Sure it's possible to go down in size without having leakage, but I doubt that is your problem. It is very possible to catheter is too hard, the wrong type, or a multitude of other issues. I rather doubt it's because it is too large in diameter.
I had terrible A/D issues when I tried to use a silicone catheter. I ended up having to go to a latex catheter and cannot use silicone hardly at all. Sure, the latex catheter can be coated with a silicone material, but that dissolves fairly quickly and doesn't seem to cause me problems. I had a suprapubic for a little over 16 years and most of my problem was because the catheter wasn't draining properly due to the diameter not being large enough. See if there is anyway you can try a different type of catheter, i.e. latex, silicone or even one coated with that microbe. I tried to use one coated with that micro and I had A.D. so bad that I had to change it almost immediately. As for why I no longer have an SP, it's because of atrophy which happens in so few people that I wouldn't worry about that. You would probably know if that was problem. Take care, Quadius On Sun, Dec 22, 2013 at 6:17 PM, Fragile <[email protected]> wrote: > Is it possible to change the size of a catheter to a smaller size without > it leaking? When I had my supra pupic put in about a year ago a size 20 > French was used. Ever since, I've been experiencing pretty bad > dysreflexia. Looking into a different kind of catheter called a "duette." > Unfortunately, I think the smallest size they come in is 18 French. Here's > a video that makes me think the catheter is causing the dysreflexia, and > why a duette might help. > > http://youtu.be/2dB2RnUI64g >

