My Urologist Visit

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checkingoutall

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Went to my urologist for a four month checkup. Nothing happened during that visit other than he was going to have his nurse setup an appointment for me with another specialist out of town. :wallbash: I told the doctor that my bladder is getting worse. I have to use 3 to 4 Dry 24/7 diapers a day to keep dry. He didn’t say anything about it.

So Friday, his nurse called me with appointment information. While talking with her, I asked her if she would ask the doctor if I could use a Foley catheter for a while to give me a break for a little bit. :fingerscrossed: The Dr. agreed :)and the nurse said if you can come into the office before they closed that she would put one in me and hook me to a leg bag. I told her I would be there as quickly as possible. :truck:

When I got there, she took me back to an exam room that she had all ready for me. :sweatdrop: While she was getting her gloves on and starting to open packages, I just dropped my pants, took off my soaked diaper, got a wipe out of my bag and started wiping my diaper area. Doing this while the nurse and I was just chatting. This nurse is a young nurse and very cute too. She joked about me wiping myself, :lol:she said, you don’t have to worry too much about that cause I am going to use what I have to wipe you again. So I lay down on the exam table with my pants down. :tucked: She spread my legs some and put a glass measuring cup between my legs. They use them to drain the bladder into. She put the catheter in me and let it drain. Neither of us could believe how much I had in me. I told her I no longer can tell when my bladder is full; it just goes when it wants to. Once I was all drained she started to hookup the leg bag but dropped a strap in the urine. Once she got out another strap and finished, I got up and pulled up my pants. She left the room to go get me a night bag so I don’t have to wear the leg bag while sleeping. While she was out, she found me an extension tube so that I could wear the leg bag down at my calf. So I dropped my pants again and she knelt down and moved the bag down my leg. She told me if I have any problems to call her and that in about 6 weeks she would take the catheter out and I would go back to my diapers.

What was so interesting to me was I didn’t have a care in the world when I dropped my pants and started removing my soaked diaper. I didn’t give it a second thought and she didn’t have to tell me to get undressed either. When I lay down on the table she pulled the curtain so if someone walked in the room they couldn’t see what was going on. I didn’t even think about that when I was standing there wiping myself. Someone could have walked right in while my pants down, soaked diaper in hand, but I am now starting to get to the point that I don’t care.
 

Darkfinn

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I'm glad things went well for you... but I'm just not a fan of caths. Too many possible complications.
 

checkingoutall

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I'm glad things went well for you... but I'm just not a fan of caths. Too many possible complications.
Since I cath every day as well as having to wear diapers, having a Foley in for me at least is less complications. It is also helping another medical problem I have.

Catheters are not for everyone. Everyone has a different reaction to them sorta like everyone has their own type of diaper the wear and how often they change.
 

Slycamer

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well all for ya but i don't like the idea of a catheter in me it just... *shivers so hard i hit the wrong key several times*
 

Chillhouse

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Interesting story... Glad it worked out for you...
Not
sure
why
we
had
to
hear
it
...
.....
..
*walks away*
Hey, man, it was a nice story. We're a support community - if we can't share anecdotes then what's the point? :thumbsup:
 

Corri

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Hey, man, it was a nice story. We're a support community - if we can't share anecdotes then what's the point? :thumbsup:
I'd expect there to be a bit more, perhaps remarks on how to deal with it, how it feels, what I could expect getting a cath... etc. :p
Im being an asshole cause Im sick today and had to take it out somewhere.


Forgive me..
and once again... good on ya dood.

*waits for the ah fuck this hurts at night*
 

Darkfinn

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Also... if you are using 4 Dry 24/7s a day you should get your doctor to check your urine output. You are either drinking a heck of a lot (which is fine) or there is something wrong that is making your kidneys put out way too much urine. Typically with Abena X-plus I can go all day with just two diapers.
 
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Also... if you are using 4 Dry 24/7s a day you should get your doctor to check your urine output. You are either drinking a heck of a lot (which is fine) or there is something wrong that is making your kidneys put out way too much urine. Typically with Abena X-plus I can go all day with just two diapers.
How much water do you drink though?
 

