Suprapubic catheter changes at home: what to expect

A suprapubic catheter (SPC) drains urine through a small opening in the lower tummy, just above the pubic bone, instead of through the urethra. Many people find it more comfortable and easier to manage long term than a urethral catheter.

Most long-term catheters are changed every 4 to 12 weeks, depending on the catheter type, the manufacturer's guidance and your doctor's or urologist's instructions. Your first change after the catheter is placed is usually done in hospital or by the specialist team.

1. The nurse checks your details, current catheter and any recent concerns.
2. Hands are washed and a clean (aseptic) field is set up.
3. The balloon is deflated and the old catheter removed.
4. The new catheter is inserted, the balloon inflated and drainage confirmed.
5. The site is checked for redness, discharge or overgranulation and the change is recorded.

A routine change usually takes around 20 to 30 minutes.

• Have your prescribed replacement catheter, drainage bags and any sterile water or gel ready.
• Keep your discharge letter or specialist instructions nearby (catheter size and balloon volume).
• Drink normally beforehand so drainage can be checked.
• Let us know about any allergies, recent infections or blockages.

Call us or seek medical advice if the catheter falls out (the opening can start closing within hours), stops draining, or you notice fever, bleeding, strong-smelling urine or pain. In an emergency, call 000.

We provide catheter changes and call-outs across South East Queensland and the Northern Rivers. Make an enquiry to arrange a visit.