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He is on a walker and goes in a urinal by his bed. If you don't know the answer, please let me know who I can contact that would know. Thank you,


Joan

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Men and catheters--ugh, a challenging combo.

My DH had one after his liver transplant and he complained more about that than anything.

Until they removed it and then gave him a whopping dose of Lasix. The one night I left early and my son 'sat vigil' with his dad. We can laugh about it now, but that night, I guess he had to stand to use the urinal and he voided off 30 lbs of fluid in 10 hrs. They could not get another catheter in, so he learned a lesson, I guess.

I'd personally prefer to care for someone who needs a urinal than anything else. Those 'external caths' really do leak more than not, the supra pubic are a bit of serious work to keep clean and keep your patient from fussing at them and a permanent one can be just simply miserable--setting up a person for non stop infections.

Does dad have a bed that can be raised and lowered? Raising the bed slightly and letting gravity help makes using the urinal easier.
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It's unclear to my why he would fall when using the urinal but if it is because he is unsteady and needs a handhold then some kind of bed assist rail like this might help

https://www.agingcare.com/products/bedcane-136322.htm

There are many, many other styles available
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My husband had a supra pubic catheter(which is a permanent catheter, put in surgically). The only thing I had to do was empty his catheter bag twice a day(morning and evening). The supra pubic catheter does have to changed out every 4-6 weeks. You can have a nurse come change it or take him to his urologists office to have them do it, if you don't want to do it yourself. I didn't personally want that responsibility, so I had his hospice nurse do it. Prior to my husband being under hospice care, the home health agency I was talking to, said that their nurse could do it as well. Please talk to an urologist to figure out what might be best for your husband. Best wishes.
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Take this issue to your doctor first of all, and see if some rehab might help. There are what is called "condom catheters" which fit on just as a condom would, and which drain into a bag. There are problems with this method. They often leak. They are applied with a sort of adhesive that can be irritating, and they keep the the entire area moist and prone to fungus. They are a last resort. And of course you cannot be catheterizing frequently with an indwelling catheter due to difficulty with this method; they are not easy to insert without special training, and it is a sterile procedure; even with best practice, each time a catheter is inserted one is open to infection.
There are incontinence pants to be considered and also a urinal at the chairside, but this means spillage and other problems.
Speak with a doctor about the problems you are facing. If falls are happening or are feared there may be a way to improve things. I am wishing you luck with some answer that might work for you.
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