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Don Incognito

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Posts posted by Don Incognito

  1. 6 hours ago, Spargano said:

    Two questions then. Are sure you plugged the hole well enough so that it stays inflated and are you 100% sure it was in place? 

    Yes, and yes. I had tied off the end with a zip tie (cut off just past the inflator, with the tied-off end left to hang out) - he balloon was the same size when it slipped out as when I put it in. And when I was putting it in, I could feel the balloon getting past the bladder neck as I was getting it in (which took some coaxing) before urine came out, and afterwards I could feel some resistance as I very gently tugged on the catheter.

     

    If all else fails, one option I was considering was to stick it in and inflate the balloon like a normal Foley catheter, then tie it off and cut off the inflator. The part that's hanging out shouldn't be too much worse than a retrieval line and O-ring, and if I'm traveling I could bring along a set of toenail clippers to cut off the zip tie and remove the thing if need be.

  2. 47 minutes ago, Spargano said:

    Correct, but only a little inflated as anything above 9mm probably won’t clear the meatus. From what you are describing though, 5ccs and 10 ccs which is enough to fill the balloon you’re not in the bladder yet. 

    What's this about ccs? I had inflated the balloon to 10mm in diameter and I did in fact get it in all the way (with some difficulty). My problem is that 10mm appears to be the largest size I can get in, but it's not enough to ensure that it stays in.

  3. 23 minutes ago, Spargano said:

    I think you’re inflating too soon. Once urine starts coming out of the catheter you push it in a little further in before inflating. It should be physically impossible to slip out if it’s in the bladder. 

    The idea with the Foley catheters was to ultimately make one of these:

    On 9/7/2022 at 3:13 PM, Loveable_guy said:

    From personal experience you may need a tad more fluid in the balloon to hold this in place. Also the cut at the 40mm mark in your design may cut in to you some. I poke a hole in the cap and let the retrial cord and fluids run out there. After cutting the cath at length I use a blunt needle to fill the balloon. Then using forceps  to clamp the new stent I will add a snip of solid round plastic to plug the fill line. I use sterile KY to fill the balloon. 

    Be safe and use a cord that is not going to break. I prefer an O ring that will fit over my shaft when the stent is in place. This way less is hanging to get caught or pulled while changing.

    Nice work !

    Here is what use most of the time.

    IMG_0543-1.JPG

    ...which requires that the balloon be inflated before insertion.

  4. On 5/26/2025 at 11:39 PM, Spargano said:

     It sounds as though you have a very tight prostate. That’s the only thing I can think of as to why none of the designs seem to be working for you.

    Sure feels that way. I had tried inflating the balloon of a 18fr Foley catheter to 10mm (trying to do something like what you quoted from DlNord78 on page 1), and it immediately slipped out.

    I tried again inflating the balloon to 12mm, and it wouldn't go in.

    I tried again with a 14fr catheter inflating the balloon to 10mm, and it stayed in for a while, but also slipped out.

    I've obtained some 18fr silicone Malecot catheters and tried putting one in, but it was too painful to be usable (even with all the lube I could put on it).

    Any ideas on what else I could try? Thank you.

    D12000129502278_030420240853.jpg

  5. On 4/25/2025 at 2:25 PM, abdlwpg said:

    I assume Shaq probably has a larger than average bladder based on the rest of him being larger than average. Anyways pretty skeptical that a Depends Real Fit would be enough for him. 

    Well, the article also mentioned NorthShore.

  6. On 4/3/2025 at 11:32 AM, vvp39 said:

    On looking further down on the page and seeing the item about Home Depot charging $5 for parking it became obvious that this was an April Fools post...

    That and the idea of Depends making something absorbent enough to last 12 hours.

    Though in my experience,  there is kind of a valid point here - quite often I've been to county fairs and carnivals with porta-potties with either only hand sanitizer to wash your hands, or nothing. There's one place where wearing a diaper would be an advantage, at least as long as you don't have to do #2.

  7. On 5/27/2025 at 11:42 PM, Spargano said:

    It can take a bit of practice to find the opening to the prostatic urethra. In the beginning I would fiddle for almost ten minute to find that opening.

    By my estimate of how far I can get the thing in, I'm pretty sure it's stopping at the bladder neck.

     

    On 5/27/2025 at 11:42 PM, Spargano said:

    In the beginning I would fiddle for almost ten minute to find that opening. Are you seizing up as you insert? One does need to be relaxed.

    That sounds like it may be the issue, and it's always been quite a challenge for me. Any advice there?

  8. 41 minutes ago, UsuallyDiapered said:

    As for how to guide the stent up into the prostatic urethra - a few fingers applying gentle pressure to the perineum does the trick for me. It's just a matter of guiding the stent upwards at that point. 

     

    Have you tried guiding the stent along the urethra without the pusher (i.e. just using your fingers)? It might take a bit longer, but you might find you have better and more direct control in terms of feeling where you need to guide the stent. I push the stent in as far as I can with my finger, and from there guide it along the urethra with my fingers.

    I tried that as best I could, but it wouldn't go in.

  9. 20 hours ago, Spargano said:

    Do you have any issues getting a catheter in?

    No, at least up to 18fr. And I am using lube. Do you think getting comfortable with larger catheters could help here?

