06/12/2026
Note: if you’re uncomfortable discussing bodily functions and anatomy in clinical terms, this post isn’t for you.
Yesterday’s surgery has been in discussion for many years, and while a fairly simple procedure, it should make a big difference in my quality of life and long term health.
The vast majority of spinal cord patients deal with a condition called neurogenic bladder. The bladder doesn’t sense fullness, so it fills and fills until becoming incontinent. For the first ten years of my paralysis I performed intermittent self catheterization, draining my bladder with a small single use tube 5-6 times a day, to manage this condition. This made leaving the house difficult, as well as taking time away from my young children, so in 2015 I began using a Foley catheter: a tube inserted through the urethra and held in place with a small, fluid filled balloon. Being constantly hooked to a drainage bag was a small price to pay to get my time back and no longer have the constant worry of wetting myself.
The Foley isn’t without its drawbacks however. Its location around other body parts makes it a conduit for frequent infections, it can cause painful friction with surrounding tissue, and can damage the urethra over time. After weighing my options and talking with my medical team, yesterday my urologist inserted a suprap***c catheter in my bladder. It’s essentially the same tubing as the foley, but is now inserted through a small hole made in my lower abdomen, just above the p***c bone. The procedure went well, and the doctor and anesthesia team honored my wishes to stay awake for the procedure. The doctor also took a look in my bladder with the cystoscope, and I’m happy to report he saw no issues. Long term catheter use causes a significantly increased risk of bladder cancer for spinal cord patients, even more so for those using an indwelling catheter vs self cathing, so this is repeated on a regular basis to ensure the bladder is healthy.
I’ll have to be a bit gentle with it for the next six weeks until I go back to my doctor for the first catheter change, but it should be an uncomplicated recovery and beneficial in the long term.