Living with a urinary catheter

 

No, because I think they probably told me I’d got a catheter but I don’t think I even understood what a catheter was there to do, or where it was inserted or how it was inserted because obviously I had no feeling at all. So I think it would have been a few days.

 

Thankfully there was a very helpful sister on the ward that they then moved me to, who sat down and explained some of the niceties about having a catheter for, obviously for urine drainage, as well as having to explain how things, around how I was having to have manual bowel evacuations done as well. So it was a sort of double whammy of having to understand you know, because I couldn’t feel. I obviously wasn’t able to control my bladder or my bowels, and therefore having to have somebody to intervene and help that process happen.

 

 

Yes. But rather that be there to help than have the other whole side of things if it didn’t.

Things have improved over the 14 years. I now have partial use of both arms but with very limited feeling and no use of my hands. No feeling or muscle function from the armpit’s down. I was told by the hospital I required an indwelling suprapubic catheter, which meant nothing to me. It was the least of my concerns at the time, and so they just went ahead and did so. I don’t remember, but I assume prior to that, I must have had intermittent indwelling catheters through my penis, but I have no recollection of that period.

 

At the beginning the catheter, as you say, was not a major issue. My lack of mobility, strength, and just being able to move around and in a wheelchair was paramount. And I don’t really remember, apart from the infections, very much about the catheter because I had no feeling from it, other than the infections which internally made me very sore and very uncomfortable, and made me feel very out of sorts.

I went and I booked and he got me in fairly quickly and I had it [the operation to have a suprapubic catheter] done. And I had no idea of what it was all about. And I can remember waking up after the op with this tube and this bag attached to my leg and everything. And I was horrified to think that I was going to have to spend the rest of my life with a plastic bag with pee in strapped to my leg. And I thought, “What have I done?” You know, what’s worse? You know what is this, is this it now? Am I going to be like this? And it was awful.

 

 

Yes, yes. And somebody at the hospital, a nurse at the hospital came up to me and she said, “When you get the chance,” she said, “Look up a company called, can I mention it, called Manfred Sauer, who make the bags.” And the people who work for him are all disabled. They are either wheelchair bound or they’ve got MS. And they’ve designed all these things because they know exactly what they need. And that’s what I did. 

 

I contacted them and eventually managed to get all the contraption that I was advised at the hospital to use. And also I got an agency nurse, you know one of the agencies that do the catheters and everything. And she just dealt in suprapubic catheters and she was brilliant. And I had her for quite a long time. And then she became ill and I had to have the district nurses. But she had trained the district nurses, so I did quite well.

 

And I ended up not doing any of the things that I was originally advised to do, and I can wear the bag in my trousers, really neatly. I don’t have all these long tubes. I have a direct valve. The bag is sort of cotton backed so it doesn’t affect your skin underneath it. And it’s of a decent size, and I don’t even have to connect to a leg bag at night beside the bed because that made me feel, mentally makes you feel as if you’re, you know, finished almost, you’re not a real person. There’s nothing feminine about it. And I managed to do, eventually, do things my way and it’s worked out, it has worked out well.

I’ve had a suprapubic, and I didn’t like that. It didn’t seem to be working for me. And I went onto the other one.

 

Well there again I’m rather vague because I don’t remember, but I have a feeling that it was leaking. And that of course I found is one of the main problems with most of the catheters. No matter how careful you are, there’s a certain amount of leakage, and that can be rather unpleasant and….. But I have to wear pads. I have to wear a pad as well as the catheter.

 

 

When I was first suggested that I should have a catheter, I thought they were condemning me to death. I couldn’t imagine how I would manage for any sort of a life. So you need to sell a catheter with the thought that it might be a benefit to you, that this might really help to change your life for the better. But I didn’t really get that. But then the first consultant that I saw wasn’t a chap who would make you feel better.

 

 

Yes. Totally. Kind and confident, yes.

 

I felt pretty depressed immediately after, because I felt I was tied to this bag and I would never be able to go out again or do anything again. And the district nurse took me, shook me by the shoulders, patted me on the head and said, “No, you’re going to be fine.” So then I felt better.

 

It’ll be eight now.

 

 

I think the first reaction I had was that it was a permanent intrusion into my body. And that is a psychological step. Rather like when I had to have a tooth out at the front of my mouth for the first time ‘cos I’d broken half of it off on a cricket pitch. And eventually it had to come out and so effectively I had a small false tooth for the first time. And I felt very sort of awkward about that, you know these foreign bodies in your own body. I’d rather have gone around with no tooth as it were, but apparently that was aesthetically not a good idea. 

