Able to pee

htran · 08-16-2006, 02:11 PM

Does anyone pee by straining? If so, how long have u been doing it, and how many times a day? The reason I'm asking is because I'm able to pee by straining, not heavy just very light when I'm full. I notice that when I have more urine than it's easier for me to pee. And I'm able to do this say 3 months after the accident so it's been about a year and a half now. My concern is that does it do damage to the kidney if I continue, I know that it is better to cath but uti sucks. Don't get me wrong I can pee pretty much all of it. I do a test and have under 50cc left in the bag, and still cath in the morning and at night. I drink alot of water during the day time so I go about 3 times during the day. I don't know I'm just scare and hate doctors. ANy input. Thanks..................

SCI-Nurse · 08-16-2006, 04:01 PM

Hi htrn,

What you are describing is called "reflex" voiding and can be the cause of kidney damage. I would not recommend it. If you are getting more than 400-500cc with each cath, then you need to increase your cathing to more often than twice daily.

For more information and an interesting discussion on this topic, please see:
http://sci.rutgers.edu/forum/archive...hp/t-3335.html

AAD

bob clark · 08-17-2006, 08:03 AM

Hi Htran,

If it weren't for the potential (perhaps even probable) danger to the kidneys associated with the high pressures of reflex voiding it would be a good thing. Flushing the bacteria out of the bottom of your bladder and bladder neck and especially your urethra before catheterizing is desirable. Always pushing a catheter into the meatus, urethra and bladder will no doubt introduce more bacteria into your bladder without voiding outward first.

I was taught way back in 1979 the "tap and crede" (pronounced kre-day) method before catheterizng. Alternating between tapping on your bladder area and a "light" pushing on it to help stimulate the bladder into contracting to initiate some natural (outward) voiding. The theory being as I described above, to help flush the bacteria out before pushing a catheter (thus bacteria) in. It's not intended to replace catheterizing, just to help flush the bladder/urethra/meatus out a little bit and hopefully preventing the incidence of UTIs or additional colonization.

Quote:

Originally Posted by Htran

how long have u been doing it, and how many times a day?

I can no longer naturally void outwardly at all. I don't leak a drop. I now have a tight bladder sphincter or enlarged prostated so must intermittenty catheterize several times a day or I'll explode.

Be aware that your bladder will change over time so what works for you today may not tomorrow.

darkeyed_daisy · 08-17-2006, 11:53 AM

I have been reflex voiding for 17 years. When I have been cathed to see what has remained, it is usually 30 cc's or less. I just had several different tests run in August of 2005 and my bladder/kidneys/urethra is virtually the same as it always has been.

I also leak when my bladder gets full. I find for me it is easier to pee every two hours or so and I have been doing this since my accident. With Enablex I can hold it long enough to get to a bathroom.

I do have off days and have just experienced about 4-5 days of not being in control of my urine as usual. Usually this only happens when I have a stomach bug or get really constipated/dehydrated. After a few days though, I go back to my normal schedule with no problems.

When my bladder gets so full. I will pee so I am not really understanding how this could harm my kidneys.....Sometimes it will happen even when it is not full. (not with the enablex though)

I had the test where they look at the kidneys and residual and mine are functioning like a normal persons according to my urologist.

Sisira · 08-17-2006, 10:19 PM

I was injured in 1991 and I used to strain and pee about 6 or 7 times a day. But after sometime I got infections regularly and was advised to take a scan to find out the amount of urine which is retained. And according to it even though I strained my bladder is not evacuvated completely and a residual amount is left in the bladder. So I was told to use a self intermittent cathter everytime I pee. Now I use it about 5 times a day and have had no problem upto now.

08-16-2006, 02:11 PM	#1
htran Member Join Date: Jun 2005 Location: fairfield, ca, solano Posts: 81	Able to pee Does anyone pee by straining? If so, how long have u been doing it, and how many times a day? The reason I'm asking is because I'm able to pee by straining, not heavy just very light when I'm full. I notice that when I have more urine than it's easier for me to pee. And I'm able to do this say 3 months after the accident so it's been about a year and a half now. My concern is that does it do damage to the kidney if I continue, I know that it is better to cath but uti sucks. Don't get me wrong I can pee pretty much all of it. I do a test and have under 50cc left in the bag, and still cath in the morning and at night. I drink alot of water during the day time so I go about 3 times during the day. I don't know I'm just scare and hate doctors. ANy input. Thanks..................

08-17-2006, 11:53 AM	#4
darkeyed_daisy Senior Member Join Date: May 2006 Location: on the wings of a dragonfly Posts: 7,874	I have been reflex voiding for 17 years. When I have been cathed to see what has remained, it is usually 30 cc's or less. I just had several different tests run in August of 2005 and my bladder/kidneys/urethra is virtually the same as it always has been. I also leak when my bladder gets full. I find for me it is easier to pee every two hours or so and I have been doing this since my accident. With Enablex I can hold it long enough to get to a bathroom. I do have off days and have just experienced about 4-5 days of not being in control of my urine as usual. Usually this only happens when I have a stomach bug or get really constipated/dehydrated. After a few days though, I go back to my normal schedule with no problems. When my bladder gets so full. I will pee so I am not really understanding how this could harm my kidneys.....Sometimes it will happen even when it is not full. (not with the enablex though) I had the test where they look at the kidneys and residual and mine are functioning like a normal persons according to my urologist. __________________ T12-L2; Burst fracture L1: Incomplete walking with AFO's and cane since 1989 My goal in life is to be as good of a person my dog already thinks I am. ~Author Unknown

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08-16-2006, 04:01 PM	#2
SCI-Nurse Moderator Join Date: Jul 2001 Location: USA Posts: 41,361	Hi htrn, What you are describing is called "reflex" voiding and can be the cause of kidney damage. I would not recommend it. If you are getting more than 400-500cc with each cath, then you need to increase your cathing to more often than twice daily. For more information and an interesting discussion on this topic, please see: http://sci.rutgers.edu/forum/archive...hp/t-3335.html AAD

08-17-2006, 10:19 PM	#5
Sisira Senior Member Join Date: Aug 2006 Posts: 177	I was injured in 1991 and I used to strain and pee about 6 or 7 times a day. But after sometime I got infections regularly and was advised to take a scan to find out the amount of urine which is retained. And according to it even though I strained my bladder is not evacuvated completely and a residual amount is left in the bladder. So I was told to use a self intermittent cathter everytime I pee. Now I use it about 5 times a day and have had no problem upto now.