Okay,...where to put this? Some of us wear diapers rather than cathing. I do. Tonight I surprised myself on how badly a simple chore like changing a diaper can go wrong.
I was wearing a wet diaper as I got into bed tonight. Not to worry. I sleep on a plastic sheet. All I had to do was remove the wet diaper and replace it with a nice fluffy clean diaper. But I was watching Jimmy Fallon, got involved in the show, and lost track of what I was doing. As I was feeling around in the dark for the velcro tabs, so I could finish fastening the clean diaper, I began to realize that something was wrong. There was excess fabric. OH NO. I was putting on a clean dry diaper without first taking off the old wet one. Gasp. Lol.
Well, that was a first, and let’s hope that it was also a last.
Hi Vintage, may I ask why you prefer wearing diaper other than self cathing? Changing diapers can’t empty the bladder. Once the bladder is full , it will puke and wet the diaper . I think the new changes diaper would get wet soon...
Hi, Ava. Of COURSE the newly changed diaper will get wet soon. That’s how I urinate! I believe that my bladder empties BETTER when I pee “on my own” into a diaper, than when using self-cath or a Foley.
www.ncbi.nlm.nih.gov/pmc/articles/PMC4114799/ “Urinary tract infection attributed to the use of an indwelling urinary catheter is one of the most common infections acquired by patients in health care facilities. As biofilm ultimately develops on all of these devices, the major determinant for development of bacteriuria is duration of catheterization.”
www.ncbi.nlm.nih.gov/books/NBK115272/ “Infection is a major problem in LTC [long-term urinary catheterisation] although there are other non-infectious complications associated with LTC, including physiological/structural damage,271 urological cancer61 and psycho-social problems.”
You bring up an important point vintage, I personally suffer from bladder spasms when I self cath and this is an absolute nightmare. Sometimes I can use 3 or 4 catheters in one attempt if my bladder is behaving especially badly and infections are also an issue for me.
There is such a faint line inbetween doing what we should do because we believe it is the only way as advised from our doctors or doing what 'we' think is best for our bodies. For some, making this informed and intuitive decision isn't a reliable option so the best one becomes the advice that our doctors support.
Potential backing up of urine is a serious issue as is 'pooling' of retained urine but you look to have weighed this up vintage,to find a solution that works best for you, although not the perfect option of course but the perfect option is not needing to catheterise or wear diapers!
Yes, Lara. I have to be very careful not to put too much pressure on my bladder when I urinate. And, I have to be sure that I focus on emptying my bladder four to five times a day, depending on how much fluid I’ve drunk. I have strong spascity in my stump (i.e., what’s left of my left leg), making it almost impossible to get my hand where it needs to go to cath myself. Those who advocate cathing over peeing into a diaper would be quick to recommend a Foley at this point. I had UTI’s when I used a Foley. Others would advocate having a supra-pubic catheter inserted. Supra-pubic catheters have the same problem with biofilms as Foleys.
“Catheter-associated bacteriuria (CAB) with transurethral catheters is almost inevitable. Suprapubic catheters (SPCs) are widely considered to decrease the risk of CAB. However, SPCs are implants similarly prone to microbial biofilm formation. The spectrum of colonising pathogens has not been investigated. The aim of this prospective study was: (1) to assess the diversity of microbial suprapubic catheter colonisation (MSPCC), (2) to identify risk factors and (3) to investigate its association with CAB and catheter-associated urinary tract infection (CA-UTI)....” “...CONCLUSIONS: This study provides the first analysis of MSPCC. Indwelling time increases, whereas antibiotic prophylaxis decreases the risk of MSPCC. The spectrum of pathogens is comparable to the one obtained from urethral catheter biofilms. Urine specimens could not demonstrate the microbial diversity of MSPCC. SPCs are not preferable to urethral catheters to reduce CAB. Whether the risk of CA-UTI could be minimised by SPCs remains to be clarified.” www.ncbi.nlm.nih.gov/pubmed/22926265
Post by catheterboy on Apr 18, 2018 1:33:34 GMT -8
I have had eleven major operations and many more minor procedures. The one thing that has done the most for changing my life for the best was permanent catheterization. I also wear diapers often and am ok with that. I know the risks and I do worry about them but I believe for me it's risks worth taking. My bladder was always half full anyway so that's a risk anyway. I guess we all have to decide what is the best way forward to deal with the issues that are associated with sci and try and have the best quality of life that we can. There are many things that can help us do that catheterization and diapers are just two examples of those. Whatever we choose will not be perfect and will always be a pain in some way some of the time but I have to say that on the long flight I just took I was not at all jealous of the people having to que to use the dreadful little toilet on the aircraft. I was happy in my nappy and could drink as much as I wanted with my catheter flowing freely and never gave timing my visit to the toilet a thought.
Transurethral external sphincterotomy can make spinal voiding safe. More common for males with sheath drainage, but anyone if renal function is threatened. Bladder neck will relax by reflex with a lower injury.
In the 80s they did it to anyone with the first sign of trabeculated bladder or vesicoureteral reflux (VUR).
If you get hydronephrosis then severe damage has already been done.