Bed wetting after 3 month catherization

[Zott]

So, I am a 41 year old male that was recently (6 months ago) in a traumatic car accident.  Amongst other injuries a fusion of the c1 & c2 vertebrae was necessary as well as a drug-induced coma so my many broken bones  and needed surgeries could heal.  

Now to the issue:

For almost 3 months I was catherized and since have periodically wet the bed.  I am on heavy pain killers but I do generally feel & respond to the urges to urinate. It seems that its the urge 4 to 5 hours in the sleep cycle that is primarily the one I sleep through although I have urinated in bed as little as an hour asleep.  The condom catheter seems to be something I remove unconsciously or the seal ruptures and Depends fill too quickly.  What  recommendations can you make?  

[sara7754]

With these details ***@**** and [phone] i was able to stop my childhood bed wetting and has been a disgraceful situation in my life. At first my lover was coping with it but 3 months back we where planning for divorce due to my condition but it was through ***@**** i saw online that helped me. I can for the past one month i have never bed wet again. Mr Elliot the parcel you sent to me work as you promised and am so happy. Contact him today and stop your bedwetting. He's the best man to discuss with when it comes to bed wetting problems . ***@**** and [phone]

[rmprdl1964]

Hi,

I too use condom catheters for intermittant incontinence.
I have a suprapubic cather in becuse of a neurogenic bladder and having a fistula between my prostate and rectum.

I have tried several different ones and had good success with one for quite a while.
One thing that also makes a difference is the type of bag that you use. Currently, I'm using Conveen leg bags. I have bedside bags as well but have found that it causes me to leak. With the bedside bag, there is the ling tubing that has a colom of unrine contained in it and while sleeping this fluid causes urine to pressure up between my penis and condom catheter. I don't know if this is due to the fact that I'm not circumcised. It seems like the pressure of the colom of urine backing up in the catheter causes the foreskin to fold back on it's own thereby breaking the seal.

I'm also wondering if you are using the skin barrier. I had tried for a long time not to use the skin barrier since it is not covered by my insurance plan. The skin barrier causes the glue from the catheter to stick better to the skin of the penis. Another thing that could cause the seal to fail, is if the diameter of the condom is larger than the diameter of the penis. Try and go with the smallest size to fit the penis. I know that it can be somewhat embarrasing to have homecare come in and measure once's penis.
Another thing to be realized is the fact that the catheters should be changed at least every second day. My drug plan only allows for a third day change. The failure of a seal usually happens on the third day. There is glue available for condoms that don;t have to glue on them and I have thought about getting some to add it on to the glue included with the catheter.
The other stupidity is the fact that seem to suggest that it is best for the penis to be erect while puting on the condom catheter. No matter how I try, without a Caverject injection, I cannot obtain an erection. I have had ED since about 1999.
When putting the condom on one has to ensure that the foreskin (if present) covers the glans and having as much of the foreskin forward as possible.

There are different condom catheters available. I have tried a sheet which is basically a heavier rubber type condom with an other sheet and an inside seal to role onto the penis. It did not work very well for me, due to the fact that since I'm no longer physcically active as I used to be. As a result I have gained some body fat resulting in a retracted penis. The catheter is held in place by a device simmilar to a jockstrap. In my case this causes contact from the waiste band with the suprapubic catheter, which results into bladder spasms.

There is one product, but I'm not sure if it is still available. Instead of trapping the whole penis and relying on a seal between the penile shaft skin, this type of catheter seals on the glans. It thereby does not have the penile skin and shaft in contact with urine, It also does away with the fact that after removing the condom catheter one is left with a sticky and at times a painful penis. The catheter is formed by three pethals like a flower, to be fittet onto the glans. The seal is formed by the warmth of your hand.

http://www.bioderm.us/index.php?option=com_content&view=article&id=52&Itemid=168

I hope that this information is of use for you.

I know how it is to be out in public or just sleeping beside my wife and not knowing when the seal of the catheter is going to fail.

I will have a talk with my doctor and the homecare nurse. I might just opt for going with a urinary divertion surgery that a urologist suggested. The only drawback is the fact that once this is done, it cannot be reversed. Having any hope of returning intermittant self cathing will not be possible as well as being able to urinate through my penis.
For me it is a very  difficult decission.

All the best,

RR