Diabetic, Has Neuropathy And A Stoma, Advised Supraphobic Catheter. Any Advise ?
My mother is diabetic has neuropathy and a stoma amongst other complications,she has just been told that a suprapubic catheter is now advised as she is more or less completely incontenant.she is very scared as has had at least 8 stomach ops to date and a close friend that had this unsuccessfully has just passed away.we desperately need some advise as to weather this is the best for her quality of life as I think she is really had enough of all her ailments (she is 78)apart from anything else I'm not sure she could cope with having it changed every 5-6weeks...please help
Hi, Thanks for using Healthcaremagic, After going through the history of your mother, she has diabetic neuropathy with urinary incontinence. I can appreciate anxiety due to many surgeries in past and her age.
Supra pubic cystostomy with catheter is minor and simple procedure and once the healing takes place periodically catheter can be changed to prevent infections. You should be watchful about UTIs, Blockage, Bladder Stones, Bladder cancer Bypass track by urine. You should take opinion of Urologist regarding this and you can decide about this procedure, I think this will help her; it will definitely improve her quality of life. Take care. Good Luck. Dr. Akhilesh Dubey M.D.
Hello, Considering the situation your mother is where she is having diabetes with neuropathy and urinary incontinence,supra pubic catheter is the beet option for her. It is very simple procedure and generally you have to change it in 4-6 weeks. The change of catheter can be done by you. You only have to learn it first time from the doctor and then you can do it yourself.You only have to take precaution regarding observing complete sterility while doing it to avoid infections. Very frankly speaking there is no other good alternative also. Thanks
Hello, Thanks for the query to H.C.M. Forum. When stoma is there & urine flow is not regular then only option is a suprapubic catheter . In my opinion when urethral opening is very narrow, may be due to repeatedly catheterization , then only option is suprapubic catheter. This is a minor surgery , hence get it by a surgeon. Patient can easily accept it . Good luck.
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Diabetic, Has Neuropathy And A Stoma, Advised Supraphobic Catheter. Any Advise ?
Hi, Thanks for using Healthcaremagic, After going through the history of your mother, she has diabetic neuropathy with urinary incontinence. I can appreciate anxiety due to many surgeries in past and her age. Supra pubic cystostomy with catheter is minor and simple procedure and once the healing takes place periodically catheter can be changed to prevent infections. You should be watchful about UTIs, Blockage, Bladder Stones, Bladder cancer Bypass track by urine. You should take opinion of Urologist regarding this and you can decide about this procedure, I think this will help her; it will definitely improve her quality of life. Take care. Good Luck. Dr. Akhilesh Dubey M.D.