Leaking during transfers

aaronykc · 07-21-2010, 11:44 PM

Ive noticed that if i dont empty my bladder before transferring a little urine will dribble out whenever i bend forward n put pressure on my tummy. is this normal? anyone else have this problem? ive only noticed this recently after showering and transferring back into bed naked and after leaking a lil i cath n find that my bladder is only half full. quite worrying

SCI-Nurse · 07-22-2010, 12:40 AM

Many people have this problem of leaking when they Valsalva or significantly increase their abdominal pressure. This is common in both those with SCI with spastic as well as flaccid bladders. If due to a spastic bladder, anticholenergic medications may help. If it is due to a weak sphincter, procedures such as a bladder sling may be indicated. Urodynamics can be helpful, esp. if done under those same conditions.

If you only have a little dribbling and not a flood, something like a Conveen Drip Collector can be helpful. Many of the wheelchair athletes I work with use these when playing basketball or quad rugby.

(KLD)

JoeMonte · 07-22-2010, 05:58 PM

I have been leaking like that for the last three years. I wear a pad. sounds crazy but keeps me clean. I leak especially when I work out or place pressure on the stomache just as you said. You are not a lone.

aaronykc · 07-23-2010, 07:23 AM

thanks for the replies that helped alot

07-21-2010, 11:44 PM	#1
aaronykc Senior Member Join Date: Feb 2008 Location: Singapore Posts: 320	Leaking during transfers Ive noticed that if i dont empty my bladder before transferring a little urine will dribble out whenever i bend forward n put pressure on my tummy. is this normal? anyone else have this problem? ive only noticed this recently after showering and transferring back into bed naked and after leaking a lil i cath n find that my bladder is only half full. quite worrying

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07-22-2010, 12:40 AM	#2
SCI-Nurse Moderator Join Date: Jul 2001 Location: USA Posts: 41,346	Many people have this problem of leaking when they Valsalva or significantly increase their abdominal pressure. This is common in both those with SCI with spastic as well as flaccid bladders. If due to a spastic bladder, anticholenergic medications may help. If it is due to a weak sphincter, procedures such as a bladder sling may be indicated. Urodynamics can be helpful, esp. if done under those same conditions. If you only have a little dribbling and not a flood, something like a Conveen Drip Collector can be helpful. Many of the wheelchair athletes I work with use these when playing basketball or quad rugby. (KLD)

07-22-2010, 05:58 PM	#3
JoeMonte Senior Member Join Date: Jan 2009 Location: New Milford, Pa. Posts: 437	I have been leaking like that for the last three years. I wear a pad. sounds crazy but keeps me clean. I leak especially when I work out or place pressure on the stomache just as you said. You are not a lone.

07-23-2010, 07:23 AM	#4
aaronykc Senior Member Join Date: Feb 2008 Location: Singapore Posts: 320	thanks for the replies that helped alot