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punk18

Am I becoming incontinent ?

31 posts in this topic

SIDincontinent,

firstly, let me apologize. If you are currently happy with your medical treatment plan, your doctor and it is working in your opinion, then I suggest that you stick with it. If, however, that one of the premises (happy with treatement) (happy with doctor) (treatment is working) turns out to be false, then I suggest that you look at alternative options. It is a mistake to expect a different outcome from the same set of circumstances.

As I stated earlier, comparing a foley catheter 'closed system' to an 'open system' there is equal risk of urinary tract infection. With a catheter system, there is always a higher risk of urethra infection compared to no catheter due to the lack of flushing between the catheter and the urethra compared to the urethra without a catheter. With a catheter, the infections are normally caused by poor hygine on insertion rather than bladder / ureter infections due to the foley catheter being held by the urethral sphincter (just above the green prostate gland in the attached diagram).

It is possible, however unlikely for you if you have a qualified and experienced medical professional inserting the catheter, to only insert the catheter just above the urogenital diaphram (pink in the attached diagram) and expand the foley retaining bulb in the prostatic urethra. Some AB/DLs that wish to have reflex incontinence, do this - the result is the bladder fills, and as in starts to expand, the urethral sphincter will open and the person will void due to the urogenital diaphram being held open - as it defeats the normal process of closing tight the urogenital diaphram and sending signals that one needs to void. Secondly, someone doing same would atrophy the stretching ability of their bladder, severly reducing its capacity. In a short time, the bladder will loose its elasticity, and the person would have what is classed as overflow incontinence - ie their bladder would gain about 40ml urine, and they would need to void with extreme urgency.

In your case, since there is, I suspect, damage to the bladder wall, the foley stops concentrated uring from attacking the bladder walls and causing pain. I would suggest diluting your urine - ie increase your water / fluid intake and increase your cranberry intake. Both will decrease the concentration of urine, and allow the bladder wall to heal.

Bladder_Urethra_Male_560w_cIvyRose.png

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That has to hurt, inflating the balloon inside the sphincter....but surely a effective way of destroying the sphincter for good...anyone actually done this?

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punk18, SIDincontinent,
it seems to me that both of you have what is called a neurologic bladder, which means that you bladder does not empty all the way and it retains a small amount of urine. Since your excretory process has already been tripped, even if only 5ml of urine remain, as your kidneys place more urine into your bladder, it simply weeps out. The urologist prescribing foley catheters is designed to empty the remainder of urine so it does not get to concentrated / bacteria rich and create an infection is only adressing the symptom rather than the actual problem. Enlarged prostrate is just one of the many causes a bladder does not empty, and I strongly suggest that firstly, both of you create a voiding frequency & amount chart (void into a plastic measuring jug, write down the time and the amount) for at least 7 days before you both set an appointment to see a qualified medical practioner. There have been hernia cases that have caused the symptoms you both described, so be prepared to undergo a number of tests from different specialists. This is curable.

I have a neurogenic bladder, large bladder capacity, UTI since 3rd grade, used to go once in the morning and once in the evening after i got home from school. Was recently diagnosed with MS and since the last MS attack once i have the urge i have about 5 min to use the bathroom or there is a flood...urodynamics test confirms self dx of urge incontinence but urologist basicly said that i should try to go more often even when there is no urge problem with that is nothing comes out when i try..needless to say i will be speaking with my pcp and neuro drs about this.

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Can wearing a diaper 24/7 when i dont need too for a long period of time make me incontinent?

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7 hours ago, Slim27 said:

Can wearing a diaper 24/7 when i dont need too for a long period of time make me incontinent?

If you relax and just pee in your nappy all the time than certainly you are more likely to have unplanned accidents. When I went 24/7 what remaining bladder control I had was soon lost. As I just relaxed and let my bladder empty at will. My continence nurse warned me it would and advised me not to wear nappies or pads as they insist in calling them all the time but agreed it was my decision and it was me that had to live with the embarrassment of wetting my pants.

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On 4/2/2017 at 10:24 PM, Slim27 said:

Can wearing a diaper 24/7 when i dont need too for a long period of time make me incontinent?

Wearing no, but changes to your urinating habits can. I still have some control when I want it, but not a lot and not for long. Since I went to 24/7 wearing many years ago I simply start peeing whenever I have to so that is what my body now normally does and most of the time I don't even notice it happening, I just notice that my diaper is getting wetter as time passes. The occasional uncontrollable leakage that got me started wearing diapers is still present but now I don't need to stop it so I rarely notice that either. 

Bettypooh

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