New member Diverticulitis surgery with colostomy and bladder issues

Archives1

Staff member
I have been having GI issues for the past 8-10 years. I am 51, married, fit and active male. I work full time as a sales rep which involves constant travel.
The ever constant fevers and intentional pain landed me in the hospital quite a few times. I was diagnosed with acute diverticulitis. The fevers and pain started to come more frequently. Last July, 2019, I decided to have Diverticulitis Surgery. I was assured that since it was elective and not emergency surgery, it would be a less riskier procedure and I would be back to normal in no time. The surgery did not go as planned. My sigmoid colon was adhered and calcified to my abdominal wall. As a result the surgeon removed 16 inches of my sigmoid colon and part of my rectum. It was called a partial colectomy. As a result, I had an colostomy bag for 7 months. The ostomy was required to allow the intentional inflammation to subside before attempting to reattach. The calcification was not picked up in the multiple Cat scans I have taken over the years. It was a result of scaring from all of the attacks and the multiple rounds of antibiotics that were prescribed. The colostomy took a great deal to get used to. Defiantly life altering. However, there was always the light at the end of the tunnel. I had uncontrollable discharge for the first few months as a result of the severe inflammation. The inflammation also caused urinary issues as well. Because of this and never knowing when and how much it was recommended to wear a pad as protection. The pad was not a problem, I already had a ostomy bag which was 100 times worse. Unfortunately, the pads did not always work for me. My wife suggested to experiment with different absorbable products so that I could get a good nights sleep and feel confident to leave the house. Where to start. There are many great online medical companies that provide samples of products like Northshore and HDIS. HDIS will send you a box of all different types of diapers to sample. You can call Northshore and they will also send you free samples. I’m sure most of you know about this, but figured I’d let you know. Everyone is different and what works for some will not work for others. I was thrilled, after 7 months to get rid of my ostomy bag. I have no regrets, the bag saved my life. I was to have the ostomy reversal in Late January 2020. The 2nd surgery did not go as planned. My large intestines were reattached but I was now left with a temporary Ileostomy. They also had to remove another 6 inches of colon to reattach healthy ends. To make matters worse, the Rectal stump that was stapled during the first procedure attached itself to my bladder. During the removal, my bladder was lacerated. Now I was sent home with a new ileostomy and a catheter. I had the catheter for 18 days while my lacerated bladder was healing. The ileostomy had to be kept for 2 months to allow the large intestines to reconnect or anastomosis. The catheter was a nightmare as some of you know. It would leak and at times and have spasms. My urologist prescribed Tamsulosin and Oxybutynin to help with this. So now for 2 months waiting for my 3rd surgery, I had an ileostomy bag, catheter and was relegated to diapers almost 24/7. Finally, in Mid-march I had the 3rd surgery to reconnect all my plumbing. They had to remove an additional 4 inches of my small intestine to reattach. I had it just in time before elective surgeries were stopped in my state. I couldn’t be happier. The first 3 months required a bit of unexpected toilet training while my body got used to my new plumbing system. Not fun but it’s awesome not having the bag. Four months post surgery I seem to be getting better every day. I wake up to go to the bathroom at least twice a night, sometimes more. My urologist has diagnosed me with Nocturia, bladder spasms and frequency of micturition. I am still taking the Flomax (tamsulosin) and Oxybutynin. Additionally, I take Metamucil every day with a probiotic. I watch what I eat and use a daily diary. The accidents have diminished somewhat but I still wear protection if I go out for an extended time or at night. I understand that after 3 major surgeries it will take some time to heal.
I am amazed by all of your inspirational stories and how you have coped with your “new way of life”. I hope to one day be back in my tightly whities full time. I am grateful that I am still alive. That I have no more diverticulitis attacks, fevers and that dreaded white stuff which always followed an attack. My advice is that if you are diagnosed with acute diverticulitis, DON’T WAIT! have the surgery. I waited too long.
Since I was cut open 3 times, I did develop an abdominal hernia. I was told that I will need to wait at least a year to have this repaired while everything else heals. I’m wondering if this may be the cause of my ongoing urinary problems?
I am thankfully negative for Crohn’s, IBS and ULC.
I see my urologist in September and hope to have an answer for my Nocturia and occasional spasms.
I am wondering if anybody else on this site has gone through anything similar? If so how long ago and how you are mending? Have you gotten your confidence back?
My company that I have worked for the past 20+ years has been amazing throughout all of this. Due to Covid19, I am one of the lucky few that I can work from home for now. I hope that by the time I go back in the field I have control over this.
This site and others like it, provide great support for all of us. Unless you go through this yourself, others can’t relate. For now I take things one day at a time, go for my daily walks with my wife and enjoy living.
 
its so great to hear a story with a good outlook! we people are all on different journeys but need inspiration like this to find a way to keep going. i know its hard work but also so happy and wishing the best for you.
 