 

But having said that, I did feel that with the catheter, I mean I did, I broke my tooth at fifteen or some such age. And I did recall that time when the catheter was being, you know I knew it was going to have to done. And I thought, well you know I’ve got two choices' if I don’t have it I’m not going to be on this earth very long, so you know get used to it chum. And I did. 

 

But, as I’ve said two or three times, I would prefer it not to be there. I think that feeling is doubly so when the damn thing isn’t working as well. Well I’m making it work as well as it can but, you know, a lot better could be done.

 

Yes.

 

 

I would say that it wasn’t just the catheter that affected my body image. It was the combination of my body’s slightly changing shape because of my disability, being in a wheelchair, my spasticity, my posture, everything, and losing muscle tightness in my body, so having a bit more of a flabby tummy. And that all combined with the catheter really affected my body image and made me question, “What is attractive, am I still attractive?”

 

 

No I wouldn’t say the catheter was the last straw but it was a building block in getting there. Funnily enough I think the final straw was how much my body shape changed from being in the wheelchair with my increasing spasticity, because I used to be able to sit up quite upright in the wheelchair. So I felt like, and I still felt I had quite a bit of muscle tone in my stomach area. But then when that also started to go and I became a bit kind of banana shaped, just that on top of my catheter, on top of getting a bit older, on just with everything, I really thought, you know, well it made me question myself as a woman, my attractiveness, my attractiveness to my husband but also to other people. You know I like the idea that people might look at me and think, “Oh she’s attractive”, you know, and I felt that that just wasn’t happening. I felt I was invisible I’d lost confidence in my own body and myself as a sexual woman.

 

Well it’s pretty rubbish really. You know, I mean having a spinal injury is very desexualising. You stop really feeling like a woman and, when you have a tube coming out of your belly, it’s hard. It’s very hard. It’s been a long process. It’s been nearly three years for me now but it’s still ongoing, that process of learning that I will never be the person that I used to be, the woman that I used to be, that I’ve got my tubing externally rather than internally now. 

 

So it is hard and it’s hard to wear nice clothes when you have to, I said about wearing skinny jeans, I used to love wearing skinny jeans, I’ve got long legs. But it’s not functional anymore so you have to be, some things you have to give up on. But, on a good day, you know if you’ve got a nice pair of suitable trousers on and you’ve got enough make up on and you’ve done your hair, you can pretend you look okay and nobody knows that you’re peeing out of a tube out of your tummy.

 

Dreadful. I hated every moment of it. I hated it when it went in. Sometimes the thing, the bulb that held it in would burst, so it would come out. It could come out when you were in the bed. It could come out when you were out walking. And of course having it replaced, if you had somebody that was good at it, it was fine, but if you had somebody that wasn’t good at it, that again was another horrible time. I didn’t like it at all.

 

Oh, yes, yes, unfortunately that happened to me, I think I can remember three times. Once when I was out and twice when I was in bed.

 

 

It’s quite embarrassing, especially when you’re out.

 

 

Oh, yes, oh, absolutely, a bit embarrassed about the whole thing. I certainly wouldn’t have spoken about it to anybody at first. I mean that was, I mean it’s not manly, is it?

 

Yes. Then, I now realise of course, it’s one of those things and you just sort of put up with it and make the best of it. And, well, what else can you do?

 

 

No, oh, no.

 

I suppose some of them found out in the end. But I never actually went to somebody and said, “Hey, I wear a catheter.” It’s just something you don’t do. I mean if you met somebody who was in a similar circumstance, you might. But the only place you’d meet those would be in the hospital. And, well, you just didn’t.

 

Unfortunately, I’ve had problems since [having the catheter] in that I’ve had to have it changed often. It has become blocked, so I’ve had to ring for a nurse to come and change the catheter. And that has happened, was happening quite frequently. It happened at Christmas time, two weeks later. And I’ve gone now for four weeks bar a day, had it changed on Sunday, that was a day short of four weeks. Now the lady who’s keeping a check on this, she’ll ring me again this week. She might ring me today. She reckoned four weeks has been a reasonable time, but I don’t think it is a reasonable time.

 

So I’m undecided now whether or not to have the operation. You see I have difficulties in that, sometimes, if I’m not careful I don’t plug the night bag in right. Then of course it leaks then and there have even been night bags that have been faulty.

 

I had one that was not screwed in properly and that leaked. I had one that had not been closed properly and that leaked. Then I’ve had a connection from a day bag, the connection had come out. I’ve had to put it in myself.

 

 

Yes. I’ve been at home since, about the end of July, beginning of August. And so, at the moment, I’m undecided what to do because of the worry about it.