Suprapubic catheter change
suprapubic catheter change · SPC change · cystostomy tube · suprapubic catheter
A nurse or doctor changes the tube that drains urine from the bladder through the skin above the pubic bone.
Regularly, usually every 4 to 6 weeks, or sooner if the tube is blocked or falls out. Your doctor will set the timing.
⏱ Duration: usually 10 to 20 minutes
Be sure to tell your doctor
How to prepare
- Drinking. Drink as usual. A full bladder makes the change easier. Check with the clinic.
- Hygiene. A normal shower in the morning. Wash the skin around the tube with soap.
- Supplies. Bring a spare urine bag.
What to bring
- Your referral or discharge papers
- A spare urine bag
- Your ID
How it goes
- You lie on your back
- The dressing is removed, and the skin around is cleaned with antiseptic
- Water is drawn out of the small balloon inside
- The old tube is gently removed
- A new tube is put into the same opening right away
- The balloon is filled, the bag is connected, and a dressing is applied
What you'll feel
- An unpleasant tugging as the tube comes out
- Brief burning as the new one goes in
Afterwards
- A little blood in the urine in the first hours can happen
- Drink more water, unless your doctor has limited it
- Write down the date of the next change
Contact a doctor straight away if
- The tube falls out: call the clinic right away. The opening can close within hours
- No urine flows for a few hours, and your belly is swollen
- A fever over 38°C (100.4°F), or redness and pus around the tube
Common questions
Can I change the tube myself?
Usually not. A nurse or doctor does it. Some patients are trained. Your doctor decides.
What if the tube falls out?
Cover the opening with a clean cloth and call the clinic right away. Do not put the tube back yourself.