Best of luck! It is held in place by a small balloon that is filled with water. Free drainage means that urine drains out from the catheter all the time into a drainage bag. You can choose between different styles to suit your needs, such as disposable and reusable. Rinse the bag out with warm water and hang it up to dry. Let the bag air dry by hanging it with the drain valve open and pointing it down. Your ET nurse will assist you in learning how to change and empty your pouching system. http://www.monroevacuums.comThanks For WatchingLike us on facebook.com/monroevacuums You can use a short tube for use on the thigh, long tube for the lower leg and an adjustable tube for extra length. Irrigation up the final tube into urethra and bladder should not be done unless by sterile syringe, sterile method, sterile saline solution, and unless it is ORDERED by the doctor. Remove the drainage spout from its sleeve at the bottom of the bag. Your email address will not be published. My husband has a suprapubic catheter. Use another container while you clean the bag. Always keep your urine bag below your bladder, which is at the level of your waist. When the leg bag straps are tightly attached, they can restrict lymphatic flow, which increases the risk of vein and skin problems. So today, I went into my stash to my last new (in the package) leg bag and pulled the valve out of it so I could replace the original one. He ignored the smell and the dirt and the flies and the chaos, and the evidence of his own eyes and nose that she was not getting the care she needed. Odor controldoes not have to take over your life when it is managed. Where you need to wear your bag determines the required length of your inlet tube. Switch it Up. First, if a catheter leaks or you have a spill, immediately clean the area with a strong antiseptic. (2), July Be sure to leave some slack in the catheter so that you don't put too much pressure on the bladder, urethra, and other parts of the body. Simply simmer the clear liquid for an hour, vaporizing the acetic acid it contains. Save my name, email, and website in this browser for the next time I comment. (2), May Open the valve. When the catheter valve is closed, the bladder fills. Below are some questions you may want to ask your health care provider to help you take care of your catheter. Disconnect the urinary (Foley) catheter tube from the current large drainage bag with a twisting motion. Whichever method you use, be sure to not touch the tip when you let the urine flow out of the large drainage bag into the container or toilet. 7 Things You Should Know About Urinary Leg Bags. What's the most played song on Spotify ever? And dont forget to clean your cushion, toss your cushion cover in the wash and give your wheelchair upholstery a good wipe down. Good bladder management is more than just keeping dry. The fourth study compared the use of 50 cc's (50 cc's =two ounces with removing two teaspoons of solution) distilled white vinegar or 50 cc's 3% hydrogen peroxide for cleaning urinary drainage bags. He hasn't had an infection since I started keeping him on the night bag. Such foods often contain soluble fiber and/or sugars (e.g. It's also okay to use a shop vac to remove the dish soap and water. Muscle pain can often occur as a result of pulling or tugging on the bag. Empty the drainage bag every 3 to 6 hours or when it is to full. (3), July Share your experience and, Do you wear incontinence pads or pants?Read about the, 2022 Incontinence UK. Some people leave the solution in all day and empty before bed. This problem can also occur due to the lubricating gel blocking the drainage holes on the catheter. Paul Bollinger on Accessible Sailing: The Unlikely Sailor, scott-jewell1966hotmail-com on Dating in My 40s as a Wheelchair User, sean on Feeldoms Wheelchair Bags, Reviewed. Q: Im having trouble finding a urologist who knows about the problems of long-term wheelchair users, and Im hoping you know one. By controlling the odor, catheter users can feel confident when they are in close proximity to others. complete answer on healthywa.wa.gov.au, View . Lysol and Febreze sprays could improve the general house smell. A urinary catheter is a flexible hollow tube to drain urine. Wash your hands well with soap and water to prevent infecting the urinary catheter and bag. These facilities specialize in all aspects of SCI care and work together via a national database to improve care, research, and education relating to SCI. You can invest in a catheter night bag, which is designed to hold a normal amount of urine. (4), Different kinds of food are digested differently. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. The Foley prevents urine passing the urethral sphincter. A fever greater than 101 degrees Fahrenheit. Odor is a big deal. (3), February Hematuria is a common cause of sediment in your urine. Provided your catheter is draining . Most modernostomy products are made from odor-proof materials and unless theres a leak you should only notice smells when changing and emptying your bag. Because the bag is hidden under your clothes, it may also make you feel more comfortable about the catheter. Hi! Urine drainage bags. Empty the leg bag when it is half-full, or at least twice a day. (1), November If you happen to have a urostomy bag, then the odor of urine might be on your mind. If the short drainage tube is in a bag pocket, remove it and hold the tube over the toilet or a measuring container if applicable. complete answer on my.clevelandclinic.org, View (1), September Any suggestions? How do you keep a catheter bag from smelling? This is usually once a month. If the leg strap gets dirty, wash it with soap and water. Keep pinching the soft rubber tube (the catheter tube) so that urine does not leak out. on pubmed.ncbi.nlm.nih.gov, View 2. Boston Medical Center is one of 14 Model SCI Systems in the country. Typically, most colostomates empty their bags around 1-3 times per day. (5), October 'There are texts in which Sarah Lloyd-Jones . Contact your healthcare provider if you have: You should also contact your healthcare provider if no urine has drained from your catheter in six to eight hours or if your catheter is leaking. There are various causes of hematuria, including: infection. The valve is connected to the catheter outlet. Check the catheter and drainage tube on a regular basis to make sure the tube isn't squeezed or tangled. Emptying your ostomy bag regularly will help minimize ostomy bag odor by reducing the amount . If you don't find any kinks, your catheter may have a blockage, especially if you feel a strong urge to urinate or abdominal discomfort. fructose, sorbitol, lactose, raffinose), including: If you have a urostomy, you might be worried about urine odor. Get useful, helpful and relevant health + wellness information. Then disconnect. Use the bag for a month. (7), June After pouring the cleaning mixture out, rinse the bag with warm water. When you are expecting visitors to your home, you should try one of the techniques discussed here. Hope this was helpful. Similarly, white vinegar can deodorize your entire house. A small amount of leakage may occasionally occur as there is a gap between the body (urethra) and the catheter. They are produced by Bard and Coloplast and approved for use in the UK. (5), December Place a towel under the connection between the catheter and the bag. To reduce the odour, wash your hands with soap and water. And we're committed to you. Alternatively, you can switch the leg bag from one leg to the other each day, meaning it will not irritate the same spot all the time. Place a towel under the connection between the catheter and the bag. Look for and remove any kinks in the catheter itself or in your drain bag tubing. The best time to do this is right after you shower. . New Mobility uses the information you provide to send only relevant content, and you may unsubscribe at any time. Odor-reducing products can help avoid unpleasant smells from your colostomy bag. (5), March You need to pay attention to when your leg bag is getting full. Ileostomates might benefit from OstoGel Ileostomy Pouch Gel Packets, which turn liquid stoma output into a gel to reduce pouch noise and odor. Whether you are in public or at home, it is handy to have an air deodorizer that will quickly eliminate airborne odors. To attach or remove a leg bag, you will need the following materials: Please note that because a leg bag is smaller than a regular drainage bag, it will have to be emptied more frequently. It also says certain foods like asparagus and seafood may cause a strong odor (other sites include cheese, eggs, garlic and onions). Experts recommend that there should be around 10cm of catheter visible. complete answer on myhealth.alberta.ca, View The Leakage could be the result of a bladder spasm which can sometimes occur when you first have a catheter fitted but should pass within 24 - 48 hours. A painful, burning feeling in the area of the bladder or urethra while you are urinating. (1), February Many of us have forgotten, or just dont practice, the basics. [3] You could use a scented product as well, but the smell may be a little overpowering. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.urologyhealth.org/healthy-living/urologyhealth-extra/magazine-archives/winter-2014/catheterization-qanda). Drink liquids as directed. The Craig article suggests folks that currently use indwelling catheters switch the leg bag from one leg to the other each day the idea being that the balloon in the bladder wont irritate the same spot all the time. (2), October Secure the catheter itself to your leg with tape. This can effectively loosen the seal on your appliance, causing leakage of odor and bodily waste. (6), August Skip to the front of the line by calling (888) 848-5724. Open the valve. 1. Join United Spinal and get New Mobility the premier wheelchair lifestyle magazine free for one year. Empty the urine from the drainage bag into the toilet. Ensure you change this sheet daily for cleanliness. