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Posted

I've seen the definition of more than 8 x a day used along with increased nighttime need to go, but with qualifications as these can be the result of other things. E.g., if you drink a lot of fluids or if you take certain medications (such as a high blood pressure pill with a diuretic in it), you could easily be peeing more often but that's just your bladder doing its routine work.

Consider keeping track of how much fluid you drink and how often you pee for a few days, and even changing up how much you drink on some of those days. Your doctor would also want to know something about your caffeine consumption, whether you drink a lot of fluids late in the evening, and what medications you may be taking. Also any changes in the patterns.

Posted

ok, thx.

Well I believe some of it is due to more fluid intake, although I'm within the "normal" range. Usually 3 cups of coffee through the day and approx. 2 liters of water also during the whole day.

After starting going 24/7 three weeks ago, I'ts like my bladder are starting to void more often and sometimes in smaller volumes - not always, sometimes there is much...

I know that OAB isn't triggered in only three weeks - but OAB will be my "cover" story as the reason for wearing 24/7 in regard to my spouse.

Posted

When I do extended diaper wearing, like my 30 days last winter, by keeping things "relaxed down there" I generally have smaller, more frequent wettings, as many as 10/hour if I'm well hydrated. That's actually what I'm more or less training myself to do. It not only reinforces the idea that my bladder shouldn't be holding much, but small wettings are far less likely to flood the diaper.

It took some practice to learn how to slip into that mode when I diaper up. Keep it up long enough, and the body should start doing it without the mental focus. My longest time has been only a month, but it took a lot less focus towards the end of the month than it did at the start to maintain the frequent, small wettings.

Posted

When I do extended diaper wearing, like my 30 days last winter, by keeping things "relaxed down there" I generally have smaller, more frequent wettings, as many as 10/hour if I'm well hydrated. That's actually what I'm more or less training myself to do. It not only reinforces the idea that my bladder shouldn't be holding much, but small wettings are far less likely to flood the diaper.

It took some practice to learn how to slip into that mode when I diaper up. Keep it up long enough, and the body should start doing it without the mental focus. My longest time has been only a month, but it took a lot less focus towards the end of the month than it did at the start to maintain the frequent, small wettings.

Wauw!! seems like that's the way I should do....how did you do it in the beginning?

Feeling the urge, and only releasing in small amounts at a time, or going as soon as you feel the slightest urge?

I myself are going as soon as I start feeling something also if I have to wait minutes for it to start....eventually it starts...however due to I'm also beeing well hydrated it's not small amounts, more like medium amounts when I go

Posted

I just try to keep it relaxed as much as possible - let the small wettings happen on their own. It did actually take a tremendous amount of concentration when I was first learning to do it. I'd start on a weekend day with nothing important to do because even though I work at home when the work took my mental focus the diaper didn't and I'd naturally start holding. I'd also stay well hydrated - the best reminding to keep things relaxed was frequently needing to pee. When out running errands, I got in the habit of reminding myself at regular cues - I live downtown, so every time I crossed a street I make sure I was keeping it relaxed.

Sometime I would lose focus, and then once I remembered to relax it would be more than small amounts. But that's part of the training.

It was just practice with this approach, a Saturday here, a weekend there, until I got to the point where I can pretty much turn it on whenever I diaper up.

Posted

If my countless urologists have been any indication then OAB must mean they don't really know what is going on and are just lumping all urological problems into that category.

Posted

If my countless urologists have been any indication then OAB must mean they don't really know what is going on and are just lumping all urological problems into that category.

Posted

My urologist says I have mild OAB (like others have said, generic diagnosis).

  • 2 weeks later...
Posted

You should be aware that simply having an OAB won't be a justification for wearing diapers.

After years of wearing diapers as a DL, my bladder capacity shrank to the point that that I was urinating several times an hour. When I mentioned the problem to my doctor, he prescribed Terazosin to help treat the problem. The drug did help with the frequency, but the side effects became a problem. I developed a cough and my sinuses dried out to the point that I had trouble breathing at night. The drug desensitized my bladder which helped reduce that number of times I had to go and the urgency, but after taking it for a year, I was starting to become incontinent. After urinating, the sphincter was slow to close and I'd leak urine sometimes for an hour afterwards. I took the Terazosin for about two years but quit because of the side effects. The cough and the nasal dryness went away, but the incontinence after urinating didn't.

In general, any doctor you see for OAB is going to want to treat the problem. He won't just tell you to wear protective underwear. You may be referred to a urologist who will try to find the underlying cause of the OAB. Mine didn't do the referral immediately but tried to treat the problem with drugs until he determined that that wasn't going to be successful.

Posted

You should be aware that simply having an OAB won't be a justification for wearing diapers.

