The specific aims were to: (1) determine the incidence, prevalence, and distribution of catheter-related problems in long-term indwelling urinary catheter users (urethral and suprapubic); (2) assess appropriateness of catheter use; and (3) examine relationships among catheter complications and catheter care practices. The design was a prospective repeated measures study, with participants (and/or caregivers) keeping track of catheter problems and observing/recording urine output for three days at baseline, 2, 4, and 6 months. Because our initial sample of 10 from a homecare agency was too small, we used the Internet to obtain a larger sample with spinal cord injury (SCI). Communication for the Internet arm is through websites, email, telephone, US mail, and online surveys. The Internet arm has 23 people enrolled so far; data will be complete by June 2008 and reported at the conference. Nine of 10 participants recruited through the home care agency completed the study, and data are reported here. Home interviews were followed by bimonthly phone call interviews for 6 months. The sample of 7 females and 3 males ranged from 42-90 years of age (mean 67). Racial background included 8 white and 2 black. The length of time with a catheter was 4.6 years (median 3.5). Five had Multiple Sclerosis, 3 had diabetes, and other diseases included CVD, CVA, and pressure ulcers. Catheter-associated urinary tract infections (CAUTIs) seemed to be inversely related to urine output. As urine output increased, frequency of CAUTIs decreased and visa versa. At 2 months, as the mean output decreased to 1237 (from 1577mL. at baseline), frequency of CAUTIs increased from 6 at baseline (for the previous two months) to 9. At 4 months, as output increased to 1692mL, CAUTIs decreased from 9 to 6. At 6 months, as output increased to 1850mL, CAUTIs decreased from 6 to 3.