Would Love Your Opinion- U-IC and Pain

Octopi

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  1. Diaper Lover
  2. Incontinent
My Backstory and issue:

My U-IC was caused by a surgery I had last year that addressed a chronic issue I had after a traumatic event that affected my pelvic floor and urinary tract. I have pretty constant small amounts of leakage that quickly becomes worse with movement (and is considered a common side effect of the surgery).

I’ve only just started last month working with a pelvic floor specialist to be sure that I recover my pelvic floor after the surgery and they also seemed to think there was a very slim chance that my incontinence might improve with re-strengthening those muscles. Though the way it is going, they have told me to manage my expectations.

Some urinary tract irritation is “normal” when you recover from such an invasive surgery (as well as a few medications associated with that recovery) my doctors have kept notation of my symptoms involving pain and have done their best to only adjust one medication at a time to figure out what is going on.

To Make Matters Worse:

I am working with a urologist, however I don’t feel that our appointments are frequent enough and he doesn’t have the availability (nor I the funds- I’m referencing US healthcare) to make visits more frequent. I am also fairly rural so my options for another urologist are unfortunately limited. His team has made it clear that they want to help, and gave me their direct work email so I can email them directly with any concerns. There is only so much he can do over email though.

The Problem(s):

I have been treated and tested for UTIs several times now (multiple types of tests, always negative, and antibiotics don’t seem to help). The doctors seem to have been under the impression that perhaps due to the surgery I was extremely sensitive and might have been detecting an infection early. Or that maybe they were being caused by my being new to this level of a U-IC lifestyle. We have also explored the possibility of allergies to certain ingredients that might be in pull ups, but can’t seem to find a connection.

At this point I am experiencing near constant UTI symptoms, worse in the AM despite hydrating properly. I’ve been told they simply can’t keep me on the pain relief medication for UTIs (phenazopyridine based I believe?) any longer, they mentioned how it can hurt my kidneys.

What made this appointment I had with my pcp and urologist even more devastating, was that they also mentioned (gently) that occasionally surgery in such a sensitive area can cause scar tissue/nerve problems that can present in pain. They don’t know for sure that this is what is happening, however they seem to be prepping me mentally in case it is.

TLDR Version:

I have near constant UTI symptoms, worse in the morning despite proper hydration. I also have a wonderful care team that is doing their best, and upcoming appointments with them over the next three months. However, I must stop the UTI/bladder pain relief (non opioid) for the sake of my kidneys.

The Request for Your Opinion:

I would love some insight into how others have coped with this pain, my mental health team has suggested “mindfulness” which I already practiced but in my experience can only go so far. At this point I am struggling pretty badly. The recovery has been a ton of work and the pain (while not excruciating) has worn me down as it is pretty constant. So any advice, or even personal experiences would be appreciated!

I don’t want anyone to have experienced this, but if you have I think it would be much easier on me mentally to know that someone understands how this feels. I have a partner who is wonderfully supportive and he is terribly sad that I am so uncomfortable all the time. I feel isolated despite his support, as he has lived an extremely healthy/pain-free life and cannot begin to understand how I feel. (He actively tries to. It’s just he is a lucky guy who can count the number of times he has been sick on two hands.)

Thank you for reading this novel, I hope that it finds you well and happy in this new year!
 
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Sorry you are dealing with this.

PT can take a lot of time (months) to see results. As for doctor visits, not knowing what you are recovering from, are also spaced out for healing, and since you mentioned starting PT, likely waiting to see if it helps before trying other avenues.

Have you considered emailing them to find out if there are OTC medications that can help with the pain?
 
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I'm so sorry you are going through this. I can only imagine how frustrating it must be dealing with all the pain and uncertainty. I wish I could give any advice, but unfortunately, I am closer to your partner and don't have the type of experience you're dealing with.

But I do hope we can all at least help with the feelings of isolation (and hope someone has the advice you're looking for) to make this process easier to deal with. This forum is awesome for that. I'm rooting for you to find some answers and, more importantly, relief soon!
 
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I've not had surgery down there but had a rollercoaster of a year when it comes to UTIs I'm on at least 15+ in a year. Antibiotics are effective for me while on them as soon as I'm off I'm straight back to a confirmed infection so a solution to this has been to try and get me onto a medication called methenamine (hiprex) it's an antimicrobial. You do need a small period of infection free time for it to kick in which I've yet to have so I'm currently taking both antibiotics and this. I'd ask about this as a potential treatment obviously things might be different you've had surgery down there and I know it makes urine acidic so your urologist might advise against but it's worth an ask. Hope you get it sorted
 
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Because they've mentioned the possibility that there is nerve pain involved, have they considered a prescription for nerve pain relief? Gabapentin is one such medication, as is pregabalin (the brand names are Neurontin and Lyrica, respectively).
 
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Very sorry that you are dealing with this string of problems and the resulting pain!

Have you been back to your surgeon regarding what your are experiencing? Commonly the preciseness of this kind of surgery requires follow-up by the surgeon for a fairly extended time.

Pain management has changed treatment over the last four years as lawsuits with over-proscription has doctors running from writing prescriptions and in your can can result in permanent damage to a critical organ should have them pushing you off it.

You state that you where aware that this kind of post surgery results was common. Did they provide a percentage? Normally, surgery that incontinence likelihood exists, but the percentage is very small. To have a surgery result be "common" the surgery is not recommended, unless the reason for the surgery greatly exceeds the risk of incontinence, like the difference between waking and incontinence. Plus that kind of surgery normally include pages upon pages of legal paperwork.

Work-on diet and physical therapy that is known to help reduct pain as medication both limits and is dangerous to your health!

Again very sorry about what you are dealing with.

I was involved in a serious car crash years ago and I am 24/7, U-IC.
 
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