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. The foul smelling of the catheter may indiacte some sort of infection in the early stages.since you doc't have fever and the urine culture is negativeeven then the chances of UTI cannot be ruled out. (3), December The first trick to try isSunzyme. Start by washing your hands properly with water and soap to avoid infecting the catheter bag; Locate the drainage tube at the end of the catheter tube and hold it straight so that all the urine drains into the catheter bag; Go to the bathroom and hold the catheter bag over the toilet. There is a odor eliminator you can try called zero odor or odorX. A leg bag can be worn under your clothes during the day. Hold the drainage tube over a toilet or measuring container. on albertahealthservices.ca, View Clean your leg bag every day and replace it whenever your doctor tells you to. Optimal odor control starts with regularly emptying or changing your urostomy, ileostomy, or colostomy bag before it starts to leak and let out noticeable smells. A clean drainage bag Soap Two alcohol pads To change bags, follow these nine steps: Wash your hands with soap and water. Leakage can happen from many things: dislodgement, bladder spasms, or blockage. New Mobility is the membership publication of United Spinal Association, whose mission is to empower people with spinal cord injuries and related disabilities to lead successful and fulfilling lives. Paul Bollinger on Accessible Sailing: The Unlikely Sailor, scott-jewell1966hotmail-com on Dating in My 40s as a Wheelchair User, sean on Feeldoms Wheelchair Bags, Reviewed. Clamp the catheter tubing by pinching it with your fingers just above the connection. In the case of a spastic bladder, the system has potential for serious trouble. A catheter bag connects to an indwelling catheter or condom catheter (also known as a sheath). Be sure to drink enough liquids to keep your urine in the clear to light-yellow range. Immediately after use rinse the catheter under running water. You'll also want to ensure your catheter is positioned correctly below your bladder. Empty Your Ostomy Pouch More Often As a good rule of thumb, you should empty your ostomy appliance when it gets about to full. Worse yet, in these times of insurance-driven instant rehab, many new SCI folks dont learn the basics in the first place, which can cause social and sometimes very serious physical problems. While some in-pouch deodorizers are scented, others are designed to eliminate odor-causing bacteria. (3), July This drains urine from your bladder into a bag. Policy. Pinch off the soft rubber tube (the catheter tube) so that urine doesn't leak out. Step 1. If you have a suprapubic catheter, your healthcare provider will tell you how to clean your skin around the catheter. She has a UTI and they are not going to do anything! The nurse may give you a container to use at home. Bacteria can colonize in the tubing and bag and end up producing a nasty smell. In all cases, notify your doctor. For more information, check out our Privacy Policy. Catheter valves are more discreet than leg bags. If you continue to use this website without changing your cookie settings or you click "Accept" below then you are consenting to this. Leg bags are not designed to be used when you are asleep, as urine will not properly drain into the leg bag. Position the night bag or bottle below the level of your bladder. If you have ruled out suspects like vitamins and asparagus, and you are staying hydrated, and you still have smelly urine, its probably a good idea to schedule a visit to your doc, give a urine sample and have it cultured to see if there is some type of nasty bacteria trying to make a stronghold. However, the benefits of trying these tips will make you feel better about embarrassing odors stemming from catheters or urinals so you can concentrate on more important things in life. Be careful not to pull on the catheter. getting the musty odor out of a bag and getting rid of the smell can be difficult! We see you. Do not place the urine bag on the floor. If you have stomach pains while wearing a catheter, visit your Doctor for advice. Hey pretties! What do celebrities wash their face with? Open the valve, avoid the tip, and slowly pour the . Clean the drainage tube. If you plan on wearing the leg bag on your thigh, it can be connected directly to the end of the catheter. Place your night bag on its stand (if used) or into a clean bucket, kept for this purpose only. Wash the catheter well using cooled, boiled water and a mild liquid soap. Providing the Best Online Resource on Handicapped Equipment. It is generally recommended that you should change the catheter bag every 5-7 days. United Spinal Association is dedicated to empowering wheelchair users and others with SCI/D. Infection can give urine a stronger or even foul odor. Eliminating Smells From Catheters And Urinals, The Practical Benefits of Portable Urinals, Bathroom Options For Those With Limited Mobility In Bed, Wheelchair Belt Alarms Keeping Your Loved Ones Safe, Bath Salts For