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Thread: leaking bladder, why did it just start happening?

  1. #1
    Senior Member mr_coffee's Avatar
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    leaking bladder, why did it just start happening?

    Hello everyone, i'm a C7 incomplete sci and recently I ran out of my normal sized caths and I tried using a size bigger and this worked fine. I noticed after that though I would start to leak with only about 200ml and before I could hold up to 800+ without leaking even though i wouldn't let it fill up that high. When I sleep I constantly have to have a bottle near by and its becoming a problem. I just started taking Vesicare for about a week and it still feels like I have to pee really bad with only about 200-300 in there and then it starts coming out. Any ideas on why this just started happening or how I can stop it? Thanks.

  2. #2
    I have that problem with a UTI...

  3. #3
    You are doing intermittent cath and letting your bladder get up to 800 cc.??? This is unsafe and likely to increase your risks for UTIs significantly. This is probably what is going on with you now.

    Larger catheters can also do more trauma to the urethra and introduce more bacteria. We don't usually recommend using anything but a 14 fr. for any adults doing intermittent cath.

    Vesicare may not be the right anticholenergic for you. Have you been on Ditropan or Detrol before? When did you last have urodynamics? Have you taken a specimen to your physician for a urine C&S to see if you have an infection? Are you running a fever?

    (KLD)

  4. #4
    Senior Member mr_coffee's Avatar
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    I do urine samples and just recently seen the docotor and the urine is fine, so its not a UTI. What i'm asking is, did the catheter stretch out my sphixnster muscle in the bladder? I only used them a few days and then went back to the regular sized ones. I'll ask my doctor if i can get on ditrapan, how many mg should I get on? 5, 10, or 15? THe reason I took Vesacare is because it is marketed not to have bad dry mouth side effect. Does ditrapan cause dry mouth? One of the pills I took made me loose sense of taste, anyone else experience this with ditrapan ? Thanks.

  5. #5
    You need urodynamics before you take these meds. When did you have this test done last?

    All of the anticholenergics cause dry mouth and constipation problems. You might want to consider intravesicular bladder instillation of Ditropan, but urodynamics are needed first.

    Is your urologist a specialist in neurologic urology?

    (KLD)

  6. #6
    Senior Member mr_coffee's Avatar
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    I had urodynamics about 3 months ago, is that when they fill ur bladder up with air and see how strong u can hold the air in without leaking? If so she said i had the perfect cathing bladder, but now thats changed. What exactly is intravesicular bladder instillation of Ditropan?

  7. #7
    Urodynamics done with air is outdated and not considered a very valid test. It needs to be done with water or contrast solution, and ideally should be done with videofluoroscopy too, as well as combined with sphincter EMG. It is also possible for your bladder to change neurologically in 3 months, esp. if you are fairly recently injured (in the last 1-2 years).

    If your bladder has changed, this is a reason to consider repeating urodynamics.

    Intravesicular instillation of Ditropan is making a solution of water and Ditropan tablets, then instilling this into the bladder (usually 30 cc.) at the end of your catheterization and leaving the solution inside the bladder when you remove the catheter. It bathes the bladder with Ditropan, and although some is absorbed systemically, there are lower rates of side effects. You would need to do it 2-3X daily at the end of a cath, and it does not work for everyone. The solution must either be made up fresh each time, or refrigerated between uses.

    (KLD)

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