Long term urinary cathering

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I am in a situation where I will be faced with long term urinary cathering.   My Uro has shared with me the need to consider long term cathering. He has told me of two system, Foley or Suprapubic.  Want to know comments of either system for long term. Thanks,  

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  • Posted

    Hi Yoshi,

    There is a third method, and in most cases, it's the most preferable method. That's self cathing (CIC). Did your Uro mention it? If so, is there a reason you can't do it? 

    CIC has less incidence of UTIs than either Foley or Suprapubic, but its biggest advantage is that you're not hooked up to something 24/7.

    If for some good reason you can't CIC, I personally would choose Suprapubic over Foley. Less incidence of UTI and no tube in the urethra.

    Jim

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    • Posted

      I probably should have explained my condition. I have a stricture that is stubbornly closing up. I've been dilating but it doesn't last a week. It's one of the largest options i need to consider I probably will have surgery to open it up but my Uro feels there is a high chance I will become incontinent because it is next to he spinster. If this happens we need to consider these options. I have been CICing with dilation to try to keep the uretha open but no luck. I have been cathering 5 times a day so is not new to me. I presently have a Foley since last weeks dilation. He wants me to keep it for at least three weeks to get a feel of it being in long term.   That is the reason I'm asking what people with either system feels long term effects  I need to decide if cathering 5-6 times a day vs permanent draining is the better option.  Thanks for all the input. I would like to hear from people who currently have either system. 

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    • Posted

      I would definitely consider the suprapubic if CIC isn't a good option. With a suprapubic, there's no tube in your urethra. Plus, if you get a Flip-Flo valve, you don't have to walk around with a bag. You just flip the valve when your bladder fills up and empty into the toilet.

      Jim

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    • Posted

      Hi Super, the advantages of a Supra over the Foley are numerous, including the one you mentioned, resting the urinary system to clear infections. If I need to have a catheter indwelt for longer than a few weeks, I would consider a Supra. Hank
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    • Posted

      Just had chat with toby52 on this discussion listed above. He is still depressed with the stricture and trying to repair it with surgeries. His post very interesting. He is a good writer, just took too many chances with surgeries. Hank
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  • Posted

    I agree with JimJames.  I've been doing CIC for three years and it sure beats either of the options your doc gave you.  If CIC is a possibility (WITH HYDROPHYLIC ---self-lubricating---CATHETERS!  We can give you good reasons to use these)

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