Need help from Sci nurse or guys on here

Riaan · 11-09-2009, 08:03 AM

Im sitting with abit of a problem,where my cathetor enters my pen... its starting to tear my pen...Dont know what to do the hole starts getting bigger.Im using a size 16 cathetor permanent and only change it every 2 months

SCI-Nurse · 11-09-2009, 09:11 AM

Urinary meatus and urethral trauma and damage from indwelling urethral catheters is a major reason to avoid these for long term use. You need to talk to your urologist about changing to a suprapubic (SP) catheter instead.

Until then, are you properly securing your catheter to avoid the catheter tugging and pulling on your meatus?

(KLD)

Riaan · 11-09-2009, 11:07 AM

Im trying to secure it more now,can only see my urologist maybe next week,with the SP catheter will my nurse still be able to change it 2 nd monthly or will i have to go in to see a docter every time my catheter blocks or needs to be changed?

SCI-Nurse · 11-09-2009, 12:36 PM

Is your nurse an RN or LVN or do you mean an aide? An RN or LVN can change a SP catheter once it has been in place for at least 6 weeks (before that your urologist would need to change it), but they do need to learn how to do it with sterile technique, and with the special precautions that are required for a SP different from the urethral catheter. It can be irrigated for blockages just as with a urethral catheter.

The main precautions that are different with a SP are:

The new catheter must be inserted within 1-2 minutes of the removal of the previous catheter or the hole can close up.
Caution must be used to avoid inserting the catheter too far, as this can result in the catheter passing all the way through the bladder and into the urethra, and the having the balloon inflated inside the urethra instead of inside the bladder.

(KLD)

Riaan · 11-09-2009, 01:53 PM

Shes an aid but have been working for me since my accident,i will take her with to the urologist for some training for the sp cath.Thank you

krew99 · 11-09-2009, 06:26 PM

That was happening 2 me my Urologist suggested suprapubic.

rybread · 11-09-2009, 08:09 PM

I've had one for years and it's worked great. I have to get it changed every two or three weeks because of sediment but otherwise it's been really simple. We changes at home without any problems. Hope this helps with your decision.

Riaan · 11-10-2009, 02:16 AM

It does thank you,googled around last night to find out more about the SP cath i see that it enters at the t bone just under the belly,When wearing pants does it not push directly on to it and if i train and try to do sit ups wont it be in my way?

rybread · 11-10-2009, 03:00 AM

I get pants a little bit too big and I don't button them. If you do it just right, you won't have any problems with your parents putting it up but it takes a little trial and error. Every night I clean it with hydrogen peroxide/water mix just to get all the gunk and blood off of it. It's really been nice. I used to do straight cath but it required assistance so I opted for this. Hope this helps

Riaan · 11-10-2009, 07:26 AM

Will book my opt and let you know how it goes,thank you

11-09-2009, 08:03 AM	#1
Riaan Senior Member Join Date: Jul 2007 Location: Alberton South Africa Posts: 390	Need help from Sci nurse or guys on here Im sitting with abit of a problem,where my cathetor enters my pen... its starting to tear my pen...Dont know what to do the hole starts getting bigger.Im using a size 16 cathetor permanent and only change it every 2 months

11-09-2009, 12:36 PM	#4
SCI-Nurse Moderator Join Date: Jul 2001 Location: USA Posts: 41,520	Is your nurse an RN or LVN or do you mean an aide? An RN or LVN can change a SP catheter once it has been in place for at least 6 weeks (before that your urologist would need to change it), but they do need to learn how to do it with sterile technique, and with the special precautions that are required for a SP different from the urethral catheter. It can be irrigated for blockages just as with a urethral catheter. The main precautions that are different with a SP are: The new catheter must be inserted within 1-2 minutes of the removal of the previous catheter or the hole can close up. Caution must be used to avoid inserting the catheter too far, as this can result in the catheter passing all the way through the bladder and into the urethra, and the having the balloon inflated inside the urethra instead of inside the bladder. (KLD)

11-09-2009, 08:09 PM	#7
rybread Senior Member Join Date: Jul 2001 Location: Phoenix, Arizona Posts: 2,415	I've had one for years and it's worked great. I have to get it changed every two or three weeks because of sediment but otherwise it's been really simple. We changes at home without any problems. Hope this helps with your decision. __________________ C-5/6, 7-9-2000 Scottsdale, AZ Make the best out of today because yesterday is gone and tomorrow may never come. Nobody knows that better than those of us that have almost died from spinal cord injury.

11-10-2009, 03:00 AM	#9
rybread Senior Member Join Date: Jul 2001 Location: Phoenix, Arizona Posts: 2,415	I get pants a little bit too big and I don't button them. If you do it just right, you won't have any problems with your parents putting it up but it takes a little trial and error. Every night I clean it with hydrogen peroxide/water mix just to get all the gunk and blood off of it. It's really been nice. I used to do straight cath but it required assistance so I opted for this. Hope this helps __________________ C-5/6, 7-9-2000 Scottsdale, AZ Make the best out of today because yesterday is gone and tomorrow may never come. Nobody knows that better than those of us that have almost died from spinal cord injury.

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11-09-2009, 09:11 AM	#2
SCI-Nurse Moderator Join Date: Jul 2001 Location: USA Posts: 41,520	Urinary meatus and urethral trauma and damage from indwelling urethral catheters is a major reason to avoid these for long term use. You need to talk to your urologist about changing to a suprapubic (SP) catheter instead. Until then, are you properly securing your catheter to avoid the catheter tugging and pulling on your meatus? (KLD)

11-09-2009, 11:07 AM	#3
Riaan Senior Member Join Date: Jul 2007 Location: Alberton South Africa Posts: 390	Im trying to secure it more now,can only see my urologist maybe next week,with the SP catheter will my nurse still be able to change it 2 nd monthly or will i have to go in to see a docter every time my catheter blocks or needs to be changed?

11-09-2009, 01:53 PM	#5
Riaan Senior Member Join Date: Jul 2007 Location: Alberton South Africa Posts: 390	Shes an aid but have been working for me since my accident,i will take her with to the urologist for some training for the sp cath.Thank you

11-09-2009, 06:26 PM	#6
krew99 Member Join Date: Oct 2009 Location: Countryside, Illinois Posts: 51	That was happening 2 me my Urologist suggested suprapubic.

11-10-2009, 02:16 AM	#8
Riaan Senior Member Join Date: Jul 2007 Location: Alberton South Africa Posts: 390	It does thank you,googled around last night to find out more about the SP cath i see that it enters at the t bone just under the belly,When wearing pants does it not push directly on to it and if i train and try to do sit ups wont it be in my way?

11-10-2009, 07:26 AM	#10
Riaan Senior Member Join Date: Jul 2007 Location: Alberton South Africa Posts: 390	Will book my opt and let you know how it goes,thank you

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