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He is bring Rx for UTI’s, urinary retention, urgency. He wears depends, is continent during day, but sometimes cannot find 1 of 2 BR’s. When he does, he lowers lid and closes door behind him so he can’t find it next time. He wears wide legged shorts, reaches under to depends, and pees wherever. I removed all baskets, most small rugs and locked some doors to rooms we rarely use. With colder weather coming he will need long pants, creating another problem. I recently slipped and fell in a puddle I did not see on tile floor.. Suggestions please.

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Sounds like he might be a good candidate for a supra pubic catheter, which is a permanent catheter. With it, he will no longer have to worry about going to the bathroom and peeing everywhere, and you won't have to clean up all of his messes. All you will have to do is empty his catheter bag a couple times a day.

My husband was getting up every hour to pee. He tried just about all of the bladder spasms medicines out there, along with having botox put in his bladder as sometimes that helps with peeing a lot, but none of it helped, and since I was also having to get up with him every hour to help him, we opted to have the supra pubic catheter put in, and boy what a Godsend that was, as we now could both sleep through the night without him getting up every hour, and I didn't have to worry about him falling(as he was a fall risk)as he walked to the bathroom.

You might want to talk to his urologist about that. Good luck.
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Shane1124 Nov 2020
A suprapubic catheter is a stretch. Usually they are placed due to inability of the person to void normally due to bladder cancer, or obstructed ureters that cause kidney damage as the urine backs up into the kidney and kills the cells.
It is not placed routinely.
A suprapubic catheter needs to be changed monthly by a nurse or doctor at the urologist office. It is a huge potential source of infection in its own but especially if the cath isn’t changed every month.
I don’t think it would be medically justified for incontinence only.
I would try JoAnn’s suggestion of establishing a routine or even a condom catheter first (they imo are terrible).
But a suprapubic? No.
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Hi Donnaann, what if you got rid of his wide legged shorts now? Wearing long pants might cause him to urinate in the depends if he can’t find the bathroom in time. At least he can’t reach under to urinate any/everywhere. Good luck.
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If your husband usually sits in the same place, perhaps you could put a line of spots on the floor leading to the bathroom. Easier if it’s a hard floor, but they would stick to carpet too, at least to experiment. We seem to have spots on the floor in virtually every shop now, so they should be easy to find! An alternative could be colored sticky tape crosses. Getting him there is clearly the first step.
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I suggest that you set up a routine. Of course he goes first thing in the morning, then take him every 2 hours after that. No, tea, coffee or soda. They irritate the bladder and make him go more often. Put a picture of a toilet on the door with bathroom written on it.

In my Moms room, she was not 10 feet away from her bathroom. On the same wall as her TV and she forgot where it was.
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Well my husbands urologist did recommend the supra pubic catheter for my husband because he was having to get up every hour to pee, and nothing else we tried seemed to work for him, and neither one of us was getting any sleep. My husband did not have bladder cancer or an obstructed ureters, just had to pee all the time. I was actually told it was caused by is vascular dementia, which is one of the many symptoms of that.
And yes it has to be changed every 4-6 weeks, by a nurse, Dr., yourself, or a loved one. And only if you have a Dr change it do you have to go to the Dr's office. Otherwise it can be changed in the house. My husband had nurses change it in our house. I know my husbands nurses wanted to teach me how to do it for my husband, (as he was paralyzed on his right side, so couldn't do it himself,) but I said no thank you, and let them continue to change it. For us it was very helpful having it, as I said my husband was a fall risk (also another symptom of vascular dementia)and the fact that he didn't have to keep getting up to pee was great. He had fallen several times trying to do just that.
So why it is not for everyone, it certainly made our lives a whole lot easier, and thus why I recommended it for this poor woman, who I am sure is at her wits end in trying to help her husband.
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My response below was actually for Shane1124.
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The mixture of UTI, getting the message correctly to go, memory required to find the correct place, physical issues to manage clothing. When you think of all the steps, there is a lot to it.

I agree with JoAnn, to do a toileting routine. May not solve the issue completely but may minimise the accidents.

Try prompting him, but a routine with supervision may be needed.
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