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SP catheter care

Suprapubic Catheter Care:

  1. DO NOT pull or dislodge the suprapubic (urinary) catheter. There is an inflated balloon inside the bladder, and pulling on this can do internal damage to the bladder.
  2. Empty the urine bag at least 3 times daily or when it gets close to full.
  3. At some point, after directions from the doctor, you will start to plug the catheter instead of having it connected to the drainage bag all day. This allows the bladder to regain its tone and elasticity prior to the time the catheter is completely removed.  When your bladder feels uncomfortable, remove the catheter plug and drain the bladder into the toilet.
  4. When instructed, usually about 2-3 weeks after surgery, you can start to urinate through your phallus. After each time you urinate through the phallus, you should then empty the bladder completely through the suprapubic catheter by removing the plug.  The amount of urine drained through the catheter will gradually decrease as the urination through the phallus increases.
  5. Hematuria (blood in the urine) is common in anyone who has a suprapubic catheter. It will be intermittent and will occur off and on for as long as the catheter is in place. Hematuria is expected and is a normal part of your recovery.