self intermitten cath/question.

[kngtreeman]

i haver been recently regaining some function below injury.t-8.post 2 years.i wont go to much into detail.however i can now pee some when my bladder is very full.only a litle,but its more than i could a couple weeks ago.my question is ,wile the catheder is in,is it possibe to push urin out thrue the catheder.it hasnt been that long since my injury that ive forgotton how to pee.the reason i cannot is obvios.my question is that if an able bodied person had a catheder in ,would they be able to bear down and pee thrue it,or is it just a direct line to the bladder and would not be able to

scott r

[stephen212]

I think you need to elaborate more on your question. But here's my instant and probably off-base answer.

Are you talking about a Foley catheter or keeping a straight (intermittent) catheter placed inside the bladder? Either way, urine, like any liquid, wants to flow from an area of high pressure to an area of low pressure -- that's just simple physics. As long as that pressure gradient exists, there'll never be enough urine remaining in the bladder to initiate a good urine stream as the bladder is constantly emptying through the catheter.

[SCI-Nurse]

Scott -- Since the title of your topic was self IMC I am assuming you are talking about voiding through the catheter as you pass it into the urethra and bladder neck. As Stephen mentioned you would naturally see flow return as it is passed into the sphincter.

It sounds as if you are possibly having reflexive or "kick-off" voiding or possibly overflow incontinence as your bladder gets full in between your caths. You are noticing that these amounts are getting larger. Do you wear an external catheter in between caths so you can measure the amounts? Has your MD ordered a set of urodynamic tests yet, particularly a CMG to see what "type" of bladder you have? This test will also tell the MD what your filling volumes are in relation to the pressures going on in your bladder wall muscle. PL

[mikek]

The answer is YES with an intermitten catheter
I can bear down and push my blatter to empty quicker. Try this when you have to pee, get a stream started press on your blatter or place your hand under running water measure it and then cath and measure that fir comparison. You are getting some return and would have uriodynamics done asap !!! Good Luck !!!! Mike