You can live well with a urinary catheter and continue to do everyday things. But it may take some getting used to at first.
Your doctor or a specialist nurse will tell you how to look after your catheter.
Catheter equipment
Your hospital team will:
- give you some catheter equipment when you leave hospital
- show you how to use and look after your catheter
- tell you where you can get more supplies
Catheter equipment is usually available on prescription from pharmacies.
The Drugs Payment Scheme can help towards the cost of approved medicines and supplies.
Preventing infections and other complications
A long-term urinary catheter increases your risk of developing urinary tract infections (UTIs). It can also lead to other problems, such as blockages.
To reduce these risks:
Do
-
wash the area where the catheter enters your body with mild soap and water at least twice a day and after you poo
-
wash your hands with warm water and soap before and after touching the equipment
-
drink enough fluids so that your pee stays pale
-
eat foods that are high in fibre to avoid constipation
-
avoid having kinks in the catheter
-
make sure any drainage bag is below the level of your bladder at all times
Intermittent urinary catheters
Intermittent catheters are usually used once and then thrown away.
Your doctor or nurse will tell you if you need to use a catheter:
- at certain intervals during the day
- only when you feel you need to pee
You can drain the pee into a toilet or container.
Looking after an indwelling or suprapubic catheter
An indwelling catheter is inserted through your urethra.
A suprapubic catheter (SPC) is inserted through a small hole under your belly button.
Both types of catheter stay in place and can have a:
- drainage bag that you strap to the inside of your leg or attach to a stand
- valve that you open over a toilet or container to drain your pee
Your doctor or nurse needs to replace the catheter at least every 3 months. They will tell you when they need to replace the catheter. Sometimes they may teach you or your carer how to do it.
If you use a drainage bag
To look after a catheter with a drainage bag:
- keep the bag below the level of your bladder
- wash your hands before and after you empty the bag
- empty the bag when it is half to three-quarters full - if the bag gets too heavy it can pull on the catheter
- wipe the valve with a tissue after you empty the bag
- change the bag every 7 days
You can attach the bag to the leg that is most comfortable for you.
If you use a catheter with a valve
To look after a catheter with a valve:
- wash your hands before and after you drain your pee
- wipe the valve with a tissue after you drain your pee
- change the valve every 7 days
Using a night bag
At night, you need to attach a larger bag to the drainage bag on your leg or to the catheter valve.
Make sure the night bag is below the level of your bladder. You can put it on a stand next to your bed.
Night bags can be:
- single use - you empty them and throw them in the bin in the morning
- reusable - you empty them and wash them in the morning
Your everyday activities
You can continue to do most of your everyday activities if you have a urinary catheter. Your doctor or nurse will tell you when it's safe to go to work, exercise, swim, go on holidays and have sex.
If you have an intermittent catheter or a suprapubic catheter, you can have sex as before.
Indwelling catheters can be more problematic. But it’s still usually possible to have sex. For example, men can fold the catheter along the base of their penis and cover them both with a condom.
In some cases, a healthcare worker will show you how to remove and replace the catheter so you can have sex more easily.
Non-urgent advice: Contact your GP or nurse if:
- you have severe or ongoing bladder spasms (similar to stomach cramps)
- your catheter is blocked
- pee leaks around the edges of your catheter
- your pee has blood in it or bright red blood comes out of the catheter
- you have symptoms of a UTI, such as lower tummy pain, a high temperature and chills
- your indwelling or suprapubic catheter falls out and you do not know how to replace it
Emergency action required: Go your nearest emergency department if:
- your indwelling or suprapublic catheter falls out and you cannot contact a GP or nurse