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Foley Balloon Catheter, catheter uses is the most common way to empty urine from your bladder after a spinal cord injury. Unfortunately, it is also a common source of infection. Although you may be performing intermittent catheterization or have an indwelling catheter and using the best technique, it is important to review how and what you are doing periodically. Sometimes, it is not how you are tending to your bladder issues but your body that changes with aging. Creating a bladder program that fits naturally into your day is an important goal for individuals who need to use this method. However, ensuring that you do not become lax in the essentials is critical to your success. Not everyone will need to catheterize. Individuals who have incomplete injuries might be able to empty their bladder on their own. Some will be able to partially release urine but still need to periodically catheterize during the day to ensure complete emptying which is necessary to avoid bladder infections. Individuals with complete injuries will be catheterizing or have a device placed to empty their bladder. After sustaining a spinal cord injury, your body function will be classified as upper motor neuron (UMN) injury or lower motor neuron (LMN) injury. The upper motor neuron injury tends to relate to spasticity. Foley Balloon Catheter If you have spasticity below the level of your injury in the cervical or thoracic levels, your bladder might be spastic as well. This means that urine will enter the bladder but when a small amount is present, the bladder will spasm and an even smaller amount of urine will be expelled but the bladder will not completely empty. This leftover urine in the bladder becomes stagnant and can become more easily infected. Lower motor neuron injury bladders are flaccid. They are associated with lumbar and sacral injuries. This type of bladder will fill with urine to overcapacity if left unattended. If you look at your legs and find them to be smaller, you probably have an LMN bladder which relates to flaccid paralysis. The body is quite complicated. If it was just this simple to have an upper or lower motor neuron injury bladder but it is not. Individuals can have a combination of both types of bladder function, UMN and LMN, especially if your injury is in the lower thoracic or very high lumbar areas. You could have the same level of injury as your friend, but you could have completely different types of bladder function. The three most important factors for catheter uses are to:

• Empty your bladder to keep urine out of your kidneys
• Keep bacteria from entering your urinary system leading to infection
• Remain continent which will avert skin breakdown and possible embarrassment

1. The bladder is a storage facility. It simply holds urine until the appropriate time and location to empty it. The kidneys process urine but do not have the capability to store urine. The ureters (there are two) are attached to each kidney. This is a one-way tube to send urine from the kidneys to the bladder for storage. If your bladder overfills and the urine does not come out of the urethra, it will back up into the ureters which will fill the kidneys. But the kidneys do not store urine so backed up urine will damage the delicate kidney tissue leading to kidney failure, damage, and possible death. Yes, this is serious. 2. Urine left in the bladder will become stagnant. One little bacterium will multiply into two, two into four etcetera. Bacteria multiply extremely quickly. Then a bladder infection is present. Concentrated urine due to dehydration is more difficult to hold and it is a better environment for bacteria to multiply. Bacteria like to collect and climb right up the ureters into the kidneys, creating a more dangerous situation of kidney infection. Therefore, drinking to keep the urine a golden yellow concentration and emptying your bladder on a schedule is critical to keeping bacteria at bay. Using good hygiene and catheterization techniques to keep bacteria from entering the bladder is also essential. 3. Skin is healthiest when clean and dry, not wet from bladder leakage. Urine can erode or burn the skin if left unattended leading to pressure injury. Keeping the dark, moist area of the groin is a challenge for healthy skin especially if caustic urine is present. An uncontrolled output of urine is incontinence which can be embarrassing especially when the urine is expelled in an inappropriate location. It is important to catheter uses to avoid these three costly errors. Costly in your time, quality of life, and overall health. To avoid immediate issues or complications down the road, a back-to-basics review is a good activity to conduct. Review your intake. This is often overlooked because people focus on the out and not the in. What goes in, must come out. Early on in your program, you might have measured your fluid intake and catheterized it after taking in a certain amount of fluid. Different fluids will affect your urine output. Water is the best for drinking. Fluids with caffeine such as coffee, tea, and some energy drinks will act as a diuretic that fills the bladder more quickly. Alcohol and other sugary drinks like soda, juice, and sports drinks will move through the system more quickly. Diet soda will do the same. If you drink any of these drinks, your bladder will fill more quickly. Some people get the idea that if they do not drink much, they will have to catheterize less. This is just not healthy for anyone. Your kidneys are working all the time. They need to keep actively processing fluid from your blood. The less you drink, the more concentrated your urine becomes which can lead to dehydration affecting the function of the kidneys as well as your bowel function, skin integrity, and general health. Therefore, knowing your intake keeps your bladder, kidneys, and body healthy. There are several methods of emptying the bladder manually. Males with UMN bladders may be able to catheter uses if their bladder will expel all the urine spontaneously. An external catheter fits over the penis. A tube carries the urine from the catheter to a collection bag. Care must be taken to ensure the elastic tape that holds the catheter does not become constrictive. Some external catheters have a sticky substance coated on the inside that will hold the catheter to the penis. These are safer than the special elastic external catheter tape but sometimes the self-stick catheters fail with an extreme force of urine. Catheter uses in the deployment of stents during angioplasty