Having a urinary catheter and drainage bag does not prevent a person from maintaining proper hygiene, and showering is a safe and encouraged activity when following a few simple steps. The presence of the catheter tube and bag requires specific precautions to prevent accidental dislodgement, which could cause discomfort and potentially introduce infection. By focusing on preparation, gentle technique, and careful post-shower drying, individuals can continue their daily routine with confidence.
Essential Preparation Before Entering the Shower
The first step is to completely drain the catheter bag to reduce its weight and bulk before entering the shower area. A heavy bag increases the risk of the tube pulling at the insertion site, which can be painful and lead to injury. After emptying the bag, securing the catheter tubing firmly to the body is necessary to prevent accidental tugging during movement. This is often achieved by using a specialized leg strap or a securement device on the thigh, which holds the tubing steady and reduces tension on the entry point.
Gathering all necessary items beforehand minimizes movement and distraction once in the shower. Have a clean, absorbent towel ready for post-shower drying, along with any replacement securing devices if the existing ones are not waterproof. Many healthcare providers recommend showering with a larger, waterproof night drainage bag rather than a leg bag, as the night bag is more water-resistant and easier to handle. Avoid wearing leg straps in the shower if they take a long time to dry, as prolonged moisture on the skin can cause irritation.
Safe Showering Techniques and Bag Management
Once in the shower, the primary concern is to manage the drainage system to allow for proper flow and to protect the catheter insertion site. The drainage bag must be kept below the level of the bladder at all times, even while showering, to maintain the gravity-dependent flow of urine and prevent backflow towards the bladder. The bag can be hung on a shower rail or hook, or placed on a clean stool, but it must never be placed directly on the shower floor due to the high risk of contamination.
Avoid directing the high-pressure spray of water directly onto the catheter insertion site, as this can increase the potential for bacteria to enter the urethra. Instead, use a mild, unscented soap and water to gently wash around the area where the catheter enters the body, moving the washcloth away from the insertion site. Cleaning the tubing itself can be done with a soapy washcloth, moving from the body downward to clean off any debris. Stability is also important, so using a shower chair or having a non-slip mat can prevent falls that could result in the catheter being pulled or dislodged.
Post-Shower Drying and Inspection
Immediately after turning off the water, thoroughly drying the entire area is necessary to prevent skin breakdown and microbial growth. Use a clean, separate towel to gently pat the skin around the catheter insertion site dry, avoiding any rubbing or friction that could cause irritation. Complete drying of the catheter tube and the drainage bag is also necessary, especially if the bag is not fully waterproof.
Following the drying process, inspect the catheter site and the surrounding skin. Look for any signs of irritation, such as new redness, swelling, or unusual discharge, which could indicate a potential infection or skin reaction. Ensure the entire drainage system remains securely connected, with no kinks or twists in the tubing that could obstruct the flow of urine.