Darkfinn

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I haven't really measured... but let's say I drink enough to stay well hydrated. My urine is typically very light colored or clear and doesn't smell much at all. I am a firm believer that proper hydration helps your body stay healthy.
 

checkingoutall

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Carri ada Drew, :SHOCKED:
My post was put in the incontinence section for a reason. Reason being I am incontinent and wanting to share a little bit about how I am dealing with it. I am glad Chillhouse confirmed that this is also a support community because with comments like yours it sure doesn’t feel like one. I posted the first part of what has happened and what I am starting to accept.

Chillhouse :thumbsup:
Thanks for the support.

Darkfinn,
My fluid intake is anywhere between 100oz to around 150oz a day. Normally I only use two Dry 24/7 a day, one at night and one during the day. I don’t know why I am going so much and that is why I explained to my doctor that things were getting worse but he didn’t really care. He was only interested in getting me to see another Urologist at Vanderbuilt.


Thanks everyone that read my post. Sorry but I no longer feel good about sharing anything about my experiences on this board. I will from now on think 4 times before I even reply to someone’s question.
I will be around but will be quite.

Thank you for allowing me to share and participate what little I have.
 
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Carri ada Drew, :SHOCKED:
My post was put in the incontinence section for a reason. Reason being I am incontinent and wanting to share a little bit about how I am dealing with it. I am glad Chillhouse confirmed that this is also a support community because with comments like yours it sure doesn’t feel like one. I posted the first part of what has happened and what I am starting to accept.

Chillhouse :thumbsup:
Thanks for the support.

Darkfinn,
My fluid intake is anywhere between 100oz to around 150oz a day. Normally I only use two Dry 24/7 a day, one at night and one during the day. I don’t know why I am going so much and that is why I explained to my doctor that things were getting worse but he didn’t really care. He was only interested in getting me to see another Urologist at Vanderbuilt.


Thanks everyone that read my post. Sorry but I no longer feel good about sharing anything about my experiences on this board. I will from now on think 4 times before I even reply to someone’s question.
I will be around but will be quite.

Thank you for allowing me to share and participate what little I have.
Hey buddy,

I'm really sorry that someone had to go and make such a rude comment and change your mind about posting on here. I'm very interested in hearing what you have to say, and personally, I think Carri ada Drew should be the one thinking 4 times before he posts on here.

I'm also incontinent, but both ends. I was using catheters to drain my bladder as well for almost a year, maybe a bit more than a year, I really can't remember when I started and stopped. But I couldn't tell when my bladder was full either, (still can't) and then all of a sudden it would just "let go" and flood my diaper. I wore one as well just for that reason when my problems first began.

According to the urologist, I've got a "Neurogenic Bladder with overflow incontinence", meaning it will fill to capacity before the sphincter muscle gives up and releases the urine.

I never thought about using a Foley catheter for such a long time to control that problem, although it makes perfect sense to me. My problem now though precludes doing that as they don't make a cath for your butt as well, LOL!! I figure now that if I gotta wear a diaper for my bowel, I can use it for my bladder as well.

The other reason I decided to quit with the catheters though was that I was getting really sore and was bleeding from them, I think because they just stretched my urethra too much, even with the numbing jel and lube. The caths I had to use also had to be a bit stiffer too, because I've got a difficult urethra to get one into. The more flexible ones just bunch up and won't go in.

If you don't mind my asking, do you know why you have that problem? Did you have a back injury like I did, or a surgery or something? How long has it been bothering you?

I hope that you can get some answers from the other urologist. I know how much of a hassle this is. As for how you felt when you went into the office for your catheter, I completely understand that too, I feel the same way. It's different I guess when you truly have a problem, rather than if you just want to wear a diaper like a lot of members do. Before I had my problem, I would die before I let anyone see my diaper. Now, it's no big deal.

I wish you the best of luck in a recovery, if that's possible for you. I hope you will also reconsider about posting on here too. There are people on here that like to read what others are experiencing.

Take care, Rick.
 