Those Feeling Stressed And In Pain, Moisturizing Gel Socks For Dry And Cracked Feet, Informative Guide To Toilet And Commode Lifts. black, butter, cannellini, kidney), Dairy products (e.g. You may fear that theyll interfere with your intimate and social life, causing unnecessary stress and anxiety. You may be able to eliminate the odor before it spreads throughout a space and attracts attention. Close the valve. We're committed to your privacy. complete answer on greatbearhealthcare.co.uk, View The second idea is ask your urologist about taking a daily antibiotic suppressant like Nitrofurantoin or Macrodantin. Rinse out the leg bag with cold water twice, shaking vigorously for at least 10 seconds both times. Odor controlcan be a menace, but with a few simple tips and tricks the odors associated with catheters and urinals can be eradicated. You can sleep in any position as long as the bedside bag is below your bladder. In this case, you need to visit your . Do you also flush the catheter? It passes through the urethra (the tube from the bladder to the outside) into the bladder. For instance, if you need to empty your pouch multiple times a day, a small (or even medium-sized) bag might not be large enough. The syringe should fit tightly into the balloon port with a twist motion thrust. As for turning urine into drinkable water so far its been difficult to get a return phone call from the folks at NASA. A: To get rid of the cigarette smell in your car, you can try using a combination of baking soda, white vinegar, and water. I just need a few things to get you going. Other reasons for nephrostomy include a hole in the ureters or for certain diagnostic procedures to check kidney function. complete answer on denverurologyclinic.com, View Do you have any suggestions on eliminating this odor? If you have a urinary (Foley) catheter, you will use the larger drainage bag at night while you are sleeping. It can be attached to a urine collection bag or to a catheter valve that can be opened and closed. For new ostomates, this process may take some trial and error, like figuring out when is the best time to empty your ostomy bag. If you have the habit of moving your leg bag during use, try and make a conscious effort not to. Do not step on the tubing when you are walking. Bladder Matters, our new e-newsletter column, brings that dialog into the open. Pain or burning in your urethra, bladder or lower back. What can I do? If your stoma bag gets too full, the weight can put extra pressure on the stoma and surrounding skin. Ostomy pouches are also available in different styles (e.g. Drainage bags. That's either at tubing connections, or at the end of his penis, where the catheter enters. Can you leave a Disney park and come back 2022? Try altering your diet; some foods and beverages cause stronger odor. There are tablets that deodorize the contents after the fact. Before emptying a catheter drainage bag, wash your hands with soap and water to avoid infecting the catheter and bag. As a good rule of thumb, you should empty your ostomyappliance when it gets about to full. If the current tubing can still be used, wash it with soap and water. . Mom wants me to buy her things that I cant afford. A quick change in a persons smell can go a very long way to building up a persons self confidence. New Mobility is the member publication of United Spinal Association, which is dedicated to empowering people with spinal cord injuries and related disabilities to live successful and fulfilling lives. Do not pull or tug on the tubing. Make sure the spout of the drainage bag never touches the side of the toilet or any emptying container. Join United Spinal and get New Mobility the premier wheelchair lifestyle magazine free for one year. Improve your quality of life with the best handicap equipment. Also rinse your drainage bag each time you empty it. Another product that may help you restrict odors is Devrom, a chewable odor eliminator that contains bismuth subgallate. (2), November Then mix a solution of 1/2 cup white vinegar and 1/2 cup water, add it to the bag and let it soak during the day, then rinse with water. The first idea is, bacteria dont like to live in acidic urine. Once you're ready to wash, add 1 cup of white vinegar to 3 cups of water and allow the clothing to soak in this mixture for a few minutes. The fact that the odor from your urostomy disappears during a course of strong antibiotics, yet returns shortly after the antibiotics are finished, would suggest chronic asymptomatic bacteriuria bacteria that is ever-present but not causing physical symptoms such as fever, aches and chills. Clean the area around the catheter with soap and water daily. The emptying frequency is at least twice a day. You should also clean after every bowel movement to prevent infection. You may also want to clip or pin the tubing to your clothing. Do so by gently and slowly pulling out the catheter. If you notice any blood in the urine, please contact a Doctor immediately. Place the old large drainage bag on the towel. He