Hi Nocturiat55,
Glad you are here. My other half had Diverticulitis and part of the GI tract removed several years ago. Definitely you and her have been through the wringer (like the old school washing machines) ouch!
Very happy you are doing better now, and alive is normally a good thing so it’s an added plus😊. I found the oxybutinin helps for spasms but also makes me thirsty and makes my eyes feel a little dry now and then. Other than that it does a good job with spasms. I did try the Botox shots in my bladder and they really helped for about 4 months. I don’t know with your current healing going on if you could try that too.
Anyway, thanks for your post. Very happy you pulled through. Sure sounds like you are one lucky person for sure🙂.

Have a nice weekend,
Jim in Maryland
 
Hi @Nocturiaat55! It's nice to meet you and is great to hear your story and get more representation. I'm happy you pulled through as well and are enjoying your life with your wife!
 
That must have been quite a harrowing time, Nocturiaat55. I'm glad the worst is behind you and that you are taking good care of yourself. You have some real goals to work for and with continued teamwork with your doctor, you can reach them. Continue to take those walks with your wife. Walking is wonderful exercise and it's good to get out and see and hear what is going on in the world and you have someone to share that with you.:D Welcome to the forum!
 
@Nocturiaat55 Wow, sir, I am so impressed by all you have survived not just with your life intact, but with a humble, positive, and grateful attitude, to boot! Well done! You are inspiring and I appreciate you sharing your experiences with us!

To answer a couple of your questions...

Yes, a hernia can contribute to bladder incontinence and spasms, as can trauma anywhere near the sensitive bladder, which is one of the most nerve-centric parts of our bodies. I imagine with all the surgery you’ve survived, not to mention the laceration, you incurred some permanent damage to your bladder nerves. Nerves aren’t particularly great at regenerating, particularly when they connect directly to the spinal column, which bladder nerves do. So you may not regain your former level of bladder control. It takes about nine months for nerves to die completely, so if after nine months you don’t have all your bladder control back, it’s likely to stay that way.

After my spinal injury 5.5 years ago, when I permanently severed most nerves to my bladder, two months passed before I started experiencing loss of bladder control because it takes some time for nerves to die (though some of mine were dead immediately, forever - my entire left buttock, for instance). Then my OAB and nocturnal polyuria got worse and worse until the nine month mark, when the nerves were done dying and I had the new bladder nerve baseline I’d live with in perpetuity.

Some good news: though the frequency of my micturition remains just as often, and the urge intensity is sometimes still painful, overall, the farther away I get from the injury, the more the spasms decrease in quantity and potency. So there is some hope there; may you experience a similar relief the farther away you get from your three surgeries (and the pending fourth hernia surgery).

All of my symptoms improved with dedicated physical therapy to strengthen my pelvic floor muscles. I can stop 9 out of 10 daytime accidents now by flexing my levator ani muscle group (the pubococcygeus, puborectalis, and iliococcygeus). “Doing Kegel exercises” is a somewhat disrespectful minimization of what’s involved in a thorough batch of pelvic floor P.T., but it’s easier to just say “Kegels.“ I know some people think they know all there is to know because they google, “How do I do Kegel exercises?” but there’s a lot more to it that a physical therapist can help you understand with both touch and breathing. So I highly recommend P.T. Even though it’s duration can feel obnoxious and slow-going, the results are well worth it. If you try it and don’t feel like you’re improving, change the P.T. or the clinic. I always look for Ph.D. P.T.s. They may take longer to initiate treatment with because they’re busier, but they really know what they’re doing, unlike P.T.s who may only have a 2-year Associate’s degree.

There are several lifestyle changes and medications to take to help with both incontinence and spasms, and it sounds like you’ve tried a couple. I took huge doses of Oxybutynin/Ditropan for the first three years but found that it oddly made me pee more often and with sharper pain, while also making it harder to expel the urine. Somehow it still helped, though - I guess it bought me time to make it to a toilet. I decided eventually that I could take it or leave it, in terms of how it helped my bladder. It made my eyes burn and absolutely rotted my teeth. I’d had four cavities in my entire life prior to Oxybutynin. I take really good care of my teeth. After just two years on Oxybutynin, I had at least one cavity in every tooth, six crowns, and two root canals. The dry mouth rot isn’t worth the slight perks of Oxybutynin. I will never take it again. Unfortunately the longterm damage to my dentin is permanent so even though I quit taking Oxybutynin two years ago, my teeth rot along my gum line continues. Side effect disclaimers can be so misleading, so indirect. Why do they just say “may cause dry mouth,” instead of also saying “may rot your teeth which may affect your lifelong ability to absorb nutrients”? Anyway, not everyone has that result to the extent that I did. I was prescribed triple the daily maximum amount.