DiaperBadBoy

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I haven't really measured... but let's say I drink enough to stay well hydrated. My urine is typically very light colored or clear and doesn't smell much at all. I am a firm believer that proper hydration helps your body stay healthy.
you have to drink 8 glass of 8 oz.'s of water. You can drink juice, and soda, but water keeps you more hydrated
 

bdb2004

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Hydration is kinda complicated, basically the goal is to have what you take in equal what you take out (this is why they work so hard to measure your urine output if you are stuck in the hospital for a while, so it helps let them know when something is wrong). But as far as exact amounts, well there is a wide range depending on a variety of factors, for example certain people's kidney's can be ADH (antidiuretic Hormone or Vasopressin) resistant for some reason (there are a few different ones) and that will increase urine output (because less water is reabsorbed) and sometimes urine output can hit 10L/day (in this care you are almost always drinking).

However, there are also more common reasons why the output changes, for example, as you age your ability to concentrate urine decreases (sometimes as much as half), however you still need to get rid of the extra ions to maintain proper electrolyte/acid balance which is important to the whole continuing to live things (Which is always a positive). Basically to look at this from a simplified perspective, if you always excrete x mosm amount of solutes (mostly Na+ and K+ salts and urea) you will need so much water to dissolve it in, and the amount of water depends on how much you can concentrate the urine, and as your ability to concentrate goes down, the amount of water needed goes up, therefore causing you to excrete more water, and urinate larger volumes.

Another important thing to remember in general is that many foods actually contain a decent amount of water, so if you are eating and drinking a reasonable amount you are most likely getting excess water in the absence of a pathological process.

And finally, the body has a ton of different ways to regulate body fluid, so it is able to adjust to changes either way in water intake, for example if you drink excess water (which most of us do) the excretion of ADH will decrease, causing a reduction in urine concentration and an increase in water excretion (because water reabsorption in the last third (Distal portion) of the nephron (a part of the kidney that basically forms and collects the urine) and without ADH this is impermeable to water). So your body will basically sense that it has excess fluid and adjust for it, the opposite will happen if you are hypovolemic (too little fluid) of course if something is wrong this might not happen as well, so if you either peeing very very little or way too much, and you have been drinking a normal amount you should give your dr a call.

Also just a random aside on ADH, being cold actually will inhibit ADH release because of some physiologic responses to cold temperature, which ends up saying that your body can get rid of some fluid, which is why cold weather can make you need to urinate more...
 
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Good post bdb2004. A good job of describing the ins and outs of kidney function! As far as I understand though, problems with ADH secretion/resistance are not too common though and I was just wondering if you have had any urinalysis done recently, as a far more common cause of polyuria (excessive urine production) is diabetes mellitus. If you have already had such tests done then I am sorry for wasting your time, but it is important not to miss something like this which could be being masked by a pre-existing condition.

Good luck anyway!
 

bdb2004

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Yeah, Diabetes Mellitus (D.M., the Insulin one) is much more common then Diabetes Insipidus (D.I., the ADH one), but there are also usually some other symptoms with both conditions, the traditional three symptoms with D.M. are polyuria, polydipsia, and polyphagia (basically peeing more, drinking more, and eating more) and if you have type I diabetes and you are in your later teens a lot of the time the first presentation might be in the ED after you go into Diabetic Ketoacidosis, which basically happens because your body can't use the glucose in it, therefore it goes into starvation mode, which makes an energy product called ketones which are slightly acidic, that leads to an increase in the pH of your blood, which causes a number of other changes none of which are good or compatible with life in the long term, there are also some changes with Potassium and such but those are even more complicated. Type 2 on the other hand can go undiagnosed for years without causing serious complications because you still usually have some level of insulin response in the early stages.

Basically what nappyjon said, always good to get the urine test if you have at least one of those symptoms, or any other concerns and if that is positive the doctor will probably do an oral glucose tolerance test or a fasting blood sugar to determine if it is diabetes or some other condition. In this case D.I. was just an easier example of how urine output can change based on a number of factors and that hydration can be more complicated then it seems...
 

wolfpup2008

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A number of years back I went to the urologist for incontinence. They performed a bunch of tests including something like urodynamic test: they filled my bladder through a catheter and then had me pee into a special toilet to measure the strength of my jet of pee.
The experience was very clinical.
 
