Individuals with a catheter can, in most cases, walk and maintain mobility. Modern catheter designs and management techniques facilitate this. While it might require some adjustments, having a catheter does not typically restrict movement. Many people continue with daily activities, including walking and light exercise.
Catheter Types and Their Mobility Considerations
Indwelling catheters, such as Foley catheters, allow for mobility. A Foley catheter is a thin, flexible tube inserted into the bladder, typically through the urethra, and held in place by a small balloon inflated with sterile water. Urine drains continuously into a collection bag. These catheters, especially with smaller leg bags, support patient movement.
Suprapubic catheters also permit considerable mobility. This type is inserted through a surgically created opening in the lower abdomen, directly into the bladder. Similar to Foley catheters, a small balloon keeps it in place. Many patients find suprapubic catheters more comfortable for long-term use compared to urethral catheters.
External catheters, such as condom catheters for males, offer another option. These devices fit over the penis and collect urine, providing a less invasive alternative that allows movement without an internal tube.
Navigating Movement with a Catheter
Managing the drainage bag is a primary consideration when walking with a catheter. For daytime use, a leg bag is typically recommended as it is smaller and can be discreetly worn under clothing, usually on the thigh or lower leg. Ensure the leg bag is always positioned below the bladder to allow gravity to facilitate urine drainage and prevent backflow, which could lead to infection. Empty the leg bag when it is about half full, or every two to four hours, to prevent it from becoming too heavy and pulling on the catheter.
Securing the catheter tubing is also important to prevent pulling, kinking, or accidental dislodgement. Catheter securing devices or straps can hold the tubing firmly against the thigh, allowing for some slack to avoid tension on the urethra or bladder, but not so much that it could become tangled. Wearing loose-fitting clothing can enhance comfort and help conceal the leg bag and tubing. Maintaining good hygiene, including daily showers and regular cleaning of the catheter and drainage bag, is also important to reduce the risk of infection.
Benefits of Staying Mobile and Important Precautions
Maintaining mobility while using a catheter offers several advantages for overall well-being. Regular physical activity, even gentle exercises like walking, can help prevent muscle weakness, improve circulation, and promote a sense of normalcy. Staying active can also contribute to better mental health and a more positive outlook during recovery or long-term catheter use.
Despite the benefits, certain precautions must be followed. Watch for signs of infection, such as discomfort in the lower abdomen, pain at the catheter insertion site, or pus or blood around the tube. Signs of infection can also include a high temperature, chills, nausea, weakness, or confusion.
Avoid any pulling or tugging on the catheter to prevent injury or dislodgement. Ensure proper drainage by keeping the bag below the bladder and checking for kinks or twists in the tubing to prevent urine backup. If there is persistent discomfort, leakage around the catheter, or an inability for urine to drain, contact a healthcare provider immediately.