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Thread: Occasional discharge

  1. #1

    Occasional discharge

    SCI-Nurse: I occasionally get a small amount of opaque/white-ish discharge at the tip of my urethra/meatus. I notice it before I cath. A similar discharge can also occur while I am digitally stimulating for defecation; dig stim can trigger a release of it, for lack of a better term. When that happens, there is a more volume and I notice it is a little sticky. I've taken to just leaving my cath in while doing sig stim to avoid getting it on my hand, should it occur.

    I haven't mentioned this to my SCI doctor yet and have not been to a urologist. I have assumed it was just occasional sediment making its way out, but can't explain why dig stim triggers an actual release of it. Your thoughts?

    Further: T5 complete for 12 years, I self-cath about a half dozen times a day, rarely get UTIs (and the discharge isn't related to UTIs), and the only meds I'm on are baclofen and diazepam.
    Last edited by Rock517; 08-15-2012 at 09:27 AM.
    6/18/00: T-5 complete

  2. #2
    Two possibilities I can think of.

    First, urethritis caused by an infection, yeast, or parasite. See you urologist or family physician to get the discharge cultured and examined under a microscope. Antibiotics or other medications would be indicated if bacteria etc. are present.

    Second, lack of ejaculation can cause fluid to accumulate in the prostate gland. A bowel full of stool or digital stimulation could press on the prostate resulting in the release of fluid and I suppose a catheter passing through the prostatic urethra could cause enough pressure to release fluid as well. Your urologists may have some suggestions. Sometimes prostate massage is used to de-congest the prostate.

    All the best,

  3. #3
    Since you don't have any other symptoms of urerethritis, I am willing to bet on the second suggestion made above. It is not uncommon and the nrrves that you are stimulating with yourdig stim, etc will cause that.

    I would still recommend that you get it checked out just to be safe.


  4. #4
    It's probably just dead white blood cells, i.e. pus, that occurs with colonization. The colonized bladder is in a state of low-level inflammation as a result of bacteria being present that shouldn't be. While you may not be symptomatic with a UTI, this white discharge could just be mild inflammatory debris. I myself have it. If you ever get a foley you have a lot more of it.

  5. #5
    I've experienced the same thing many times except for I don't do dig stim so I can't attest to that part.

  6. #6
    I also frequently have same symptom. I hope its not serious because I've never done anything about it

  7. #7
    If nothing has progressed, you are probably not experiencing anything serious.

  8. #8
    Thanks, gjnl and SCI-Nurse. I have my annual visit with my SCI doc soon and will mention it to him. Honestly, this has been going on for a few years now but I haven't given it much thought because it didn't seem to be harmful and never progressed. I attributed the occasional bit of puss (for lack of a better term) to be related to years of having a neurogenic bladder and cathing. That and the puss is not there EVERY time I go to cath, so I wasn't worried it was an infection.

    As for the dig stim "discharge," (which is totally different than the occasional stuff I otherwise get), I kind of thought it may be some sort of seminal fluid. Weird!
    Last edited by Rock517; 08-15-2012 at 09:42 AM.
    6/18/00: T-5 complete

  9. #9
    Let us know how it turns out.

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