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  • Intercourse w sp

    Im a T5 female incomplete. After a lifetime of using a valsalva method of emptying my bladder, im now having to switch to a supra pubic because of a flap surgery. For those of you gals who have an sp, does the SP pose any issues with sex/intercourse?

  • #2
    Can't help you with the ladies point of view. But wondering what guys and gals with the collection bag? The catheter isn't coming out...so the options are to plug it (and hope you dont leak) or leave the bag attached. Does anyone worry about being to physical and pulling excessively on the cath?
    "Never turn your back on fear. It should always be in front of you, like a thing that might have to be killed." - Hunter Thompson
    T5/6 complete

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    • #3
      I would make sure your bladder is empty and you could pull the catheter out during intercourse. It also depends on whether bladder spasms are a problem could be kicked up with foreplay stimulation.

      pbr
      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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      • #4
        Originally posted by SCI-Nurse View Post
        I would make sure your bladder is empty and you could pull the catheter out during intercourse. It also depends on whether bladder spasms are a problem could be kicked up with foreplay stimulation.

        pbr
        When my supra pubic catheter is changed, NL has to pull the old catheter out with one hand and slip the new catheter in with the other hand, almost simultaneously. Supra pubic catheter stomas can close very quickly. Pulling the catheter out during intercourse could make it difficult to impossible to get a catheter back into the bladder through the stoma. I think it would be better to plug the catheter at the funnel end, then tape the catheter to your abdomen to secure it out of the way.

        Catheter Plug:
        Attached Files
        Last edited by gjnl; 04-24-2017, 07:27 PM.

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        • #5
          Originally posted by SCI-Nurse View Post
          I would make sure your bladder is empty and you could pull the catheter out during intercourse. It also depends on whether bladder spasms are a problem could be kicked up with foreplay stimulation.

          pbr
          Sorry, I have to disagree with my colleague. Once you remove a SP lndwelling catheter, it must be replaced within 2 minutes. If not, the stoma can close up. Leave it in place, and just be sure you are using a good quality securement device (like a Statlock foley) and position the drainage bag so that you won't get tension on the bag during intercourse.

          (KLD)
          The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

          Comment


          • #6
            Ya it is not coming out except when it gets changed monthly. Maybe PBR thought it was an intermittent catheter.

            Last month the Dr. came in while the nurse was changing my cath. The nurse stopped to listen to our conversation after pulling the old one out. It was less than 5 minutes and they had a bitch of time getting the new one in. Think I will need to experiment with taping it off to the side. Wish there was a soft plug...those yellow ones are harder than a corn cob. If I had feeling around my abdomen I would think it would be uncomfortable while doing the mash potato. Maybe tuck it under an abdominal binder to keep it from getting yanked on...
            "Never turn your back on fear. It should always be in front of you, like a thing that might have to be killed." - Hunter Thompson
            T5/6 complete

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            • #7
              Originally posted by Rook98006 View Post
              Wish there was a soft plug...those yellow ones are harder than a corn cob. If I had feeling around my abdomen I would think it would be uncomfortable while doing the mash potato.
              I've never seen a soft catheter plug, but wonder if a soft ear plug may work. They are made to conform to the ear channel, so they might expand to fit the catheter funnel and seal once you fit them. They are pretty inexpensive, may be worth a try.
              Attached Files
              Last edited by gjnl; 04-25-2017, 07:51 PM.

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              • #8
                All good info, thanks to all. My worry was possibility of pulling the Foley out, which you guys had good suggestions to avoid doing that. Rebecca

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                • #9
                  Ear Plugs could work...Thxs
                  "Never turn your back on fear. It should always be in front of you, like a thing that might have to be killed." - Hunter Thompson
                  T5/6 complete

                  Comment


                  • #10
                    Originally posted by Rook98006 View Post
                    Ear Plugs could work...Thxs
                    Test them first somehow. They might be open cell.
                    I have had periodic paralysis all my life. I lost my ability to walk in 2011 beginning with a spinal block, which was used for a hip fracture caused by periodic paralysis.

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                    • #11
                      Disconnecting is not encouraged (keeping a closed system is much better for infection prevention) but if you must, then you can simply fold the catheter back on itself and secure with a rubber band. I would not put anything unsterile inside the lumen of the catheter.

                      (KLD)
                      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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                      • #12
                        Originally posted by nonoise View Post
                        Test them first somehow. They might be open cell.
                        Testing is a good idea.

                        Originally posted by SCI-Nurse View Post
                        Disconnecting is not encouraged (keeping a closed system is much better for infection prevention) but if you must, then you can simply fold the catheter back on itself and secure with a rubber band. I would not put anything unsterile inside the lumen of the catheter.

                        (KLD)
                        When a regular catheter plug is used it isn't sterile, it is clean, i.e, soap and water and/or alcohol wipe (Granted it breaks the closed system). If an ear plug, after testing works, of course you would use a new one each time and wipe it down with alcohol before use.

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                        • #13
                          Regular catheter plugs are sterile when still in the wrapper. Of course if you are reusing the, they are not.

                          (KLD)
                          The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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                          • #14
                            Works for us I agree 100%

                            Originally posted by SCI-Nurse View Post
                            Sorry, I have to disagree with my colleague. Once you remove a SP lndwelling catheter, it must be replaced within 2 minutes. If not, the stoma can close up. Leave it in place, and just be sure you are using a good quality securement device (like a Statlock foley) and position the drainage bag so that you won't get tension on the bag during intercourse.

                            (KLD)
                            ^^(A)^^

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