I’ve also taken Myrbetriq regular release and extended release. Neither had any noticeable side effects for me, but didn’t help much, either.

My favorite medication is Botox. It’s absolutely worth the 10-minute-long painful procedure to be done every 3-6 months in exchange for the peace of mind (and peace of bladder!) to be able to get a dry, thorough night of good rest, uninterrupted by the need to pee, or worse, a wet bed. Decent sleep is a vital component of a healthy life. So I’m in favor of doing everything possible to help me sleep well, which means doing everything I can to help my bladder, including receiving Botox injections, wearing diapers even when I’ve had Botox - just in case, and sleeping on several layers of “chucks” (disposable, waterproof bed pads) under my fitted sheet, with two non-disposable, waterproof, fitted sheets under that, so I can rest assured my mattress doesn’t run the risk of being permanently stained with urine. *Then* I sleep better.

I hope your entire G.I. region continues to improve and that your hernia surgery is also a success, without further complication. I’m happy for you that you have your wife by your side to support you and to spend time with. I agree with billiveshere: keep up those walks, and have a great weekend. Sounds like the worst is behind you!
 
Wow! The people on this site are simply amazing. More people need to know about this. I stumbled across it while looking for advice on google. For the first few months I only read people’s threads and thank the stars I posted something about my condition. You have all given me great advice so far. Snow, you really gave me some great advice to use going forward and will look into all you stated. Your words of encouragement are taken to heart. I am happy that you have found ways to treat and cope with your injury. I’m hoping for the same. Interesting about the details on Oxybutynin. I’m seeing my dentist for the first time in a week. I will let you know as I haven’t had a cavity in 40 years! I have a friend who is an acupuncturist and yoga instructor. She knows about my surgeries but not any of my issues. She might be able to teach me some exercises or I’ll take your advice and search out PhD PT. Jrpoorman, hope your wife is fully recovered from her diverticulitis surgery. From researching other threads, intestinal adhesions, while we have the colostomy or ileostomy in place seem to cause of many operative and post op issues. They seem to stick to everything! Each of my surgeries was over 5 hours and each time it was related to adhesions. Crazy how our body works! Everyone who has posted, many thanks!!! The wife and I just got back from a 5 mile walk and the kind words and sentiments were the icing on the cake for me tonight. I’m a rookie but I’ll keep posting and help others when and if i can. Good night all!
 
@Nocturiaat55 ,
Hang in there and thanks for sharing. We are all in it together in so many ways.

Sleep well
 
@Nocturiaat55,

I can sympathize with the change in life with having first a colostomy, then an ileostomy. I'm anticipating getting a permanent ileostomy later this year, and I've been doing extensive reading about it. While I haven't had the surgery yet (and it's not guaranteed that I will, although it's likely) I'm pretty familiar with what all it entails. In my case, it's the result of 30+ years of ulcerative colitis, and I don't really think I'm going to miss my colon or regret having the surgery.

Trying to be on the road while you're suffering with diverticulitis had to be incredibly tough. My hat is off to you!
 
Nocturiaat55, Thank you so much for the wonderful comments about the people on this site. Funny thing is, we wouldn't know each other from Adam if we tripped over each other out on the street!:) but the group has come together in a very compassionate and no-nonsense way to provide support to each other. It's helped me in a way I'm not ready to divulge at this point.;) Everybody here seems to possess an innate ability to be helpful to people who most need it. It's really amazing that a site like this can be a network of strangers pulling for people they have never met in person. To me the best thing is there are no rude comments or any inferences that those of us who have these issues are to be scorned or made fun of. Thankfully,, everybody here is mature and sincere in our quest to help others navigate a journey that can be difficult and upsetting. We are happy you found us and everybody can help everyone else resolve any issues that may pop up from time to time. A five mile walk sounds great!:D On Sunday mornings (and other times) I walk a course that is more than four miles long and enjoy every minute of it!:D These days I go out as early as I can because later on we'll get heat (mid to upper 90s) and possibly thunderstorms!:O A healthy lifestyle will make our journeys through this incontinence thing even more rewarding.
 
Again, thanks everyone for the kind words, support and helpful advice going forward. Will update as necessary. Stopped taking the Oxybutynin for now. I am concerned about some of the side effects. Found this on the mayoclinic after reading Snow's comment. "Your mouth, nose, and throat may feel very dry while you or your child are taking this medicine. For temporary relief of mouth dryness, use sugarless candy or gum, melt bits of ice in your mouth, or use a saliva substitute. However, if your mouth continues to feel dry for more than 2 weeks, check with your medical doctor or dentist. Continuing dryness of the mouth may increase the chance of dental disease, including tooth decay, gum disease, and fungus infections."
for now I'll stay with the Flomax and Probiodics
 
You must log in or register to post here.
Back
Top