Suprapubic Cystostomy Treatment in India

Saanvi Johnson, a 78-year-old retired librarian,...

Saanvi Johnson, a 78-year-old retired librarian, lived independently but had been managing multiple sclerosis for two decades. Over the past year, her mobility and dexterity declined significantly, making self-catheterization impossible. She developed recurrent, painful urinary tract infections and urinary retention, leading to two emergency department visits for catheterization. Her urologist, Dr. Ellis, recommended a suprapubic cystostomy as a long-term solution to bypass her urethra, prevent infections, and preserve her kidney function. Saanvi was terrified of losing more independence and feared the procedure. The surgery, performed under local anesthesia with sedation, was quick. A small tube was placed through her lower abdomen into her bladder. The initial recovery involved managing mild discomfort and learning to care for the catheter and drainage bag. Within a week, her recurrent UTIs stopped, and the constant worry about retention vanished. Emotionally, she moved from fear and grief over another medical device to profound relief. The suprapubic catheter gave her back a sense of safety and control, allowing her to live comfortably at home without the constant crisis of retention.