Foley Catheter

Why am I urinating around my catheter?

If there is urine in the bag and urine also coming out around the catheter, this is due to you having bladder spasms. If the urine is bloody and the bag is empty, the catheter may have a clot, and you may need to come to the office if it is open or go to the emergency room.

Will a bigger catheter or catheter balloon stop the leakage around my catheter?

No, neither will stop the leakage. You may be experiencing bladder spasms. Please ask the nurse if Dr. Black thinks a medication for spasms would be appropriate.

What can I do about bladder spasms?

Bladder spasms are involuntary urges to urinate. They may be strong enough to leak around the catheter even if it is not blocked. There are medications that may lessen the spasms; however, all of these medications cause constipation. The spasms usually go away as the bladder heals or after the catheter or stent is removed. They often do not require treatment.

My urine is cloudy in the bag. Do I need an antibiotic?

Cloudy urine is common and may or may not indicate an infection. If you do not have a new onset of fever or bladder spasms, it is probably okay. Crystals frequently form in the tubing as the urine cools to room temperature.

My catheter seems to slip in and out a little, is that normal?

Yes, this is normal. The catheter is held in place by an internal balloon and will only come out if the balloon is deflated. Self-deflating or defective balloons are rare.

There is a thick discharge around my catheter. Do I need an antibiotic?

No. This is a normal tissue reaction to the catheter. Just clean it with soap and water several times a day.

Would Betadine or Neosporin be better than soap and water for my discharge?

No, these would not as petroleum, jelly-based ointments, like Neosporin, may damage a latex catheter.