The neck of the bladder may become stretched, or the bladder may become irritable, causing leakage around the catheter. Some people find that a permanent catheter affects their body image and self esteem. For people who have been offered an indwelling catheter for long term management, it is worth checking with a continence advisor or GP whether intermittent catheterisation would be suitable. A drainage bag may be attached to an indwelling catheter, allowing the bladder to empty continuously. However, it does require regular emptying.
Some people prefer to only use one during the night, while others use bags all the time.
It may be worth considering if other options are unsuitable. A catheter valve, instead of a drainage bag, will help maintain bladder tone and avoid blockage until normal function returns. The valve is inserted into the end of the catheter and may be released at frequent intervals. If you would like a copy of this booklet please contact Information Officers at the MS Society.