Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Have Transverse Myelitis, Paralysed From Armpits Down. Using Of Condom Catheters For Inability To Stream Urine. UTI, Klebesiella Infection. Other Options?

I have a Male friend with Transverse Myelitis, paralysed from armpits down. He is currently in a hospital with a UTI and Klebsiella infection, caused by the use of catheters. He does not have the ability to have a stream of urine voluntarily, so he uses condom catheters and straight caters empty his bladder at home. Is there any alternative to catheters or other options available? Thank you for your help!
Sat, 14 Sep 2013
Report Abuse
Nephrologist,  's  Response
Hi
Thanks for the query.
If the patient is unable to pass urine on his own then there are 3 options to empty the bladder:
1)Permanent Indwelling catheter: easy to insert, convinient but this is associated with the risk of infections.
2) Clean Intermittent self catheterisation (CISC): here pt or caregiver catheterise the bladder every few hours. If the catheter is sterile and the technique is clean then this is the preferred method and has the least risk of infections.
3) Suprapubic catheter: here we drain the bladder directly outside. Least preferred.
Apart from this some patients can be trained for reflex voiding where stimulating the skin of thighs or putting pressure on the lower abdomen helps in reflex voiding.
Hope this helps
Good luck.
I find this answer helpful

 1 user finds this helpful
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Bacteriuria


Loading Online Doctors....
Have Transverse Myelitis, Paralysed From Armpits Down. Using Of Condom Catheters For Inability To Stream Urine. UTI, Klebesiella Infection. Other Options?

Hi Thanks for the query. If the patient is unable to pass urine on his own then there are 3 options to empty the bladder: 1)Permanent Indwelling catheter: easy to insert, convinient but this is associated with the risk of infections. 2) Clean Intermittent self catheterisation (CISC): here pt or caregiver catheterise the bladder every few hours. If the catheter is sterile and the technique is clean then this is the preferred method and has the least risk of infections. 3) Suprapubic catheter: here we drain the bladder directly outside. Least preferred. Apart from this some patients can be trained for reflex voiding where stimulating the skin of thighs or putting pressure on the lower abdomen helps in reflex voiding. Hope this helps Good luck.