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Close To Incontinence With A Catheter

1,086 posts in this topic

On 1/10/2017 at 1:38 AM, abmichael said:

This is long but sort of summarizes what I've learned/experienced so far...

 

Would you be willing to post photos of some of the catheters and how you've modified them?

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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 :D

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That's likely what happened. I had to get a ruler and measure. It was further than I thought. Keep in mind, you're measuring from the base of the balloon, not the tip. I use the width of my hand (not including thumb) for reference which is about 3.5 inches. 

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I was asked how I modify catheters. I had inconsistent results trying to cut a hole and have gone to melting one again. Here is my current method. Your mileage may vary, I take no responsibility for how/whether it works for you. 

This is a Silastic (silicone coated latex) cath. I use a wood burner heated to highest setting with a narrow pointed tip. I also use a diaper wipe for cleaning the top and cleaning the resulting goo off the cath. 

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This cath doesn't have an inner bag, so I cut a notch out about 4 fingers width from the balloon base. This allows me access to the cath without touching it.  Cut the notch on the side opposite the syringe connector. The fill tube is located on the side where the connector is. 

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Carefully poke the tip of the iron into the cath. Do this in an area where some bad smells is ok. It will stink. It will pool a goo around the hole. At this stage, it's not through to the inside yet, so continue deeper, but don't push hard as you don't want to go through into the other side where the fill tube is. 

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Here we have broken through. At this stage, wipe the tip of the iron off on the wipe. And use the wipe to wipe off the goo. On some caths it completely wipes off. On this one, it leaves some discoloration. 

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That's where I stopped previously, but this last time, I discovered I can use the side of the iron tip and wipe it back and forth over the hole. this creates a recessed area for the hole which should make it less irritating. 

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Clean it off again

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Finally, use one of the swab sticks to clean and disinfect the area while leaving it in the bag. From here, I lube and insert as usual. 

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Great idea and write up, nice work. It's amazing how creative we have become with this project.

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Well... I tried this but my plumbing is a lot different than most people in this post.  I took one cath, inserted, inflated the baloon and then used a sharpie to make a lone where it comes out of my body.  With that as a guide I then took a new catheter and placed the hole about 1/4 of an inch before where the line is on the other catheter.  

What I found is my body still holds tightly around the hole so there isn't much uncontrolled leaking but I have an urge to pee much more often and I can't stop it once the urge starts so I'm wetting far more often.

Interesting experience

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Looking to understand and not knowing the female plumbing may I ask if you could advise the distance from the balloon and the distance on the cath where it exits the body? There are other ways to make a cath in to a stent.

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In theory, you can sense some resistance between moving the cath in your urethra and encountering the sphincter. You may not be able to fell it with your hand, but it may feel different. If you can detect where that is, you can mark that, then insert it, inflate the balloon, and pull to make sure it's seated. Mark that. Keep in mind that the first mark is from the end of the cath, and the second mark is from the base of the balloon. So you need to adjust for the distance between the point and the base of the balloon. That way, you should be able to determine the distance from the external sphincter to the inside of the bladder. If you measure that distance from the ballon, you should put the hole after that. If the hole is between the sphincters, it won't work as well because the external sphincter is the one you control. Hopefully that makes sense... 

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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 :P 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

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I doubt a female could use a holey foley as they really are "spincter muscle" right to the end.  You would be just as good to just cut the catheter and just plug the balloon fill hole with a small nail or Brad.    I did mine this way for years before I developed a nice easy way to make the holey foley. 

Also. what a lot of people don't understand is that you have to use a VERY small catheter so the urine can leak around the outside.  If the catheter takes up all the room in the urethra, then the urine can't get out.  So if an 18fr is uncomfortable, then you need to use a 14fr for your holey foley.  They even go as far as 9fr, but they are short and hard to modify with nipping the balloon lumen.

By the way,  I just uploaded new video on Fetlife and Diaperbois of me inserting my stent..  If anyone is on those sites..  My Fetlife ID is Lonewolf2

https://fetlife.com/users/3044807/videos/721313

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You don't need a significantly smaller cath. I thought that too. I initially tried a 16fr as that's standard size. I had a lot of irritation and found that going to an 18fr was actually far more comfortable. Too small allows it to move around inside and irritate things. Going up in size did increase the pressure the urine came out at times, but this wasn't really a bad thing. I don't know what the limit is, I think I could do a 20fr but probably not past that. If you've ever dealt with an actual leaky pipe or something and tried to tape it, you know water will find a way. I think that's true here. 

I haven't been doing it that long, but I would say it definitely gets easier. And I've been wearing a cath for about a month at a time and then changing to a new one since the start of 2017. Finding a cath that works for you is important, but I do think your body adapts as well. I know for me, the silastic caths seem to work best for me. I think hydrogel coated caths should be very comfortable. I tried two, one was ULTRAMER hydrophilic coated, and the other was Bardex Lubricath. I'm fairly certain that the first one was uncomforable but the second one was great. There may have been other variables, but that was my experience. My only complaint is the hydrophilic ones are almost always latex and so I can't use desitin or other petroleum products often as it breaks down latex. I did use it a few times with the Bardex one without obvious problems, but I don't have to worry about the silastic. 

I did like the Duette ones for a while, but it was also the 16fr size as I though I was having problems with it poking the inner wall of the bladder, and maybe it was. But between going to the 18fr and looping the extra in my diaper, it made all the difference. Cutting it off, while it minimizes the length outside, means that any movement against the diaper goes directly to the length inside. I found leaving it whole was best. I let loop down and then leave the end pointing up in front. That means any movement acts on the slack, and doesn't bother anything inside. I did find that a 30ml cath when filled full could be felt somewhat inside, but reducing it to 20ml fixed that. From reading, the 30ml size is mostly for post surgical use, designed to put pressure on the bladder to prevent bleeding. 

After initial insertion, and once in a while I have some burning near the tip. I rub neosporin around and push the cath in and out a little to get it inside. That addresses it. I drink a LOT of fluids during the day. Concentrated urine is much more irritating. So a combination of various techniques, the right size, and longer term use, it's hardly noticeable now. 

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