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Thread: Condom Cath vs. Suprapubic?

  1. #1

    Condom Cath vs. Suprapubic?

    I wish I had found this site years ago. I would have had so many questions. And hosted by my alma mater to boot! Go figure.

    Anyways, I have a question: after using a condom cath for many years, my doc suggested to me that maybe I should get a suprapubic. From what I understand self cath would be the best ideal, but it's way to uncomfortable for me, and I was never able to steel myself to do it. The nice thing with the supra as far as I can tell is that sex can be more of an option (not that it wasn't with the condom. I just have to take extra precautions to make sure I don't leak), and possibly fewer UTIs? Oh, and of course now I can be swinging in the breeze so to speak.

    So, my question is, do you think it's a good idea? Thinking about it more, it seems more like a step sideways instead of a step forward. I'm tired of wearing condoms and leg bags (though I realize I'll still have to wear them)

  2. #2
    Senior Member Timaru's Avatar
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    Quote Originally Posted by Moko View Post
    I wish I had found this site years ago. I would have had so many questions. And hosted by my alma mater to boot! Go figure.

    Anyways, I have a question: after using a condom cath for many years, my doc suggested to me that maybe I should get a suprapubic. From what I understand self cath would be the best ideal, but it's way to uncomfortable for me, and I was never able to steel myself to do it. The nice thing with the supra as far as I can tell is that sex can be more of an option (not that it wasn't with the condom. I just have to take extra precautions to make sure I don't leak), and possibly fewer UTIs? Oh, and of course now I can be swinging in the breeze so to speak.

    So, my question is, do you think it's a good idea? Thinking about it more, it seems more like a step sideways instead of a step forward. I'm tired of wearing condoms and leg bags (though I realize I'll still have to wear them)
    That was the conclusion I reached after being told twenty years ago that I should drop the condom cath. for the good of my urinary tract, however I'm still here and still peeing through a contraceptive device!

    If you do a forum search on the supra-pubic you'll find it's not the easy option the urologists would have you believe by their sales pitch.

  3. #3
    Senior Member GoTWHeeLs's Avatar
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    I have a SP catheter and am more than glad I had the procedure done.
    Say what you mean and mean what you say because those who mind dont matter and those who matter dont mind.

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  4. #4
    You can always try it and if you don't like it go back to the way you are. I take it you haven't had a sphincterotomy, I have so I really don't have a choice but to wear a condom and leg bag. I am used to this and I personally wouldn't want a foreign body in my bladder all the time. There are many pros for a SP, so it's up to the individual and you have nothing to lose particularly if you are suffering from recurrent bladder infections.

  5. #5
    Senior Member
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    I've had my SP for 19 years and wouldn't give it up for anything. In
    the 19 years I have had less than 10 UTI'S. It is so easy to take care
    of. I don't have to worry about how much fluids I drink. I also don't
    have to worry about cathing.

  6. #6
    Hi Moko and welcome, 1st off if you put more info. in your profile that would help.
    I have a SP and it works well for me and now I have more independence and more sex and more comfort. The SP may leak alittle, but hey that's not a big deal to me at all. Good luck with your decision.
    coolbreeze c6/7

    Keep on moving don't stop!

  7. #7
    This is a decision that you need to make and you have started in a good direction asking the question. The way that I approach it with my patients is you need to look at the pro's and con's of doing it. So- here is the short list: PRO: 1. the tube is larger than a urthral cath so you don't have to worry as much about it clogging, 2. due to the location, it is easier to change than a urethral cath, 3. it does provide for more sexual freedom (although to be honest, I know plenty of people for whom a urethral cath did not really inhibit them), 4. it is reverseable. CON: 1. it is a foreign body in your bladder, 2. it can clog, 3. as with any foreign body, you can still get uti's. I have known many people who have had this done and swear by it. I know a few who changed their minds and had it reverse. There are by far more in the first group than the second.

    Before I would rush to have this procedure done, I would encourage you to explore other options with your physician, such as a sphincterotomy. It does sound as though you may have an issues with bladder pressure being too high, so it does need to be addressed. Have you had urodynamics?

    CKF

  8. #8
    These decisions are not easy, Moko. However, remember that kidneys are an SCI's most precious assets and protecting them from UTI's is a priority. Do not put things off until you have to be shown the x-rays indicating rapidly advancing damage, bulging ureters, etc. like I did. I dodged a bullet, but not everybody is as lucky as I was.
    You will find a guide to preserving shoulder function @
    http://www.rstce.pitt.edu/RSTCE_Reso...imb_Injury.pdf

    See my personal webpage @
    http://cccforum55.freehostia.com/

  9. #9
    Do any of y'all w/ SPs have conflicts w/ your wheelchair seatbelt? My urologist thinks the SP would be preferable to the Foley but I think my lapbelt would be tight across it.
    Any way around that?
    Robert


    live free, drive fast


  10. #10
    I just want to say thank you for all the replies so far. I'll have to do some research as to what a sphincterotomy is. I really don't have that big a problem with UTI, maybe 2 a year if that (is that a lot, par for the course, or not that many?). The sex issue is the main reason why I'm doing it. Sexually, I can rise to the occasion, but I have to wear a rather painful ring so I don't leak all over the place. I originally had an indwelling cath, but never had to self cath.

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