What is a Suprapubic Catheter?

A suprapubic catheter (SPC) is a catheter placed directly into the bladder through a small incision in the lower abdomen. It is used for patients who cannot pass urine normally due to urinary retention, neurogenic bladder, or after certain urological surgeries. The catheter allows continuous bladder drainage and can be temporary or permanent.

What to Expect After Suprapubic Catheter Insertion

• Mild discomfort or tenderness around the catheter site for a few days.
• Slight leakage of urine around the catheter site, which is normal initially.
• Increased bladder spasms, especially in the first week.
• Clear to slightly bloody drainage from the insertion site for a few days.
• Possible sensation of needing to urinate, even though urine is draining via the catheter.

Post-Procedure Recovery Tips

• Clean the catheter site daily with mild soap and water, keeping it dry and free of infection.
• Change the dressing regularly if advised by Dr. Singh.
• Drink at least 2–3 litres of water per day to prevent infections.
• Ensure proper catheter positioning to prevent kinks or pulling.
• Empty the urine bag regularly to avoid backflow into the bladder.
• Take prescribed medications, including bladder relaxants, if needed for spasms.

What to Avoid

• Avoid pulling or twisting the catheter, as this can cause injury.
• Do not engage in vigorous physical activity or lifting heavy objects for at least one week.
• Avoid using powders, creams, or antiseptics around the insertion site unless instructed.

When to Contact the Doctor

• Severe pain, fever, or chills indicating infection.
• Cloudy, foul-smelling, or bloody urine beyond the first few days.
• Leakage of urine around the catheter site that persists.
• Catheter blockage or reduced urine output.
• Accidental catheter removal or severe discomfort.

Recovery Time

• Most patients recover in one to two weeks, depending on the reason for the catheter placement.
• Regular catheter changes every 4–6 weeks will be scheduled if long-term use is required.

Emergency Instructions

If you are unable to reach Dr. Singh and require urgent medical attention, present to the Emergency Department at Life Westville Hospital or Busamed Gateway Hospital for immediate assessment. The hospital team will evaluate you and contact Dr. Singh if needed.

Hospital Locations

• Life Westville Hospital – 7 Spine Road, Westville, Durban
• Busamed Gateway Private Hospital – 36-38 Aurora Drive, Umhlanga, Durban