Suprapubic Catheter: Changing, Flushing & Recovery

Overview

• Definition: A suprapubic catheter (SPC) is a flexible tube used to drain urine from the bladder via a small incision in the abdomen.
• Purpose: It is used when individuals cannot urinate on their own due to various medical conditions.
• Common Uses:
  • Urinary incontinence
  • Pelvic organ prolapse
  • Prostate issues (cancer, enlargement)
  • Post-surgical recovery (prostate/genitals)
  • Spinal cord injury, paraplegia
  • Multiple sclerosis (MS)
  • Loss of bladder control due to epidurals
  • Parkinson's disease, urethral stricture, phimosis

Placement Procedure

• Pre-Procedure:
  • Imaging tests (X-rays, ultrasound) to check the bladder and surrounding area.
  • Skin cleaning with antiseptic to prevent infection.
  • Local or general anesthesia is used.
• During Procedure:
  • A small incision is made to insert the catheter.
  • The catheter is secured with a stitch and a balloon is inflated to keep it in place.
  • A bandage is applied to prevent infection.
• Time: Takes less than 20 minutes.

Care and Maintenance

• Hygiene: Wash hands before handling the catheter; check for infection signs like pain, swelling, or pus.
• Catheter Bag Change:
  • Wash hands, empty the bag, clean catheter ends, and replace the bag.
• Flush the Catheter: Daily flushing with sterile water to prevent blockages.
• Duration: Catheters can be used short-term or long-term, changing required every four weeks if long-term.

Benefits

• Continuous bladder drainage prevents:
  • Pain and swelling
  • UTIs
  • Bladder/kidney damage
• More comfortable than urethral catheters.

Risks

• Potential complications include:
  • Catheter displacement
  • Blockage
  • UTIs
  • Bladder spasms
  • Bleeding, bladder stones

Recovery and Tips

• Recovery: Pain, swelling, and bruising should subside in a few weeks.
• Comfort Tips:
  • Drink fluids regularly.
  • NSAIDs for pain (with healthcare provider’s approval).
  • Pelvic floor exercises.

When to Contact a Healthcare Provider

• Symptoms that require immediate attention:
  • Fever above 100.5°F
  • Leakage or little/no urine flow
  • Pain, fullness, or blood in urine
  • Catheter displacement

Additional Information

• Difference from Foley Catheter: Foley enters through the urethra, while SPC enters through an abdominal incision.
• Cleveland Clinic Note: Importance of consulting healthcare providers for personalized care and support.

Resources

• Cleveland Clinic offers specialized urology care and appointments for further guidance.