Question Title: Catheter blocking

Following a CVA, my Mother-in-law is incontinent of urine. urethral and suprapubic catheters have been tried, but these always block after a short time. Medical staff are currently trying bladder training, but because of right side paralysis, she is beginning to suffer skin problems. Is anything known about catheter failure in this way, particularly different types of catheter, or dietary/fluid intake management that may reduce the frequency of blocking?Thanks in advanceSteve H

Dear Steve ,
Urinary incontinence following a stroke/CVA is not unusual , as you may know already. Some of the deficits from a CVA , including urinary control, may improve after several months to years. Sometimes medications to relax the bladder, and clean intermittant catheterization is useful. The use of indwelling urethral or suprapubic catheters to divert the urine is a commonly used approach. Suprapubic tubes are particularly useful. These, however, need to be changed every 3 to 4 weeks, depending on the patient. This will prevent blocking and allows restoration of urine flow. Debris formation with the presence of an indwelling catheter is almost inevitable It is helpful to occasionally( every 2 to 3 days) irrigate these catheters with sterile normal saline or other pre-rpacked solutions( such as citric acid or mandelic acid preparations) to clear the build-up of debris from the bladder. Maintaining good hydration is probably the best dietary measure you would need to take.

This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568).

Sincerely;
HFHS-M.D. BE
* Keyword:Foley catheter obstruction