Treatment options I am going to discuss next time I see urol
Posted: Fri Mar 29, 2024 6:25 am
I have been over analyzing my future with my bladder to the point I ended up contacting both my Psychologist and Psychiatrist to make sure I am not made about wanting to be made completely Urinary incontinent without any external devices.
Blader treatment options pros and cons
1. Botox to Urethral sphincter and bladder neck might not work.
- Every 6ish months
- Reduced workload 6 weeks afterward every time post-OP
- Reduces efficiency over time.
2. Indwelling Catheter (cant Intemedite self cath due to essential tremors etc)
- Falls risk I should be using a wheelchair a lot more often due to my spine and feet but it is not OH&S-friendly for support workers who require mobility scooters.
- Will take time to adjust to wheelchair/ mobility scooter as will be more reliant over time due to spine and feet according to Neurosurgeon, Podiatrist, EP, Physio
- Multiple falls to the bathroom.
- Bulky does not fit under clothes well
- Fear of dislodgement if fall
- Has to be changed approximately every 3 months government is already paying for briefs and it is unlikely for nursing to change IDC.
- Possible won't be able to masturbate/sexual encounters or exercise much except swimming with a flip flow.
*POSITIVE- Am completely urinary incontinent for short periods no Frequency, controlled leakage, no retention NO NUMERMOUS FALLS TO BATHROOM AT NIGHT.
3. If able to make the Bladder itself incontinent (My wish)
- Once off
- Already have briefs that are more discrete than IDC.
- Already previously advised by OTs, StateHealth clinical staff to use Briefs in bed due to fall risk. (Bladder is uncooperative regarding this as well as urinal bottle etc.
- Possibly fewer infections than IDC and cath,
- Briefs help with bowel marks (which I think is blood about to have a gastroscopy and colonoscopy done (the Gastrologist thinks I have IBS Constipation after initial appointment) as well as excessive sweating.
Are there any pros or cons I am missing
Thanks
Blader treatment options pros and cons
1. Botox to Urethral sphincter and bladder neck might not work.
- Every 6ish months
- Reduced workload 6 weeks afterward every time post-OP
- Reduces efficiency over time.
2. Indwelling Catheter (cant Intemedite self cath due to essential tremors etc)
- Falls risk I should be using a wheelchair a lot more often due to my spine and feet but it is not OH&S-friendly for support workers who require mobility scooters.
- Will take time to adjust to wheelchair/ mobility scooter as will be more reliant over time due to spine and feet according to Neurosurgeon, Podiatrist, EP, Physio
- Multiple falls to the bathroom.
- Bulky does not fit under clothes well
- Fear of dislodgement if fall
- Has to be changed approximately every 3 months government is already paying for briefs and it is unlikely for nursing to change IDC.
- Possible won't be able to masturbate/sexual encounters or exercise much except swimming with a flip flow.
*POSITIVE- Am completely urinary incontinent for short periods no Frequency, controlled leakage, no retention NO NUMERMOUS FALLS TO BATHROOM AT NIGHT.
3. If able to make the Bladder itself incontinent (My wish)
- Once off
- Already have briefs that are more discrete than IDC.
- Already previously advised by OTs, StateHealth clinical staff to use Briefs in bed due to fall risk. (Bladder is uncooperative regarding this as well as urinal bottle etc.
- Possibly fewer infections than IDC and cath,
- Briefs help with bowel marks (which I think is blood about to have a gastroscopy and colonoscopy done (the Gastrologist thinks I have IBS Constipation after initial appointment) as well as excessive sweating.
Are there any pros or cons I am missing
Thanks