After years of wearing diapers as a DL, my bladder capacity shrank to the point that that I was urinating several times an hour. When I mentioned the problem to my doctor, he prescribed Terazosin to help treat the problem. The drug did help with the frequency, but the side effects became a problem. I developed a cough and my sinuses dried out to the point that I had trouble breathing at night. The drug desensitized my bladder which helped reduce that number of times I had to go and the urgency, but after taking it for a year, I was starting to become incontinent. After urinating, the sphincter was slow to close and I'd leak urine sometimes for an hour afterwards. I took the Terazosin for about two years but quit because of the side effects. The cough and the nasal dryness went away, but the incontinence after urinating didn't.

In general, any doctor you see for OAB is going to want to treat the problem. He won't just tell you to wear protective underwear. You may be referred to a urologist who will try to find the underlying cause of the OAB. Mine didn't do the referral immediately but tried to treat the problem with drugs until he determined that that wasn't going to be successful.

Posted

In my case, the urologist couldn't find anything obviously wrong that would cause my problem. The only anomaly was that my bladder didn't contract very strongly and my urine stream was weak and very slow. His conclusion was that there wasn't anything he could do for me and that I should just learn to manage the problem, which I have by wearing diapers.

By the way, I did not consider the drug side effects disabling. The cough resulting from a dry throat caused by the drug was a nuisance. The dryness in the breathing passageways was more of a problem. Due to the low humidity here, by 3 or 4 in the morning I'd wake up because I couldn't breathe. A long shower would loosen things up so I could breathe again.

I'm not sure that the incontinence was caused by the drug. It is listed as a very low probability side effect. That was an embarassing problem since I was still working at the time. Several times I'd get back to my desk after using the bathroom and discover 30 minutes later that I'd unknowingly wet my pants. Twice this happened while traveling on an airplane. After the second time, I always wore a diaper while traveling.

Posted

As a male, you will have a hard time getting any medical professional to recommend or prescribe diapers for 24/7 use.

If they follow what they did for me they will give you a cystometrogram. It is a bladder capacity test. Like you I also went to the bathroom frequently for years and eventually really had to wear Depends underwear to prevent public accidents. For the first year it wasn't a big deal to me or my wife since I only needed one to get through the day but I did become more dependent on them. My wife did make me see a urologist when I started to have to carry around a spare. Since my bladder capacity was only 200ml they didn't think relaxation drugs would do much good. The recommendation I got was bladder augmentation surgery or external collection. By external collection they meant a combination of condom cath leg bag and diapers. I declined surgery, so the nurse set me up with condom cath collection during the day and diapers at night. That was 2 years ago and I have gotten used to it. I'm not really an ABDL so 24/7 diapers aren't a turn on for me so I didn't really fight the condom cath solution. The prescription does allow me 2.2 diapers a day since they are okay with me using them occasionally during the day when caths won't work like in shorts or as a backup to cath blowout.

It does sound like you do have real urges and do go to the bathroom more than 6 times a day so you probably won't do to great on the cystometrogram. But it still is not so bad that you really have to wear protection. So most likely they will prescribe you drugs, bladder training, and/or 1 pullup type diaper a day. I doubt they will recommend full external collection until you get to the point of needing more than one pullup diaper a day. But if you ignore the bladder training and let yourself rely on the pullup more that will occur naturally in a year or two.

Posted

As a male, you will have a hard time getting any medical professional to recommend or prescribe diapers for 24/7 use.

If they follow what they did for me they will give you a cystometrogram. It is a bladder capacity test. Like you I also went to the bathroom frequently for years and eventually really had to wear Depends underwear to prevent public accidents. For the first year it wasn't a big deal to me or my wife since I only needed one to get through the day but I did become more dependent on them. My wife did make me see a urologist when I started to have to carry around a spare. Since my bladder capacity was only 200ml they didn't think relaxation drugs would do much good. The recommendation I got was bladder augmentation surgery or external collection. By external collection they meant a combination of condom cath leg bag and diapers. I declined surgery, so the nurse set me up with condom cath collection during the day and diapers at night. That was 2 years ago and I have gotten used to it. I'm not really an ABDL so 24/7 diapers aren't a turn on for me so I didn't really fight the condom cath solution. The prescription does allow me 2.2 diapers a day since they are okay with me using them occasionally during the day when caths won't work like in shorts or as a backup to cath blowout.

It does sound like you do have real urges and do go to the bathroom more than 6 times a day so you probably won't do to great on the cystometrogram. But it still is not so bad that you really have to wear protection. So most likely they will prescribe you drugs, bladder training, and/or 1 pullup type diaper a day. I doubt they will recommend full external collection until you get to the point of needing more than one pullup diaper a day. But if you ignore the bladder training and let yourself rely on the pullup more that will occur naturally in a year or two.

That's my intention...not following the bladder training program....LOL I'm following my own program :whistling:

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