Rachael attended a catheter change appointment at TG Hospital. Rachael explained to Stuart that her catheter had been blocking since Monday 30th July. Stuart noticed that sediment was collecting in the tube and that it was also adhering to the wall of the silicone tubing. He wasn't quite sure why this was happening because when he gave Rachael a bladder wash the liquid was quite clear, also the urine in the leg bag was clear.
Stuart suggested that the leaking could be caused by bladder spasms and he mentioned anticholinergic medication which would help to relax the bladder. Stuart added that there were specific neurogenic drugs to stop bladder spasms in patients with an underlying neurological condition.Another appointment was arranged for Thursday 6th August 2012.