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Thread: Botox and condom catheters... is it a better alternative to catherizing?

  1. #1

    Botox and condom catheters... is it a better alternative to catherizing?

    Last week I went to a urologist to get a dynamics test done and everything came out fine.

    After the test I had a consultation with the urologist, and I was asking him about other alternatives as far as catherizing goes.

    He went over all the different possibilities such as: a foley catheter, cutting the sphincter muscle, the superpubic, etc. (none of which I found too appealing); however, he did mention one other alternative that I found interesting.

    He was telling me that they could inject Botox into my bladder and then wear a condom catheter.

    I am seriously considering this option, because right now I am waking my parents up sometimes twice a night, and they are not getting much sleep, and that neither am I. Plus, I don't like the fact that I can't drink whatever I want whenever I want. I'm always constantly watching how much I drink, and never drink anything after dinner, oftentimes after dinner I never drink anything, and through the night drink very little, but I still need to get catheterized at night for some reason.

    The thing I'm worried about is wearing a condom catheter, I remember when I was in rehab, I wore one because I was leaking too much, and a couple days later I had major skin breakdown. If I go for the injections I'm worried that if I do wear one and I start getting a breakdown what would I be able to do. Also, how do you fight the problem dealing with moisture in the catheter, because it sometimes the urine does not always go straight into the bag and sits in the condom.

    Has anyone had this done, if so how do they work out for you, and how did you confront these problems?

    This really seems like a good alternative for me, I will also have the freedom of being worry free... oftentimes when I go out with my friends it's hard for me to relax, because I'm always worried that I'm going to need to be catheterized when I go out, go to school, and when I'm left alone

    Like I said... it seems very promising I just need to know how to get over these few obstacles.

    Thanks for all your help

  2. #2
    Botox in your bladder or in your external sphincter? If you put Botox in your bladder muscle, it will not contract, so will not drain into an external condom catheter. Botox in the bladder is for paralyzing your bladder so it will hold more without leaking between catheterizations.

    Botox in the sphincter does not work very well. A sphincterotomy is irreversable and will result in urine leaking all the time, as will a urethral stent (which is at least reversable).

    In the long term, using reflex voiding for bladder management can lead to problems with reflux, and eventually, the bladder wearing out (decompensation). This can then leave you few options other than an indwelling catheter or urinary diversion surgery, and may also put your kidneys at risk.

    In addition, with any of these you need to wear a bag all the time, and will have to be concerned about leakage, even during sex. Intermittent cath also gives you a much better chance of maintaining your fertility for when you want to have children.

    What is your level of injury? If you can cath yourself, why do you need to wake your parents up during the night? If you cannot cath yourself (ie, your injury level is above C5), then another option might be OK, but should be a last resort.

    Is this urologist a specialist in SCI urology?

    The new clinical practice guidelines on SCI bladder management (from the Consortium for Spinal Cord Medicine) will be released next week. You might want to wait until they are available on-line to make a decision.

    (KLD)

  3. #3
    Senior Member
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    Hi Dann:

    I don't know what level you are but my husband does IC and caths right before bed. Puts a condom cath on, connects to a bag, and caths when he wakes up in the AM. His urodynamics study was ok for this.
    You might try asking if you can use a condom cath at nite so you are not waking to cath at nite. He uses a Rochester Wide Band and uses shield skin to prep the skin before application. Also in the AM to remove it he uses a warm washcloth to loosen the adhesive and it's easier to remove and much better for the skin.

    Sieg
    Last edited by ergvepeog; 08-29-2006 at 02:45 PM.

  4. #4
    Senior Member alan's Avatar
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    Skin prep definitely helps prevent irritation of the penile flesh.
    Alan

    Proofread carefully to see if you any words out.

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