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Showing results for tags 'botox'.
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Here’s a short account of current incontinence-related events in my life. Using the opportunity of a business trip to India, I arranged to get Botox injections in bladder neck and external urinary sphincter. I found a urologist surgeon at one of the larger hospital chains in India that offers services for international patients. The surgeon offered to do the Botox injections based on a diagnosis of Detrusor-Sphincter-Dyssynergia and related LUT symptoms (urgency, overflow incontinence, frequent UTIs…) plus my desire to self-catheterize less or not at all. The key insight shared with the surgeon was this: since I have to wear diapers anyway, I can just as well trade continuous incontinence for reduced urgency and cramping. The amount of required paperwork was minimal: a urodynamic test showing DSD Type III, and a supporting letter from a urologist back home. Note that the letter emphasizes signs of renal damage due to the DSD. The total cost of the procedure is $2,000 which includes a two-day hospital stay in a VIP room, transportation between my hotel and the hospital, anesthesiologist, all tests etc. It’s a comprehensive price. I am sure they would let me stay longer for the same price. The whole thing was quite easy to arrange, I just needed patience in communicating across the significant cultural differences (WhatsApp, short sentences, avoid asking multiple questions, …) and the right messaging with regard to my medical history and outlook, and the treatment I wanted. During the pre-op, the surgeon asked if it was ok for him to incise my bladder neck if he found it to be tight. He reminded me that this would result in retrograde ejaculation and that it would be irreversible. I told him that I wanted the Botox only, for now, and that we can revisit the incision at a later time. I didn't want the incision performed by a surgeon I don’t know in a new hospital. Plus, if there is bleeding, I would have to stay longer, which I don’t have flexibility for in my schedule on this trip. My plan is to use the opportunity of a future trip to get more extensive surgery done by the same surgeon to disable bladder neck and external sphincter (ie incise, cut) and have my prostate carved out (how much is not yet clear to me) at the same time. They do have the necessary laser surgery equipment here.
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I've revamped the cover of the previously released book, The Godfather's Offer, and I want to share it with the folks at DD. Feel free to grab a copy this weekend between Friday shortly after midnight June 5th until midnight June 7th. All times are US Pacific Daylight Time. Thanks for your support all these years.
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This is THE very first story I ever published on the web back in July of 1998. It first appeared on wetset.net in the early days of discovering my different fetishes weren't mine alone.
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Has anyone had the Interstim implant in the last year or two? How did it work for you (or not), and what should I expect? I've had urge incontinence for the last 16 years since a really bad car wreck. I've see a dozen different urologists for it and had been put on just about every incontinence med out there. To this day I still get uncomfortable (and sometimes painful) urges that I will pee in about 20 seconds- regardless if I make it to the bathroom or not. I always seem to wake up at least once in the night to pee my diaper, then roll over and fall back asleep again (if I can). Most urologist have seemed like they didn't know what they were doing, just didn't care, or were too focused on curing me that lost sight of just trying to improve my quality of life all together. Today I went to see yet another urologist, but this one actually seems to have gotten it and recognized I have over active bladder OAB that is causing my urges (probably from a spinal injury that went un-diagnosed from my wreck). He wants me to try a test week for an interstim implant to try and see if it cures me. If that doesn't work he plans on using botox to weaken my sphincter so I can pee without the urges and hopefully sleep at night. I've really come to like wearing diapers (leaks and all) so personally I think I would prefer option two for the intermediate/long term, but I have to jump though this hoop first. I'm scheduled for an outpatient surgery later this month to get the temporary electrodes implanted. I'm told that in about 80 percent of people who get it done, they see a 50 percent improvement or decreased symptoms. That sounds like a 40 percent success rate to me. The other 20 percent; apparently they get pain from the device, infections, or it just doesn't do anything. I'm hoping to stay objective though, who knows I may still help.
