How to Change a Suprapubic Catheter: A Step-by-Step Guide

A suprapubic catheter is a medical device inserted into the bladder through an incision made in the abdomen. It is used to drain urine in individuals who are unable to empty their bladder naturally. Like any medical device, a suprapubic catheter needs regular care and maintenance. This article will provide a step-by-step guide on how to change a suprapubic catheter along with some frequently asked questions regarding this procedure. Step 1: Gather necessary supplies Before starting the catheter change, ensure you have all the required supplies. This may include a new catheter, sterile gloves, sterile saline solution or warm water, antiseptic wipes, adhesive tape or dressing material, and a container to collect urine. Step 2: Prepare the environment Choose a clean, well-lit area to perform the catheter change. Wash your hands thoroughly with soap and water to maintain good hygiene. Step 3: Position the patient If you are changing the catheter for someone else, help them lie down or sit up in a comfortable position. If you are doing it for yourself, you may try using a mirror to aid visibility. Step 4: Remove the dressing Gently remove the dressing or any adhesive tape covering the catheter site. Be cautious not to pull the catheter during this process. Step 5: Clean the area Using an antiseptic wipe or sterile saline solution, cleanse the area around the catheter site. Make sure to wipe in a circular motion, starting from the insertion site and moving outward. This helps prevent any infection. Step 6: Remove the old catheter Hold the catheter with one hand while carefully deflating the balloon. Slowly withdraw the old catheter from the bladder. If excessive resistance occurs, stop pulling and contact a healthcare professional. Step 7: Insert the new catheter Using sterile gloves, prepare the new catheter for insertion. Lubricate the tip of the catheter with sterile saline solution or warm water to ease its entry. Insert the catheter into the bladder through the opening created during the initial surgery. Inflate the balloon with the recommended amount of sterile saline solution to ensure it stays securely in place. Step 8: Secure the catheter Attach the catheter to the patient’s abdomen using adhesive tape or a preferred dressing material. Make sure it is secure but not too tight, as this could cause discomfort or restrict urine flow. Step 9: Collect urine Place a container or bag under the catheter to collect urine. This helps monitor urine output and detect any potential issues with the catheter or bladder function. Frequently Asked Questions:

How often should a suprapubic catheter be changed?

Catheter change frequency may vary depending on individual needs. In general, the catheter should be changed every 4 to 12 weeks. However, consult a healthcare professional for personalized guidance.

Can I change the catheter by myself?

If you have received proper training and feel comfortable doing so, you may change the catheter yourself. Otherwise, seek assistance from a healthcare professional to ensure safety and minimize complications.

What should I do if the new catheter won't go in?

Do not force the catheter if you encounter resistance. Contact a healthcare professional for assessment and guidance. They will address the issue and provide necessary assistance. Are there any signs of complications I should watch out for after changing the catheter?Yes, watch out for signs of infection such as redness, swelling, increased pain, or foul-smelling discharge around the catheter site. Also, if the urine output decreases significantly or stops altogether, contact a healthcare professional immediately. Changing a suprapubic catheter may seem daunting at first, but by following these step-by-step instructions and seeking proper training, patients or caregivers can confidently care for this essential medical device. Promptly consult a healthcare professional for any questions, concerns, or complications during the catheter change process.