Bladder problems are quite common but we are not always very good at talking about them.
Here at Manfred Sauer we want people to be able to ask questions and feel reassured that they will get the information they need in a discreet manner.
If you have a question you would like answered, complete the form below and send it in to us.
One of our nurses will do their best to answer your question. If they are unable to do so, they will signpost you to someone who can.
Your privacy will be maintained at all times and your name will never be publishedYou will see a number of previously submitted questions below which may also be of help.
Ask a nurse a question
Frequently Asked Questions
I have been self-catheterising for some time now but I notice that when I remove my catheter there is always some spots of blood on the tip. Am I causing myself any damage? (Male patient)
Please do not worry. It is quite common for men to notice some blood on the tip of the catheter or sometimes in the urine that drains. This is usually due to the catheter making contact with the prostate during the catheterisation procedure. The prostate is a very vascular organ found just below the bladder neck and can bleed easily. As long as your bleeding is minimal, it clears quickly and you have no signs of infection, it is nothing to worry about.
I recently underwent surgery on my waterpipe (urethra) as I had what I was told was a stricture, which meant I was not passing water properly. The surgeon has told me that I need to self-catheterise using a size 16ch or 18ch catheter, which seems very big. I know someone who self-catheterises but only uses a size 12ch. Can I use the smaller size too?
No, unfortunately you can’t. You have been asked to carry out this procedure in order to reduce the risk of your stricture closing up again. It is important to use the larger size in order to keep the urethra open. This is known as Intermittent Self-Dilatation (ISD). Someone who uses smaller catheters such as a size 12ch is usually performing Intermittent Self-Catheterisation (ISC) as they are unable to pass urine, or their bladder does not empty completely when they pass urine.
I have been taught ISC because I was found to retain urine in my bladder. I had no problems passing urine, so I was totally unaware of this before I had an ultrasound scan. I am able to perform the procedure easily, but I am really not sure how often should I do it?
This really is dependent on your urinary symptoms and the amount of urine left in your bladder after you go naturally. As you don’t have any urinary symptoms it will solely depend on the amount of urine left in your bladder. We would recommend that you pass urine then perform ISC immediately afterwards, and measure what you drain with your catheter.
Here is some guidance for you:
How often to Catheterise Voiding/Volumes Drained Times per day Unable to void 4-5 catheters a day (keep residual volumes at approx 500ml) >500ml 3 times a day 300-500mls residuals Twice daily (morning and evening) 150-300mls Once per day (if less than 150mls for 4 catheterisations stop ISC and review)
I have a Nephrostomy tube fitted and I really would like to go in my hot tub. Is this possible?
Unfortunately, no. Your nephrostomy tube goes directly into the kidney and it is really important that you minimise your risk of infection. Therefore, your Nephrostomy site should be kept as clean and dry as possible.
I am going on holiday soon and I would like to go swimming with my family. As I wear a sheath system, is this going to be possible?
Yes, it is possible to go swimming while wearing a sheath. However, we would advise that you ensure that the sheath you use is the correct size and has a good adhesive. Speak to your continence/urology nurse for advice prior to going on holiday to discuss the most suitable products for your needs. Manfred Sauer have a wide range of sheaths available as well as the Discreet Thigh Bag which can be worn under swimming shorts, giving you the confidence to enjoy your holiday.
Can I go swimming in the sea if I have an indwelling catheter?
Yes, you can. Just make sure that where the catheter enters your body there is no soreness and that it is kept thoroughly clean with no signs of infection. You may also be able to change your leg bag to a catheter valve which will discreetly tuck into your swimwear, allowing you to enjoy your swim. Remember to dry yourself thoroughly when you are finished.
I am a young 60-something lady, and I recently came home from hospital with a catheter fitted. I am so fed up as I can only wear trousers now as everyone can see my bag if I don’t. Please help!
Don’t despair, there is a solution for you. Speak to your nurse specialist about whether you are suitable to use a catheter valve which is very discreet and can tuck into your underwear. Alternatively, you can get a short tube leg bag that will fit on your thigh. Manfred Sauer also make the Discreet Thigh Bag which can be worn on the thigh and will fit discreetly under skirts, dresses and shorts.
My sheath keeps falling off when I move, and I am at the stage where I am scared to go out due to the embarrassment. Is there anything that can be done to help me?
This could be happening for a number of reasons. Please do speak to your nurse specialist. It may be that you have the incorrect size, you may need a stronger adhesive, or you may just need a bit more support with the fitting technique. At Manfred Sauer we make a wide range of sheaths in 9-11 sizes so we may have just the right one for you.
Are your products available on prescription in the UK?
Yes, the majority of our products are available on prescription. See your GP or Nurse Prescriber and give them the prescription code for the products you require. They can then issue you with a prescription which you can take to your local pharmacy in the usual way. Alternatively, we offer a FREE home delivery service for NHS prescriptions of this kind, so please do call us on our Helpline 01604 595696 or Prescription Line 0800 9995596 if you would like further information.
Can I get my Manfred Sauer products directly from you?
Yes, you can. We can arrange for your prescription to be dispensed and delivered directly to your door at no cost to you. It will be discreetly packaged and will be delivered within 24 – 48 hours of receipt of your prescription.
My current leg bag is too big for me to wear under a skirt, shorts or swimwear, do I always have to wear long trousers to hide my leg bag?
No, there are many options available to you. Why not try our unique ‘Discreet Thigh Bag?’ It will fit discreetly around the thigh and still hold 500ml. This product has won awards from Healthcare Professional associations as well as users. You will then be able to wear the clothing of your choice. Please call us for samples on 01604 595696.
My current leg bag slips down my leg. How can I stop this happening?
Try to ensure that you do not let your leg bag over fill as the weight can pull on it. Make sure that you have fitted the straps securely to your leg with the non-slip silicone lines against the skin. You can also try using a retainer strap such as our p.grip, which is available on prescription.
My Urinary sheath comes off more than once a day?
There are a number of reasons why this could be happening. It could be that the sheath is not the correct size, it could be due to penile retraction, or it could be that you just need a bit more support with the fitting technique. We would advise that you arrange a review with your specialist nurse to ensure that you have the best product for your needs.
At Manfred Sauer we offer a range of sheaths in up to 11 sizes, so you should be able to find what best suits you. Please do get in touch for further information and samples. (Helpline 01604 595696).
My urinary sheath almost stays on for 24 hours but sometimes it comes off before it should, what can I do?
Try our skin preparation wipe or fluid - Preventox, which disinfects, protects the skin and increases the adhesive action of any self-adhesive sheath as well as liquid and tape adhesives. If possible leave 10-15 minutes after shower/bath before fitting any sheath as your skin will be water logged, which will effect the adhesion of the sheath.