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Risks - Urinary catheter

The main risk of having a catheter is an infection. This can happen when bacteria get into the body through the catheter.

The infection can happen in the:

  • urethra
  • bladder
  • kidneys - this is less common

These types of infections are urinary tract infections (UTIs).

UTIs from catheters

UTIs from using a catheter are common. The risk is very high if your catheter stays in place all the time.

Urinary catheter infection

Non-urgent advice: Contact your GP if

you have a catheter and symptoms of a UTI, such as:

Mild UTIs do not need treatment. But your GP may prescribe antibiotics if you get a kidney or blood infection.

Other risks and side effects of urinary catheters

Other common effects of having a long-term catheter include:

  • bladder spasms - cramps caused by the balloon in your bladder
  • leakage around the catheter - this can happen from bladder spasms, when you poo or if your catheter is blocked
  • a blocked catheter - caused by blood or other debris such as a build-up of minerals in your pee

Your GP can prescribe medicine to reduce bladder spasms and how severe they are.

Emergency action required: Contact your GP or nurse immediately if:

  • you think your catheter is blocked
  • large solids or blood clots come out of your catheter

Less common risks from a catheter

Less common risks of having a urinary catheter include:

  • injury to the tube that carries pee out of the bladder (urethra)
  • narrowing of the urethra - scar tissue can build up after repeated catheter use
  • injury to the bladder or rectum from inserting the catheter the wrong way
  • bladder stones - these usually only develop after years of using a catheter
  • bladder cancer - for people who have indwelling catheters for years

Page last reviewed: 15 September 2025
Next review due: 15 September 2028

This project has received funding from the Government of Ireland’s Sláintecare Integration Fund 2019 under Grant Agreement Number 123.