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Hi wolfpup2008,

Those are quite common tests, as they measure how well the bladder is actually functioning and can give clues as to what is causing the problems. If the flow is slow, it is likely that there is some kind of obstruction either at the bladder neck, caused by enlargement of the prostate gland or some kind of urethral stricture. The urodynamics tests measure the actual contraction of the bladder wall, by measuring the pressure in the bladder and the pressure in the abdomen. This can give clues as to whether there is a problem with the muscle of the bladder, such as detrusor overactivity or if the problems are external to the bladder, as problems such as constipation can cause continence problems too.

I would imagine that you also had an ultrasound on your bladder both before and after your flow measurements, as that tells you how much the bladder holds when (functionally) full and if it is emptying properly.

If the problems checkingoutall is having are actually due to increased production of urine, for whatever reason, these sort of investigations probably won't reveal anything new, but the urologist may choose to repeat such investigations in order to rule out any of these sorts of problems.
 
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checkingoutall

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Let me first start out by saying if you’re not interested in reading about how I am dealing with my incontinence please stop reading here. I am only adding this post as a follow-up to how I am trying to deal with my incontinence.

It’s been about six weeks or so since I went and had a Foley Catheter put in me. During the first couple of week’s thing was great. While at work, I didn’t have to worry about how much fluid intake I had because all I had to do was go into the bathroom, raise the toilet seat, put my foot up there and drain my bag. At night when I would go to bed, I would disconnect my leg bag and hook up an overnight bag that I would hang on the edge of my bed. Because my bladder stayed pretty much empty most of the time, I was able to sleep a little better.

During the 3rd week, I relaxed a few days on my fluid intake and was also doing some walking on the treadmill. This caused some problems. The catheter rubbed inside my bladder so much that is caused sediment to clog the catheter some, which caused some really bad bladder cramps. When this happened, pee would come out from around my catheter and soak my underwear. So to keep from having wet pants, I started to wear my plastic pants over my underwear every day. I called the doctor to make sure everything was o.k. and he ordered some antibiotics so that I wouldn’t end up with an infection. This helped for the next two weeks.

The last week just before I went back, I started having the bladder cramps again really bad. This time the doctor ordered some meds that stop bladder cramps and I was o.k. again.

When I went back to the doctor’s office, the nurses wanted to know if I was going to have my catheter changed out or just taken out. At first, I didn’t know what I wanted to do. I took a minute and said if it’s o.k. I will continue using a catheter for a while longer. The main reason I decided is cost factor. I was going through 4 to 5 Dry 24/7’s a day before I started using a catheter. This was adding up. So to save money, I will deal with the catheter and what side effects it has for at least another four weeks.

Once I made up my mind, the nurse told me to pull down my pants and sit on the table, cover up with a paper sheet until the doctor comes in. When the doctor comes in, he talks to me about my appointment with another Urologist Specialist that is coming up and is encouraging me to do everything I can to keep that appointment with him. While he is talking to me, he starts removing my catheter. When he pulled it out, it did hurt a little. Then while he is looking me in the eyes talking to me, he inserts a new catheter with out even thinking about what he is doing.

That night and the next day, I was sore down there and blood was coming out from around the catheter. I was concerned to I called the office and they said that some blood is normal, that I should drink more fluids and wait to see if it stops bleeding in the next 24 hours. Well I did what they said and everything went back to normal. So here I am still using a Foley catheter to manage my insentience mainly because I am a cheapskate. In four weeks though, I will go back to wearing diapers unless something changes between now and then.


Again thanks for allowing me to share how I am dealing with my incontinence. With this being somewhat of a support group, I hope that some of what I am going through could help others.
 

JamesArmes

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Well checkingoutall I'm a firm supporter because I understand how you feel. I'm incontinent and I understand your frustrations with other people because I get fucked with for my problems. I'm glad the doctors visit went well with ya. I want you to know that I'm here for you and others that have this problem too!!
 
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