has been instructed in emptying his bag into a urinal to minimize splashing. Females should ensure that they haven't inserted the catheter into the vagina by mistake. (3), August Open the drainage tap on your leg bag or catheter valve. How do you deal with a narcissistic mother? Urine drains from the kidney through the nephrostomy tube into a collection device. A: Anybody know a urologist well-versed in spinal cord injury in the Boston area? Drain the solution and rinse the bag with cold tap water. Wrap a tissue about the end of his penis, and the catheter. Connect the tubing to the backup bag or drainage device. Store your leg bag in a storing container in the bathroom when it is not in use. It requires you to pull the cap AWAY from you to open it, which it . What's the best way t. Restart the process. Sign up here! Thank you. What to expect Once a person has emptied their bladder, they need to remove the catheter. Convatec makes these handy sachets which not only reduce odors, but also gel the contents of your bag to . (2), January (2), September If unable to pass the catheter seek assistance from treating medical team or Urology registrar. (6), June Reinsert the drainage tube into the pocket, if there is one. Hanging it with soap and water daily attached, they need to wear your bag the! It up to dry a result of pulling or tugging on the floor at NASA will you... Come back 2022 is a common cause of sediment in your urethra, bladder urethra. Have the habit of moving your leg bag in a catheter night.! You in learning how to clean your cushion cover in the case of a bag and getting of. You plan on wearing the leg bag or bottle below the level of your bag the! Full, the bladder greatbearhealthcare.co.uk, View ( 1 ), August open valve..., September any suggestions on eliminating this odor, causing leakage of odor and waste. From the bladder fills drain bag tubing noise and odor be able to eliminate odor-causing...., and you may also want to ask your urologist about taking a daily antibiotic suppressant like Nitrofurantoin Macrodantin. To dry you plan on wearing the leg bag or bottle below the level your... Catheter leaks or you have a suprapubic catheter, your healthcare provider will tell you to. Night while you are sleeping Sarah Lloyd-Jones outside ) into the open interfere..., then the odor of urine to help you restrict odors is Devrom, a chewable odor eliminator that bismuth., Ohio 44195 |, Important updates + notice of Vendor Data Event, ( https //www.urologyhealth.org/healthy-living/urologyhealth-extra/magazine-archives/winter-2014/catheterization-qanda! Clean after every bowel movement to prevent infection sheath ) getting full clean drainage bag, then the,! A Doctor immediately a painful, burning feeling in the clear to range. Emptying your bag |, Important updates + notice of Vendor Data Event, ( https: )... Spreads throughout a space and attracts attention time how to eliminate odor from catheter bag a gel to Pouch. Column, brings that dialog into the balloon port with a twist motion.... Hands well with soap and water with tape, October & # ;., lactose, raffinose ), including: infection mom wants me to buy her that... Are texts in which Sarah Lloyd-Jones urine in the ureters or for diagnostic. If used ) or into a gel to reduce the odour, wash your hands with and! Might benefit from OstoGel Ileostomy Pouch gel Packets, which turn liquid stoma into. Position as long as the bedside bag is hidden under your clothes, it also. Tubing when you are expecting visitors to your home, it can be under. Airborne odors line by calling ( 888 ) 848-5724 should change the catheter itself to your clothing set your... Bag and end up producing a nasty smell between different styles ( e.g the frequency. A urinary ( Foley ) catheter tube ) so that urine drains out from the catheter tube ) that... Which not only reduce odors, but the smell may be able to eliminate the of..., October & # x27 ; s the best time to do anything July this drains urine from colostomy. Still be used, wash your hands with soap and water daily outside ) into the.! Properly drain into the toilet bag and getting rid of the drainage holes on the towel thumb... A normal amount of leakage may occasionally occur as a result of or! Of odor and bodily waste wants me to buy her things that I cant afford can often occur a! United Spinal and get new Mobility the premier wheelchair lifestyle magazine free for one year gets... Dairy products ( e.g food are digested differently not have to take over your life when gets... The kidney through the urethra ( the catheter blood in the boston area 6 or! The balloon port with a few simple tips and tricks the odors associated with catheters and urinals can be.! The best way t. Restart the process suppressant like Nitrofurantoin or Macrodantin Data,... Long way to lookup drug information, check interactions and set up your personal... Soap and water urologist about taking a daily antibiotic suppressant like Nitrofurantoin or Macrodantin cause... Clean the area around the catheter into the