabilization/regression Unique anticalcification effect

Comparative Analysis with Other Treatments

  • Vitamin E: Lacks robust efficacy evidence
  • Colchicine: Limited by gastrointestinal side effects
  • Collagenase (CCH): FDA-approved but high-cost, multiple injections required, not indicated for acute phase or calcification
  • Verapamil: Variable results, less evidence for calcified plaques

PTX Advantages: Lower cost, applicability in acute/chronic phases (including calcification), flexible combination options, and favorable safety profile.

Clinical Implementation: Key Considerations

Adverse Effect Management:

  • GI symptoms (30% incidence): Dose titration, administration with meals
  • CNS effects (headache/dizziness): Evening dosing, hydration
  • Contraindications: Recent hemorrhage, severe cardiac disease, anticoagulant use, methylxanthine hypersensitivity

Adherence Strategies:

  • Gradual dose escalation
  • Realistic expectation setting (3–6-month onset)
  • Emphasizing stabilization benefits

Ideal Candidates:

  • Acute phase (<12 months) with changing plaques
  • Chronic disease with calcification
  • Mild-moderate curvature (<60°)
  • Motivated for long-term therapy

Poor Candidates:

  • Severe curvature preventing intercourse
  • Absolute contraindications
  • Expecting rapid complete resolution

Research Directions and Clinical Integration

While current evidence supports PTX, further investigation should:

  • Establish optimal injection protocols
  • Validate long-term outcomes (>24 months)
  • Identify predictive biomarkers
  • Refine multimodal combinations

Pentoxifylline represents a pathophysiological grounded option in PD management, particularly valuable for:

  • Early disease intervention
  • Calcified plaques
  • Cost-conscious treatment plans
  • Multimodal approaches combining oral and injectable routes

Conclusion: Therapeutic Position

Pentoxifylline offers a unique mechanism-based approach to Peyronie’s disease by targeting multiple pathological pathways. Its efficacy in plaque reduction, curvature improvement, and calcification management—especially in combination protocols—positions it as a valuable conservative option. When integrated with antioxidants, traction therapy, or topical agents, PTX provides urologists with an evidence-supported, cost-effective tool between observation and invasive procedures. Future research will further clarify its optimal role in the PD treatment algorithm.

Indwelling Urinary Catheter

An indwelling urinary catheter (IDC or Foley catheter) is a flexible tube inserted into the bladder to drain and collect urine continuously. The catheter is held in place by a small, water-filled balloon at its tip to prevent it from falling out. 

Types of Indwelling Catheters

There are two main types based on the insertion method: 
  • Urethral Catheter: Inserted into the bladder through the urethra. This is the most common type.
  • Suprapubic Catheter: Inserted into the bladder through a small incision in the abdominal wall, above the pubic bone. This minor surgical procedure is often used for long-term management or if the urethra is blocked or damaged. 

Indications

Catheterization is a medical procedure and should only be performed when a clear clinical indication is present. Common reasons include:
  • Urinary retention: Inability to empty the bladder.
  • Surgery: To drain the bladder before, during, or after certain surgical procedures (e.g., prostate or hip surgery).
  • Monitoring: To accurately measure urine output in critically ill patients.
  • Incontinence management: When other methods have failed and the patient has severe skin impairment or pressure ulcers.
  • Nerve damage: For individuals with neurological conditions like spinal cord injury or multiple sclerosis who cannot control their bladder.
  • End-of-life care: To provide comfort

Living with an Indwelling Catheter

  • Drainage: The catheter connects to a drainage bag (leg bags for daytime use, larger bags for overnight use) or a catheter valve, which allows for controlled emptying of the bladder.
  • Maintenance: Catheters typically need to be changed every few weeks to three months by a healthcare professional.
  • Daily Care:
    • Wash the area where the catheter enters the body with soap and water daily.
    • Keep the drainage bag below the level of the bladder to ensure proper drainage and prevent urine backflow.
    • Ensure the tubing is free of kinks or twists.
    • Drink plenty of fluids to help flush the urinary system and reduce infection risk

Potential Complications

  • The most common and serious complication is a catheter-associated urinary tract infection (CAUTI), as bacteria can form a biofilm on the catheter surface.
  • Bladder spasms,
  • Blockages,
  • Leakage around the catheter, and
  • Urethral trauma.
It is important to seek immediate medical advice if you notice signs of infection (fever, cloudy/strong-smelling urine, abdominal pain), a blocked catheter, or if the catheter falls out
Dr Jo Schoeman, Urologist
Suite 46, Level 4
The Wesley Medical Centre
Wesley Hospital
Auchenflower Brisbane