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Thread: catheter change

  1. #1
    Senior Member jack's Avatar
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    catheter change

    once in a while i have a foley cath that doesn't leak around penis

    usallly leaks and has to be changed in 3 wks

    tried all meds, using toviaz now

    whats the longist i should leave the non leaking silicone foley in, 18fr 5cc

    used foley for 41 yrs

    ty

  2. #2
    Quote Originally Posted by jack View Post
    once in a while i have a foley cath that doesn't leak around penis

    usallly leaks and has to be changed in 3 wks

    tried all meds, using toviaz now

    whats the longist i should leave the non leaking silicone foley in, 18fr 5cc

    used foley for 41 yrs

    ty
    Four weeks duration after catheter insertion is a common rule of thumb. That said, having to change an indwelling, urethral foley catheter every 3 weeks is not out of the ordinary. Does you catheter plug up with sediment or mucus and then start leaking?

    How many cc of fluid are you using to inflate the 5cc balloon?

  3. #3
    When was the last time you have a cystoscopy completed?
    it would be good to have your urethra and bladder examined to see of there is scar tissue or if you need a different size or type of catheter

    pbr
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

  4. #4
    Senior Member jack's Avatar
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    yeary

    max time to leae in?

  5. #5
    The longer you leave it in the higher chance of bodily tissue collecting around the catheter.
    4 week maximum

    pbr
    Last edited by SCI-Nurse; 03-09-2019 at 12:31 PM.
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

  6. #6
    Quote Originally Posted by jack View Post
    once in a while i have a foley cath that doesn't leak around penis

    usallly leaks and has to be changed in 3 wks

    tried all meds, using toviaz now

    whats the longist i should leave the non leaking silicone foley in, 18fr 5cc

    used foley for 41 yrs

    ty
    Do you irrigate?

  7. #7
    Senior Member smokey's Avatar
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    Well if you've had an indwelling urethral catheter for 41 years I guess it works for you. My understanding is a urethral indwelling catheter is not a good way to manage your bladder. I was told it is a guaranteed way to get a UTI. I used a condom drainage for about 23 years and I switched to intermittent catheterization about 20 years ago.

  8. #8
    Actually, if you have to use an indwelling catheter for that long, a supra pubic catheter is probably a better option. 41 years is a long time, and I'd say "jack" has had a very lucky run of it. There is significant risk of urethral erosion with indwelling, urethral catheters.

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