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My husband has been wheelchair confined with multiple sclerosis

 
Urologist,M.D.'s Avatar
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Customer Question

My husband has been wheelchair confined with multiple sclerosis and other health
issues. I am his 24/7 caregiver. He wears a supra-pubic catheter, which I change
every four weeks.
However, recently, I notice that his skin near the stoma has a chronic urinary odor.
In spite of bathing him with gentle anti-bacterial wash(es), this odor remains.
Can you suggest a cleansing agent that can subdue, or eliminate, this kind of odor?

Barbara L. Celello
Northridge, CA

Submitted: 453 days and 12 hours ago.
Category: Urology
Value: $58
Status: CLOSED

Accepted Answer

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Expert:  Urologist,M.D. replied 453 days and 12 hours ago.

Hello there,
Please be patient, as I may be in the operating room, with a patient, or driving but will get back to you ASAP.

Actually, it is not the skin/stoma that smells badly. It is actually the urine that tends to smell badly in patients with so tubes. No matter how hard you clean or scrub the stomal area it will still smell. Whenever you have a chronic catheter it will lead to this. It may become worse during Uti's and antibiotics can help. So cleaning will not help but sometimes doing more frequent catheter changes can help. The urine will always smell when there is an in dwelling catheter. Hope this helps.

Expert TypeUrologist
Category: Urology
Pos. Feedback: 93.9 %
Accepts: 4030
Answered: 1/27/2012

Experience: Board Certified in Urology, Fellowship trained

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