How do paralyzed people pee?

There are various methods for paralyzed individuals to urinate, depending on the level and severity of their paralysis. Here are a few common methods:

Intermittent Catheterization: This is the most common method used by paralyzed individuals. A catheter, which is a thin, flexible tube, is inserted into the urethra (the tube that carries urine from the bladder to the outside of the body) to drain urine from the bladder. This method allows for controlled and scheduled emptying of the bladder, reducing the risk of urinary tract infections (UTIs) and other complications.

Indwelling Catheter: In some cases, an indwelling catheter may be recommended. This type of catheter is inserted into the urethra and left in place for an extended period, usually several weeks to months. It is commonly used for individuals with more severe paralysis or those who are unable to perform intermittent catheterization.

Suprapubic Catheter: A suprapubic catheter is inserted through a small incision made in the lower abdomen directly into the bladder. It is used for individuals who have difficulty with urethral catheterization or those who have certain medical conditions that make urethral catheterization not feasible.

External Catheter (Condom Catheter): This method involves placing a sheath or condom-like device over the penis to collect urine. It is commonly used for men who have difficulty with manual voiding or who are incontinent.

Crede Maneuver: The Credé maneuver is a manual technique used to assist in bladder emptying. It involves applying pressure to the lower abdomen above the pubic bone to facilitate urine flow. This method may be used in conjunction with other methods, such as intermittent catheterization.

The specific method of urination for a paralyzed individual depends on their individual needs and abilities, and should be determined in consultation with a healthcare professional, such as a urologist or physiatrist.

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