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Thread: Leakage

  1. #1

    Leakage

    When I sit up for a while or do a weight shift sitting up (I lift myself from my arms) I have been getting urinary leakage. In the past I've typically only had this with a UTI, which I am sure I don't have.

    This has been going on for about a week.

    Is there anything realistic I can do? Is it even worth calling the urologist?

    Right now I am uncolonized, I took an antibiotic course a few months back, and so there is no odor. Once I get recolonized this would be quite annoying.

    What is the best stuff to wear at least that won't cause a pressure sore?

    Another day another stupid and annoying SCI symptom what else is new.

  2. #2
    Are you taking an anticholinergic? These medications can help stop spasms that cause leakage. Oxybutynin is one of this class of drugs.

    Have you been evaluated for bladder stones?

    For drip collection, there are a couple "pouches."
    https://www.amazon.com/Guardian-Male...28800298&psc=1
    https://www.vitalitymedical.com/manh...iABEgLwzPD_BwE

  3. #3
    It looks like you may be leaking from increased intra-abdominal pressure (which can occur with transfers, weight shifts, standing, and heavy-duty manual wheelchair pushing), not necessarily bladder spasm, although urodynamics would need to be done to be sure. If so, anticholenergics will not help.

    I assume you do intermittent cath? Or do you have a SP catheter?

    How much are you leaking, can you estimate? If less than 80ml. or so, then an appropriate drip collector (those above included) may be helpful as long as you don't have significant problems with penile retraction. Pay attention to the description of how much urine these can contain. Here are a few more:

    https://www.hdis.com/acticuf-for-men

    http://www.uroanswers.com/male-urine-guard.aspx

    https://www.hdis.com/coloplast-manhood-absorbent-pouch

    If you do have retraction problems, then an absorptive cup like this might work better:

    https://www.hdis.com/tena-men-guard-super

    If you have a larger amount of leakage, a external condom catheter may be needed. Keep your skin dry, and consider using a protective barrier skin spray or swab to keep urine from burning your skin.

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

  4. #4
    could it be different pressure on your prostate causing leaking? like when we pee as stool passes, seems to all have an effect in that area.
    has you butt got thinner? different cushion?
    Bike-on.com rep
    John@bike-on.com
    c4/5 inc funtioning c6. 28 yrs post.
    sponsored handcycle racer

  5. #5
    KLD -
    Yes, I am using intermittent cath.

    It looks like these guards are intended to be used with briefs or boxers.

    Is there some kind of special brief/diaper I can just use, so only put on one thing (that) instead of two things (a brief and a guard)? Is there a risk of pressure sores with using such a brief?

    I looked online but it's hard to know what is safe from the point of view of avoiding pressure sores.

  6. #6
    *Following thread* (Getting info to help with one of my patients.)
    Certified Occupational Therapy Assistant here to learn more about spinal cord injury and related disabilities to better serve my patients, also chief editor for the OTA Guide

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