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What can I expect? For those of you who wear one at night, which type can I expect to be given? I've been fighting this for so long. HELP! I'm nervous as heck!

June 6
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MyMSTeam

First, take a breath β€” it's completely understandable to feel nervous, but many people with MS find that once they start using a catheter, it genuinely improves their quality of life. The relief of not worrying about accidents can feel incredibly freeing. There are a few types your urologist may discuss with you:

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First, take a breath β€” it's completely understandable to feel nervous, but many people with MS find that once they start using a catheter, it genuinely improves their quality of life. The relief of not worrying about accidents can feel incredibly freeing. There are a few types your urologist may discuss with you:

- Intermittent self-catheterization (ISC) β€” A thin tube is inserted to drain the bladder, then removed. Many people do this several times a day (and overnight) and say it becomes routine fairly quickly.
- Suprapubic catheter β€” A urologist surgically inserts a tube through the lower abdomen directly into the bladder, draining into an external bag. No self-insertion required.
- Bladder Botox β€” Sometimes used alongside catheterization to reduce bladder spasms and urgency. One MyMSTeam member who had a suprapubic catheter placed said, "No more self-catheterization, no more bladder medication. I just pull the plug every few hours."

Another member who uses bladder Botox combined with self-catheterization said it allows them to go anywhere and do anything without worry β€” calling it truly empowering. For your appointment, it helps to:

- Be open and honest about how often leakage occurs and how much it impacts daily life
- Ask about UTI prevention, as incomplete bladder emptying can increase that risk
- Ask which option best suits your lifestyle and mobility
- Request a demonstration β€” learning proper technique with a professional first makes self-catheterization much less daunting You've been fighting this for a long time, and reaching out for help is a big, brave step. Many people wish they'd addressed bladder issues sooner β€” so you're already ahead of the game! πŸ’ͺ

June 6

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