I'm so confused I simply offered my advice based on what my urologist has told me. I use stomach muscles to urinate all things that point to a damaged bladder, tests have concluded it gives a tiny amount of response hence the overflow but other than that it's dead, I need ISC to void fully there is no other way. Not once did I say Retention was self induced, I implied that my reluctance to perform ISC when I was first diagnosed with retention has made my situation of kidney stones and infections self induced because I thought I was being sensible by just letting my bladder overflow and not putting a catheter in it, Retention can be caused by a whole host of things diabetes, multiple sclerosis, myasthenia gravis, nerve damage, trauma and yes a truck driver may be able to get a 1 ltr bladder but the key is they can get it out I can't, I physically can't if I try I blow my brains out trying to push. I'm on a wait list for alternative solutions and do you know which one he said was his last resort urinary diversion surgery as that causes the most amount of damage and leaves a lasting impact that's irreversible, my urologist has said there's nothing wrong with me sticking at ISC if I'm comfortable with that it's seen as the gold standard in urological management and isn't considered dangerous. Ive attached two links one is a PDF download from a UK hospital and the other is official coloplast literature
When it comes to treating bladder issues, intermittent self-catheterisation (ISC) has long been recognised as best practice treatment. But barriers to adherence still exist. Why is that the case?
www.coloplastprofessional.co.uk
I've a whole host of neurological symptoms ranging from migraines, ptosis and neuropathy just to name a few this isn't my only one.
The point of a forum is to share experiences I was simply sharing mine as was every other member in the hope that it could help the OP decide what they need to do. Sometimes making a big decision to do something to your body is a hard one I got offered these options urinary diversion surgery, suprapubic catheter or sacral nerve treatment, carry on catheterising.... I've a week to decide which one to choose and yes I'm going to discuss these options with my urologist who now has further test data Infront of him he can advise me based on a medical perspective but who better understands the workings/downfalls/advantages of a Catheter/nappy/indwelling catheter/urostomy/colostomy than the people who use them 24/7, maybe someone who has a urostomy regrets that decision, or someone uses nappies and finds that they get horrific rashes all the time so the only option was a urostomy and it changed their life for the better, only one way to find out and that's to ask the question. I think what most people mean when they say I don't need an answer is they don't need a medical diagnosis that's what medical professionals are for.
On a side note every time I've ever posted about having another UTI of which I've had lots this year something I can't remember if I've ever mentioned is that I've a high amount of sugar a lot of the time in my urine I dont know why I dont eat a lot of sugar but my body seems to glucose dump into my urine (it's a question for my urologist) high glucose in your urine is known for causing complications such as UTIs as urine is not despite popular belief sterile and the sugar gives the bacteria food which is what is normally absent from the bladder.