I’m 28, in my fourth year as a C5-6 quad and have had a suprapubic catheter since rehab. It works well, so I thought it enabled me to dodge taking anticholinergic drugs like Ditropan that control bladder spasms. At a recent SCI support meeting, I heard that long term use of an indwelling catheter causes permanent bladder shrinkage and that bladder spasms makes this worse.
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