- Joined
- Feb 25, 2021
I think you're misinterpreting it: that's a diagram of a suprapubic catheter, not a surgically-constructed urethra. The tube stays in place all the time, so it's constantly draining (unless clamped) and the owner doesn't really feel it.Why is it THIS diagram that makes my skin crawl? ABOVE HER PUBIC BONE?
I'm trying to imagine how that would feel to pass urine through there and it is so alien and heretical, how can anyone, man or woman, feel alright spouting piss out that high up? On a woman, her belly button is proportionally lower than a man's, this hole would not be that far below it. Obviously that's not where the pelvic floor muscles are for control. No wonder they leak all the time and need gauze on their end of the rotdog. Is that a slight upward fucking arc in the urethra? I don't trust a butcher surgeon not to make that arc too high, leaving the poor Aiden constantly getting piss backwash and old urine draining back and sitting in their bladder. There's also something disturbing about how the actual urethra is there but unlabeled.
Permanent suprapubic catheters are placed for the same reasons as urinary catheters: to drain urine when the urethra can't, or to divert incontinent urine away from a chronic wound. They're much more invasive, but there's much less risk of infection and less discomfort. One use would be someone with neurogenic bladder who doesn't have the fine motor control to straight cath themself multiple times a day.
Suprapubic catheters can also be placed on a more temporary basis. Grandma in the hospital over the weekend with a hip fracture gets a regular Foley. An FtM who is pre-planning six months to years of elective surgeries on her genitals and urethra--well, the pee has to come out somehow, and what's one more hole while you're doing it?