    I've also tried inflating a Foley catheter balloon to 10mm, and that went in all right, but it just slipped back out.

    2 minutes ago, UsuallyDiapered said:

    From my own experience I know that the stent sometimes needs some extra "guidance" as it goes up into the prostatic urethra (i.e. where the stent starts to disappear) - perhaps your pusher is directing the stent into the urethral wall rather than upwards towards the prostatic urethra.

    What would one do about that? My pusher is a length of silicone airline tube with the end folded in.

     

    3 minutes ago, UsuallyDiapered said:

    Two observations: first, have you folded in the ends of the stent? It's hard to tell from the photo. Secondly, are you using dental floss for the retrieval line? Naturally it's up to you, but I have never felt comfortable using dental floss, although I know @Spargano and @cathdiap are confident enough to do so. I would be inclined to go with fishing line at least until you are confident that the stent can be inserted and removed easily.

    I have folded in the ends, and I'm using 15lb fishing line for retrieval.

    • Thanks 1
  10. I tried making a stent based on UsuallyDiapered's design, with the spacing based on having measured myself with a catheter. It wouldn't go in properly, even with a pusher and lube. I also tried the design exhibited earlier with the 9mm silicone beads and airline tube, and that wouldn't go in either. Any idea what might be causing that problem? Thank you.

    20250522_181752.jpg

  11. On 5/14/2025 at 8:30 AM, UsuallyDiapered said:

    I agree with you - six months ago I would have been very reluctant to put such a short stent in, but now I think it is the key to the success of my current model. The fact that the stent sits, as you say, just beyond the external sphincter means - in my experience anyway - that it isn't pushed further in while sitting or lying on one's side in bed.

    How do you insert it? I made one similar to yours, but I can't seem to get it in all the way.

  12. On 5/2/2025 at 5:36 PM, bookem said:

    Yeah, I was wondering the same thing; I decided to try it out with some 9.5mm plastic beads that I had around and found a way that I could press them into the 5mm ID/7mm OD tube. I haven't tried inserting it, more of a proof of concept, but it looks like it might work! I will keep toying with this and report back if something interesting comes up. 

    How did you get the beads in? And what sort of tubing is that? Thank you.

  13. I think I got my (C-frame) stent nearly right - last time I put it in, it worked properly for a while (plus I didn't feel much of anything), then slipped out (just enough to stop the flow). Is this just a function of the angle of the top bend, or could it also be the length?

  14. On 3/16/2025 at 9:27 PM, Spargano said:

    Pull on the retrieval line, if urine spurts out, the stent is long enough but the lower bend is hitting the urethra wall.

    "Lower bend is hitting the urethra wall"? What would one do about that? Does that involve the length of the bottom bend or the angle?

  15. 11 hours ago, Spargano said:

    Sewing the o ring scratched my urethra badly.  This method potentially will be smooth all around.

    What if you were to get PVC tubing that just fits over the stent tubing, cut off a short piece, and smooth off the corners with a flame/soldering iron? That sounds like it might be easier than drilling a hole in a spherical object only 2mm smaller than the thing you're drilling.

     

    Or, how about silicone O-rings? Seems like you could stack a few of them together and glue them in place. Think that would work?

  16. 12 hours ago, Spargano said:

    the only problem I see for this experiment is that unlike the cheap components of most of the stent models, this one’s parts are relatively expensive. $25 for the glue, and around $25 per pezzer means an investment of $75 per attempt. You would need to be VERY sure of the lengths before attempting this. I am not there yet for 100% surety.

    I don't suppose the lack of any rigid parts would give you more leeway with the length?

    Also, even a small tube of aquarium glue should be good for more than just one stent.

     

    6 hours ago, Spargano said:

    Going back to the pezzer catheter model, i ordered 6mm silicone beads and 3mm id 4mm od silicone tubing along with non toxic glue. My plan is to cut the lengths of tubing to 2.5 inches, 2.75 inches and 3 inches then attach retrieval lines into each of them. I will use my drill to enlarge the holes in the beads to thread the tubing into it and glue the beads on the top and bottom of the length, letting it cure for around 24 hours to test the different lengths.

    i ordered the 6mm beads as I feel the 9mm will be too large to comfortably insert. 6mm is the width of the current stents so it will go in easily enough, but will it stay put. Depending on how this experiment plays out I may have to go larger

    Wouldn't you need a roughly 6mm tube to start with, to fit securely in the urethra? At any rate, if the bead diameter  is only 2mm bigger than the tube, you're going to have a tough time drilling it properly (plus you may as well just sew on an O-ring).

  17. 5 hours ago, Spargano said:

    3. to what is your retrieval line connected?

    Seems like it'd be a simple matter to thread some fishing line through the holes in the bottom mushroom head and tie it off.

    And I've also been thinking that it could be possible to take two mushroom head catheters of equal size, and join them using a length of silicone tube that just fits either inside or outside.

    • Like 1
  18. On 4/21/2025 at 3:28 AM, bleie1990 said:

    Mine arrived like this without a insertion device 

    IMG_9923.jpeg

     

    I just received the mushroom head catheters I had ordered (which look very similar to that), and it seems they won't collapse enough to safely insert (even sticking a stiff plastic rod through one). It seems I'll have to go with the 4-wing version (referred to as "malecot"), which appear to be even harder to find in the proper size.

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