My spinal mylopathy took out my ability to relax the bladder sphincter. If I didn't cath often enough the detrusers would spasm and force the urine past the sphincter until they were satisfied [but not emptied.] Eventually, the demand to cath was on twenty minute intervals.

I went to a Foley indwelling cath and found peace.

Pros:

        Safety for the kidneys

        Fewer chances by far for UTI's

        Never get up during the night  [BIG plus for a 74 yr old male]

Able to surepticiously empty the bag on a long drive using a length of rubber tubing out the open car door

Cons:

        Need to empty the bag without benefit of a natural reminder

                A bag ignored is an awful mess on floor, pants, chair, ....

A friend made a sensing device that beeps when the bag is nearly full - not yet on the market

        A cath change every two weeks

                I've done it myself for a decade now -  without any UTI's

                Takes about twenty minute for a clean, not sterile, procedure

                Often with a few detruser spasms to punish me for mistakes

                        Last evening's change resulted in NO spasms!

Ooops, the buzzer is beeping. Pavlovian response is to go empty the bag NOW

Alton

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