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dipper

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  1. Just found some interesting research about overactive bladder. Thought I could share it. http://www.sciencedirect.com/science/article/pii/S0090429503010331 " ...having greater muscle strength is not the same as having good management of OAB. Better management of OAB might be measured by a reduction in urinary symptoms or greater improvement in QOL" QOL - refers to Quality of Life OAB - OverActive Bladder https://link.springer.com/article/10.1007/s00345-002-0309-9 In conclusion, PFM contractions led to a decline of detrusor and increase of urethral pressures and suppressed the micturition reflex. These contractions appear to induce their effect by preventing internal sphincter relaxation produced by the micturition reflex. Failure of the internal sphincter to relax seems to cause reflex detrusor relaxation, an action presumably mediated through the "voluntary urinary inhibition reflex". The results of the current study encourage the treatment of overactive bladder with PFM contractions. PFM - Pelvic Floor Muscle http://www.sciencedirect.com/science/article/pii/S0090429599004859 Experience from clinical practice has shown that patients may effectively inhibit urgency and detrusor contraction by crossing their legs, using their hip adductor muscles, with or without cocontraction of the PFM, and by voluntary contraction of the PFM alone. After inhibition of the urge to void and detrusor contraction, patients may gain enough time to reach the toilet and thereby prevent urge incontinence http://www.sciencedirect.com/science/article/pii/S0090429599004859 Long-term strength training changes both muscle morphology and neurologic function. It aims for automatic responses.26 Healthy people do not have to think about detrusor inhibition; automatic control should therefore be the aim of therapy. https://link.springer.com/article/10.1007/s11934-013-0358-1 PFMT was long used almost exclusively for treatment of stress incontinence. When it became evident that voluntary pelvic floor muscle contraction can be used to control bladder function, PFMT was also integrated into the treatment of urge incontinence and OAB as part of a broader behavioral urge suppression strategy So these articles made me regain hope. As much as i've wished for losing continence for all these years, now when it's finally creeping up onto me I realize it's not what I want in my active lifestyle. I'm going to keep on trying.
  2. Thanks for all replies guys, and sorry for not responding quickly. I just wanna update that I have restrained myself from using catheters for a few weeks now and plan on being without them for some time. I've also tried doing kegel exercises and trying to delay me going to the toilet. The last part is incredibly difficult. I get noticeably exhausted to the point where my breathing gets quicker and I get warmer, as if I was doing real exercise, which is kinda crazy. Also it also carries the risk of me peeing myself as it almost happend once. I had to pee in my sink cause I felt the pee coming. I'm really scared because i'm actually turning incontinent (or more properly, losing control). I freaking peed myself once in bed. Thankfully I only soaked my underwear. That's batshit crazy. And now I usually get up once a night to pee. During the day I pee every 1 hour mostly, sometimes up to every 3h if I didn't drink much. At the age of 20'ish. This isn't even enjoyable because it's not like I don't have control, it's just that I have to pee all the time. After a few weeks of trying to restore my continence I got tired and today I wore a diaper to bed for the first time without wanting it. And it was needed for sure... I woke up 2-3 times peeing during the night (voluntarily peed however). I'm young and i'm starting to realize that losing control at this age is not something I want. What should I do? Continue fight to restore my continence (although it hasn't helped so far)? I feel like I might aswell just start using diapers to bed, although that'll probably just lead to even less continence.
  3. Hey, creative idea! Just wanna point out that bacteria mostly travel extraluminally (66% if I don't remember it wrong). There's a study about this. Also another study pointing out that having urinary bag above bladder reduces risk of uti. Might provide you with the studies in a few days when I got more time. Cheers.
  4. Hey, I hear a lot of people saying catheters won't affect your continence. People say that you regain the little lost incontinence in a matter of days if not immediately. Ive been using catheters for 1-2 days at a time, mostly once every 2 weeks. And I've for sure noticed how I can't hold it as much anymore together with more urgency. Once or twice I've even felt the pee starting to come out (but not totally out of my dong if that makes sense), and when I finally relieved myself shortly after there wasn't even much pee coming out! So Ive been getting more frequent intense urgency coupled with what I believe is a weaker sphincter (maybe scar formation or whatever) that prevents me from holding back when those urges come. Anyway, I'm certainly not incontinent, but I do feel losing control with time. Many questions have started arising with this. Should I limit my catheter usage because the best idea is probably to stay continent. But at the same time I have this huge desire for becoming incontinent or using catheters that I think it's inevitable. I feel like I won't be able to stop myself from using catheters. I wanna hear what you guys think about this. Have you experienced the same and how do you battle this dilemma of wanting to become incontinent but at the same time not.
