suprapubic catheter

Sean_M

Hello, my name is Sean. I am someone who has a spinal cord injury, C7 to T2. This year I began having bladder stones and lots of painful spasms. I have been intermittently cathing, but my urologist put in an indwelling Foley catheter last Wednesday. Since then I have been having a lot less spasms. However, she wants to put in a suprapubic catheter. I read online, though, that those could cause bladder stones. Do you think that having one would help me? Also, are there any serious side effects that people with spinal cord injuries have with them?

AskNurseLinda

Hi, Sean, whenever a person is considering any treatment, they should consider the risks vs. benefits for their individual self. In this case, you have seen that the indwelling catheter has reduced the painful spasms so that is a huge benefit, I am sure.
Indwelling or suprapubic catheters have a higher risk of infection and the catheter permanently placed is an easy entry for bacteria. That is a risk for individuals with SCI. Although many individuals have suprapubic catheters and do not have infections or rarely have a urinary tract infection, so it is possible to manage this type of catheter. 
Some people create stones more than others. It could be that you will have less stones. That is a very specific question that you should ask your healthcare professional. There is some reasoning why the suprapubic catheter was suggested. Once that is explained, you will be in a better position to decide what to do.
Here are some questions to ask:
1. The reasoning for the suprapubic catheter placement and the risk of stone development.
2. If you have had or need to have a urodynamic study of your urinary system that could indicate alternative treatment options such as botox injections into the bladder or other spasm medication.
3. If you can try any other bladder containment system. Like trying the foley for awhile.
My guess is that since the foley is working, the suprapubic catheter may have even better results. However, you should be completely confident in your decision before proceeding. It is good to check into your own research but remember the recommendations are for the general SCI community and may not match your unique needs. Your healthcare professional will be able to address your specific questions to help you make the best decision. Nurse Linda

Sean_M

Thank you!

Sean_M

Before the Foley was put in, I have had 2 operations to remove bladder stones. The Foley was originally put in to remove more stones and debris.

AskNurseLinda

best wishes. You are on your way now. Nurse Linda