Unlike many cancers urinary retention isn't a recent phenomenon caused by modern environmental factors - pollution etc. It has been around for a very long time, probably all the way back to our pre homo sapien evolutionary incarnations - DENSOVIAN - NEANDERTHAL - HEIDELBERGENSIS - HOMO ERECTUS ....
In fact there's a strong chance that as he got older Adam son of God himself had to take time out to pee more often in the Garden of Eden. Thankfully for him at that time there was no one looking so no need to go hiding behind the bushes and I'm sure Eve was too busy keeping an eye on the serpent population to notice his more frequent micturitions.
One wonders did Adam start curse not only his prostate but its heavenly inventor? Did he even ask for a factory recall? If so did God reject that on the grounds that Adam's lifestyle choices were what had caused the fault in his early prototype prostate, not its design and build quality? With no chance of Adam having spent too many nights on the batter with the lads however that's a pretty weak defence.
Could this be the first ever example of poor customer service from Heaven Inc!?
Too much time has passed now (over 6000 years!!) and there's no known paperwork or plans to refer to so we'll probably never know unless, seeing the misery of so many ageing men down on earth, God finally decides to fess-up and take responsibility. Given his track record of keeping a low profile and not issuing statements that's highly unlikely though - it would open the floodgates to a torrent of class action litigation for faulty prostates as well as many other human medical issues. Then Heaven Inc would go bankrupt and we all know it's too big to fail.
Seriously though - what did men who's prostate had stopped them from peeing do in the olden days? Did they just die in agony?
THE HISTORY OF THE URINARY CATHETER
The word “catheter” comes from Greek, meaning “to let or send down.” Catheters were used as early as 3,000 B.C. to relieve painful urinary retention. In those times, many materials were used to form a hollow catheter shape, including straw, rolled up palm leaves, hollow tops of onions, as well as, gold, silver, copper, brass, and lead.
Malleable catheters were developed in the 11th century. In time, silver was used as the basis of catheters as it could be bent to any desired shape and was felt to have an antiseptic function.
Benjamin Franklin, the inventor and colonial statesman, fashioned silver catheters for use by his older brother John. John suffered from kidney stones and needed to undergo a daily ritual of placing a bulky metal catheter into his bladder. To make these daily requirements on his brother less painful, Franklin worked with his local silversmith on his design for a flexible catheter. "It is as flexible as would be expected in a thing of the kind, and I imagine will readily comply with the turns of the passage," he wrote to John. Holes were bored into the sides of the catheter to allow for drainage.
Coudé tip catheters were developed in the 18th and 19th centuries to facilitate male catheterisation and continue to be used for this purpose in current medical practice. Catheters made from rubber were developed in the 18th century but were weak at body temperature, leaving debris in the bladder. The advent of rubber vulcanisation, by Goodyear in 1844, improved the firmness and durability of the catheter, and allowed for mass production. Latex rubber became available in the 1930s. Dr. Frederic E.B. Foley (a St. Paul urologist) introduced the latex balloon catheter at a urologic meeting in 1935. Though he lost a legal battle with Davol for the patent, this catheter has since been known as the “Foley”. The earliest self-retaining catheters had wing tips (called Malecot) or flexible shoulders (called Pezzer), and were tied to the male penis or sutured to the female labia.
Catheterization of the bladder was felt to be fairly safe because of the antiseptic principles of Lister (1867). But many physicians continued to be concerned about catheter-related infections as patients were still developing “catheter fever” (systemic infection) despite antiseptic principles.
After World War II, Sir Ludwig Guttman introduced the concept of sterile intermittent catheterization in patients with spinal cord injury after World War II. For many years, sterile technique was used for catheterization. In 1971, Dr. Jack Lapides of the University of Michigan at Ann Arbor introduced the clean intermittent catheterization technique. Dr. Lapides’ theory was that bacteria weren’t the only cause of infection. He believed that chronic stagnant urine residuals and overstretching of the bladder were also responsible. But the fact that CIC was not performed in totally sterile conditions, Dr. Lapides still felt it was superior to indwelling catheters. Initially, Lapides was scorned in the urology world. Three decades after this debate, clean intermittent catheterization remains the preferred method to treat chronic urine retention and neurogenic bladder. Recent regulatory changes have recommended against the reuse of catheters for IC in an attempt to further reduce the risk of catheter-associated urinary tract infections.
References:
Carr, H. A. (2000). "A short history of the Foley catheter: from handmade instrument to infection-prevention device." J Endourol 14(1): 5-8.
Ellis, H. (1988). "Therapeutic milestones. The Foley catheter." Br J Clin Pract 42(6): 248-249.
Lapides, J., A. C. Diokno, A.C., et al. (1972). "Clean, intermittent self-catheterization in the treatment of urinary tract disease." J Urology 107(3): 458-461.
Marino, R. A., U. M. Mooppan, et al. (1993). "History of urethral catheters and their balloons: drainage, anchorage, dilation, and hemostasis." J Endourol 7(2): 89-92.
Mattelaer, J. J. and I. Billiet. (1995). "Catheters and sounds: the history of bladder catheterisation." Paraplegia 33(8): 429-433.
Nacey, J. and B. Delahunt. (1993). "The evolution and development of the urinary catheter." Aust N Z J Surg 63(10): 815-819.
TO BE CONTINUED ....
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