  5. Sorry for the late response! I'm fascinated by the fact that you've never had a UTI with 11 years of cath playing and 5 days of max wear. I think the individual risk of getting a UTI from cath play varies tremendously because of variations of normal bacteria flora, different immune responses, handling of the catheter (cleanliness etc). Some people seem to get a UTI after only like two days and some can go 2 weeks. Of course this is only anectodal though. I would very much like to try a stent, but as I explained in the stent thread, my crafting skills are seriously lacking (and time). I wouldn't trust myself creating a stent, I think it would just slip in or whatever. For now, I think i'm sticking to catheters. 12 weeks with a stent is absolutely crazy though. I think preventing outside bacteria from adhering to the external part of the catheter dramatically reduces the risk of a UTI. I've read that following a pediatric hypospadias repair surgery children often wear a foley catheter draining into a diaper for around 7 days. So having an open catheter is clinically approved in children for short term catherization. Also, i've been doing some googling trying to find some anectodal evidence for how long people have had a catheter inside. It seemed to me that some have gone up to 2 weeks without a UTI, although I think that's rare. I think most people have gone around 3-5 days without a UTI. I'm currently in a catheter and just passed one day with it inside. I'm debating whether I should wear it until I get a UTI just to see how long it takes for me personally to aquire it. Then I might know more or less how long I can have it inside. But then, being sick is no fun so we'll see what I decide on.
  6. I have a few questions for all cath loving people! I figured I could also answer how I usually do instead of just asking the questions 1. Do you feel like after months/years of playing with catheters that it's easier to slip in the tube (especially through the sphincters). For me personally I remember first times I cathed myself. I had to exhale and cough and what not to get the tube through the sphincters. Now, I kinda just keep pushing with almost equal resistance across the length of the urethra. So it's as if the muscle tone of the sphincters has become weaker and/or the continous penetration has led to scarring around the contractile fibers of the sphincter surround the tube and thus 100% seal with the same strength is not possible. 2. For men: when you sit down on a hard surface or when you're lying down and raising yourself up to a sitting position does it hurt? For me it's a burning sensation and I guess it's because of the catheter pressing on the urethra. My question is if anyone has gotten used to this or if it's completely gone after more times being in a cath? 3. Walking with a catheter hurts really much for me. Once I even started peeing blood. This can't be normal? I've tried reducing the balloon size to 6 ml instead of 10 ml. But still it really hurts walking. The pain is by the bladder neck or somewhere by the bend inside (membranous urethra) 4. How do you position the cath? Me, as a guy, I point the dong slighty up and to the side and let the cath drain in front and below my dong. This way I keep the cath away from the dirty ass part Also I think it hurts less this way as having the dong and cath all pointing down will create a kink by the bend inside the urethra which irritates it. I haven't figured out how to point it sleeping. I think all down is better here? 5. Do you touch the cath with your hands? I very rarely touch it and usually try to steer it with my dong instead as to try to avoid contamination
  7. Although time is scarce I think what prevents me the most from attempting stent play is the lack of tools to create one. If I were to make a stent i would've had to search and find where to buy all materials and tools, which brings us back to the not-enough-time-problem. So, the actual "making of the stent" might not take so much time. But learning how to do it, find all materials, go to each place, and finally buy the materials etc is what consumes the most time. Maybe in the summer I might find time to do it. Who knows. I just wished someone would've sold it, although I understand the difficulities.
