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How do you sleep with a catheter bag?

At night, you'll need to attach a larger bag. Your night bag should either be attached to your leg bag or to the catheter valve. It should be placed on a stand next to your bed, near the floor, to collect urine as you sleep. Single-use night bags are usually used to reduce the risk of infection.

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Your doctor or a specialist nurse will give you detailed advice about looking after your catheter. It's possible to live a relatively normal life with a long-term urinary catheter, although it may take some getting used to at first.

Catheter equipment

You'll be given a supply of catheter equipment when you leave hospital and be told where you can get more supplies. Catheter equipment is generally available on prescription from pharmacies.

You'll also be shown how to empty and change your equipment.

Intermittent catheters

Intermittent catheters are usually designed to be used once and then thrown away. How to use them varies from person to person. You may be advised to use them at regular intervals spaced evenly throughout the day, or only when you feel you need the toilet.

The charity Bladder and Bowel Community has more information on intermittent self-catheterisation.

Indwelling catheters

An indwelling catheter can either drain into a bag attached to your leg, which has a tap at the bottom so it can be emptied, or they can be emptied into the toilet directly, using a valve. You should empty the bag before it's completely full (around half to three-quarters full). Valves should be used to drain urine at regular intervals throughout the day to prevent urine building up in the bladder. Leg bags and valves should be changed every 7 days. The bag can be attached to your right or left leg, depending on which side is most comfortable for you. At night, you'll need to attach a larger bag. Your night bag should either be attached to your leg bag or to the catheter valve. It should be placed on a stand next to your bed, near the floor, to collect urine as you sleep. Single-use night bags are usually used to reduce the risk of infection. The catheter itself will need to be removed and replaced at least every 3 months. This is usually done by a doctor or nurse, although sometimes it may be possible to teach you or your carer to do it.

The charity Bladder and Bowel Community has more information on indwelling catheters.

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What is a super pubic?

A suprapubic catheter (tube) drains urine from your bladder. It is inserted into your bladder through a small hole in your belly. You may need a catheter because you have urinary incontinence (leakage), urinary retention (not being able to urinate), surgery that made a catheter necessary, or another health problem.

Your catheter will make it easier for you to drain your bladder and avoid infections. You will need to make sure it is working properly. You may need to know how to change it. The catheter will need to be changed every 4 to 6 weeks. You can learn how to change your catheter in a sterile (very clean) way. After some practice, it will get easier. Your health care provider will change it for you the first time. Sometimes family members, a nurse, or others may be able to help you change your catheter. You will get a prescription to buy special catheters at a medical supply store. Other supplies you will need are sterile gloves, a catheter pack, syringes, sterile solution to clean with, gel such as K-Y Jelly or Surgilube (do not use Vaseline), and a drainage bag. You may also get medicine for your bladder. Drink 8 to 12 glasses of water every day for a few days after you change your catheter. Avoid physical activity for a week or two. It is best to keep the catheter taped to your belly. Once your catheter is in place, you will need to empty your urine bag only a few times a day.

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