He is bring Rx for UTI’s, urinary retention, urgency. He wears depends, is continent during day, but sometimes cannot find 1 of 2 BR’s. When he does, he lowers lid and closes door behind him so he can’t find it next time. He wears wide legged shorts, reaches under to depends, and pees wherever. I removed all baskets, most small rugs and locked some doors to rooms we rarely use. With colder weather coming he will need long pants, creating another problem. I recently slipped and fell in a puddle I did not see on tile floor.. Suggestions please.
My husband was getting up every hour to pee. He tried just about all of the bladder spasms medicines out there, along with having botox put in his bladder as sometimes that helps with peeing a lot, but none of it helped, and since I was also having to get up with him every hour to help him, we opted to have the supra pubic catheter put in, and boy what a Godsend that was, as we now could both sleep through the night without him getting up every hour, and I didn't have to worry about him falling(as he was a fall risk)as he walked to the bathroom.
You might want to talk to his urologist about that. Good luck.
It is not placed routinely.
A suprapubic catheter needs to be changed monthly by a nurse or doctor at the urologist office. It is a huge potential source of infection in its own but especially if the cath isn’t changed every month.
I don’t think it would be medically justified for incontinence only.
I would try JoAnn’s suggestion of establishing a routine or even a condom catheter first (they imo are terrible).
But a suprapubic? No.
In my Moms room, she was not 10 feet away from her bathroom. On the same wall as her TV and she forgot where it was.
And yes it has to be changed every 4-6 weeks, by a nurse, Dr., yourself, or a loved one. And only if you have a Dr change it do you have to go to the Dr's office. Otherwise it can be changed in the house. My husband had nurses change it in our house. I know my husbands nurses wanted to teach me how to do it for my husband, (as he was paralyzed on his right side, so couldn't do it himself,) but I said no thank you, and let them continue to change it. For us it was very helpful having it, as I said my husband was a fall risk (also another symptom of vascular dementia)and the fact that he didn't have to keep getting up to pee was great. He had fallen several times trying to do just that.
So why it is not for everyone, it certainly made our lives a whole lot easier, and thus why I recommended it for this poor woman, who I am sure is at her wits end in trying to help her husband.
I agree with JoAnn, to do a toileting routine. May not solve the issue completely but may minimise the accidents.
Try prompting him, but a routine with supervision may be needed.