  8. Having a stent seems extremely intriguing, but I have no clue how to make one/have the time to make one. Is there no way you can buy a stent from someone if you give them the correct lengths and everything? Or would that break any rules? I'm not really good with crafting, i'm more of a theoretical person if that makes any sense. So creating a stent myself seems like a big obstacle. One thing that makes me freak out about this idea is the possibility of the stent migrating into the bladder. It feels like most people who play around with stents are at risk to at least once have it migrating inwards. I'm not sure if i'm yet mentally prepared to encounter a situation like that. Btw, Has anyone thought of attaching something to the retrieving line? For example a ball too big to pass through the urethra might prevent migration of the stent. Of course this would mean cleaning the ball daily to keep cleanliness.
  9. Hey all wannabe incontinents! I decided to make a new topic about this rather than posting in the "close to incontinence with a catheter" thread since my question would've gotten lost in the void and remained unanswered by the majority. So, what's your record in days, going with a catheter and diaper? Did you get any UTI after that? Mine is only 1,5 days and I managed to get an infection. I'm going to try to have a catheter in for at least 3 days soon, hopefully even a whole week. I'm just scared about getting an infection, which seems to happen real quick (only a few days)
  10. I tried the holey foley a few days ago. But it didn't work for me. I had to consciously pee in order for the flow to start (so basically peeing manually but with a tube inside of you). I think I might have put the hole too high up so that the external urethral sphincter muscle was closing off the hole (unless I relaxed it). But I didn't feel the pee flowing outside the catheter the few times it happened. Normally I just point a regular catheter above my man dong so the pee trickles down the skin. Then I feel when I pee without the holey foley. Quite nice to watch a movie and then notice that you're peeing yourself or forget about the time and then when you check your diaper you've managed to soak your pants. Oh how I love catheters
  11. Yeah i've read about it and i'm curious to try it. But, it doesn't reduce the risk as many people are advocating since the majority of bacteria travel extraluminally (along catheter wall). The so called "flushing mechanism" is doubtful but may be beneficial. It's only a drip here and there, and the question is how big of an impact that has on the bacteria. Bacteria attaches to surfaces and an occasional drip of liquid doesn't really affect them, that's at least what I think. Peeing naturally works since it has a stronger flushing force and expels more urine. This method also adds other risks by introducing additional bacteria when cutting, and sharp edges that can damage the urothelium (damaged urothelium has weaker defense mechanisms against bacteria). Not even mentioning the risk of possible breakage of the catheter so that it requires an endoscopic intervention to retrieve the rest of the catheter (or surgery). The best thing would've been to assemble a mini research of our own, since research would never be provided by anyone else (mostly because it's unethical to see how fast someone gets a UTI and also because the provided knowledge doesn't has any practical applications). But then again, the research would be of very poor quality and it would mean having participants basically waiting to get a UTI and trying to draw conclusions out of that. You're wrong about the open drainage. An open drainage to a diaper is fairly common after a repair in hypospadias. Check this https://www.ncbi.nlm.nih.gov/pubmed/3184301 Short term catherization in a diaper doesn't increase any risks according to this study. The general time having a catheter after that procedure is around 3 - 7 days. It is however in a double diaper with the catheter in the second diaper (thus, reducing contact with skin bacteria). Bacteria normally travel along the catheter, and not by air. But you're perfectly right about the remaining pee in the holey foley, I forgot to mention that in my above post. I agree that stents seem like a safer alternative in the perspective of getting an infection. However, the stent brings a whole array of different risks, arguably, more dangerous or damaging (stent might merge into bladder etc)
  12. Hi, I wonder if anyone of you guys from Europe has bought antibiotic coated catheters or coated with silver alloy to reduce bacterial film formation? I really wanna try having a open end catheter in a diaper for at least a week, but with my current normal latex silicone catheters bacterial colonization occurs, as you guys surely know already, after only a day. Thus, having a catheter more than a day in a diaper is extremely risky. With above mentioned catheters I think it's possible to extend that time to around 3 days Please let me know if you know any sellers shipping discreetly to Europe.
  13. Sorry to hear, although i'm glad you got it sorted out. You can never eliminate the risks, only minimize. You should definitely sterilize your stent each time you insert it though. And drink a lot of fluids. I wish you a good recovery! I've also had a UTI from catheters, so I feel ya
  14. I'm using Ch 18, sometimes Ch20, so I doubt it's too small as I already regret buying such large catheters (still have like 15 left of them) How long do you keep your catheter in when having it in a diaper?