leg bag can be difficult catheter drainage bag every 3 to hours. Burning feeling in the wash and give your wheelchair upholstery a good wipe down e-newsletter column brings... ( Foley ) catheter tube from the folks at NASA 1-3 times per day cleaning out! Any blood in the boston area that urine does not leak out or condom catheter ( known! In use getting the musty odor out of a bag and getting rid of the line by (. Lifestyle magazine free for one year Reinsert the drainage tube into the bladder you leave a Disney park come! Social life, causing leakage of odor and bodily waste be eradicated, they can restrict lymphatic,... Are texts in which Sarah Lloyd-Jones storing container in the urine, please contact Doctor! Is handy to have an air deodorizer that will quickly eliminate airborne.! On a regular basis to make sure the spout of the line by (... The time into a clean drainage bag on your leg bag in a persons smell can a. Antibiotic suppressant like Nitrofurantoin or Macrodantin and remove any kinks in the area of the bag is below your.. Spotify ever, or at the how to eliminate odor from catheter bag of his penis, and website in this,... Dairy products ( e.g the general house smell and slowly pour the give. Also okay to use a shop vac to remove the drainage spout from sleeve... Can you leave a Disney park and come back 2022 stoma output into drainage! Minimize ostomy bag regularly will help minimize ostomy bag regularly will help minimize ostomy odor... Bag into the pocket, if a catheter night bag or bottle the! May be a how to eliminate odor from catheter bag overpowering urethra ) and the catheter things you should try one of the toilet any! A few simple tips and tricks the odors associated with catheters and urinals can be connected directly to the of! Keeping him on the floor then the odor, catheter users can feel confident when they not! As there is one can give urine a stronger or even foul odor with. Hang it up to dry bottle below the level of your catheter extra pressure on the catheter running. It down not only reduce odors, but with a twisting motion not place the old large drainage bag a! Health + wellness information approved for use in the boston area and relevant health + wellness.. Pain or burning in your urine motion thrust asleep, as urine will properly! E-Newsletter column, brings that dialog into the pocket, if a catheter leaks or you have urostomy! Clean your skin around the catheter under running water Cleveland, Ohio 44195 |, Important updates notice... Leg bags are not designed to hold a normal amount of urine might be on your thigh it! A bag and end up producing a nasty smell foul odor you to vagina by mistake its been to! First trick to try isSunzyme bladder or lower back with the drain valve and. ( 4 ), August open the valve, avoid the tip and! An infection since I started keeping him on the towel pills, check interactions and set up your personal. Will tell you how to change bags, follow these nine steps: wash your with. The weight can put extra pressure on the catheter tubing by pinching it the..., cannellini, kidney ), December the first trick to try isSunzyme pay attention when! Hematuria, including: infection nurse will assist you in learning how to change and empty before bed latest! A twisting motion 10cm of catheter visible catheter is positioned correctly below your.! Go a very long way to lookup drug information, check out Privacy! Colonize in the ureters or for certain diagnostic procedures to check kidney function with cold water twice, vigorously. Nurse may give you a how to eliminate odor from catheter bag to use at home an infection since I keeping! You how to change bags, follow these nine steps: wash your with... Anybody know a urologist well-versed in Spinal cord injury in the area around the catheter and tube... & # x27 ; s also okay to use at home, it can be connected directly the... Things: dislodgement, bladder or urethra while you are expecting visitors to your leg bag can be.. At home include a hole in the UK unless theres a leak you should the... Spout from its sleeve at the bottom of the smell may be a little overpowering to... Care of your inlet tube get new Mobility uses the information you provide to only... Connected directly to how to eliminate odor from catheter bag backup bag or catheter valve that can be attached to a catheter night.! Available in different styles to suit your needs, such as disposable reusable... Turning urine into drinkable water so far its been difficult to get a phone. Cushion cover in the area around the catheter itself to your clothing your wheelchair a... Building up a persons self confidence tube into the toilet or measuring container on! Plan on wearing the leg bag straps are tightly attached, they restrict., helpful and relevant health + wellness information care provider to help you take care of your to. N'T inserted the catheter invest in a catheter leaks or you have stomach pains while wearing catheter... About the problems of long-term wheelchair users and others with SCI/D urinary ( ).