Not sure I'll feel normal again.

@Izthewhiz, I’ve had severe OAB due to neurogenic bladder / cauda equina syndrome since I had a catastrophic snowboarding injury at age 35, two weeks after divorce. Lots of people experience lots of kinds of trauma throughout life, at all ages. I’d give anything to only have to pee 15 times per 24 hours like you. I pee at least that much every night; so much for sleep. This forum isn’t a contest, though.
 
My cousin (more like my sister) had major C and L spine trauma after a car accident at age 19. It nearly ruined her life. She’s now 40. At the end of every kind and amount of pain medication treatments and multiple surgeries, she tried interstim for back and neck pain as of a couple of years ago. Now she has almost no pain and only rarely takes pain medication - and she’s a hard-working farmer by trade. Her interstim is MRI-safe. Based on her response, I would definitely try interstim for back pain. But based on my urologist’s critiques, though, I might not try it for my bladder. He says interstim rarely helps bladders even minimally. But he’s only referring to my diagnosis, I guess. I know for me, he would never give me one.
 
For those of you who have interstim or are willing to try it, why not Botox? Why surgery for a permanent implant at your spine, when you can get one visit of injections directly into your bladder every 3-12 months?
 
@snow
I remember that.
I also have a spinal issue
Not as bad, just 2 bulging disc
At l4-l5 l5-s1 with 2 areas with nerve impingement.
I was hoping they would have seen cuadia equina syndrome with my recent mri for we can move forward with this.
 
@olwi
Because of my experience with the Rezume procedure, I am very cautious about my next step. The success rate seems low for improving OAB. This procedure is implanting a device inside the body, not something to take lightly. I don't want to be just trying the next thing they want to throw against the wall.
 
Fair enough Stuart. It’s sort of sad when Doctors get to that stage that they just want to try anything to see if it may provide relief. I guess that is why sort of I haven’t done much yet. Granted my problems are quite minimal compared to most on this site. I have been offered Botox however I am still skeptical of it. I guess honestly I just do not want to intermittent catherize as that would be a great way to get an uti. Touch wood I haven’t had one recently and honestly I am fine just wearing diapers of differing purposes for the time being. Maybe it’s just because I am too scared to Catherized myself or maybe there is something to my reasoning to avoid a uti. However I just think I was offered Botox as it is he next normal step in the treatment of my bladder issues. However as I would say I am not normal. Lol 😂. And I am not just game for anything. Granted typing this I feel sort of a hypocrite in that I am on a newly found drug to prevent ms relapses ‘Tecfidera’ however I have not had a relapse since dec 2016. Granted I don’t really get any of the side effects from that drug so who knows. The joys of life lol.
 
Jwh51, even with 300 units of Botox, I never had to self cath, if it’s any comfort. You could start with 50-100 if you get to the point you want to try that option.

Izthewiz, I’m so sorry about your back problems. I feel ya.
 
@snow

Thanks for sharing your cousin's experience with Interstimm. It obviously can be effective on spinal disc issues, but that your urologist told you it doesn't work on bladder problems,though the comment sounds like it was directed to you.

This is my first response to your posts. You can't respond to every single person(well, some here do). I just feel disheartened that I post to someone who needs some support, and a number of them respond to others, but not to me, which I don't understand.

To your condition, it's a little different - "neurogenic bladder / cauda equina syndrome since I had a catastrophic snowboarding injury at age 35". Wow, that's something I'll have to look up. I need to keep in mind that this is an incontinence site, and though a majority of members have it from prostate operations.

I had a ThuLEP (similar to HoLEP) which is a laser that is capable of removing almost all of the prostate through the urethra. I had a benign but very large prostate (146 cc). It has been 4-1/2 months, with doing Kegels every day, being told my bladder was used to having that huge prostate under it, and that I should expect some time for no leakage.

It improved for a short time, about a month after surgery, but that was short-lived, and it went back to the same thing I'm just sick of it. And I can't see the surgeon because of COVID. I'm supposed to have a phone conversation with him on Tuesday. I know what he'll say from our last conversation. "Just be patient. It takes longer with some than others. Keep doing the Kegels. Once the ban is lifted, I'll have you come in, do a urine void, then ultrasound over your bladder to see if there is any remaning urine (I'm almost positive there is not.), and then take it from there."

I'm so glad I didn't have prostate cancer, thanks to God. But this is so depressing and dehabilitating. If I just reach to my side with either arm, just to pick up some of my scattered paperwork, some urine squirts out. If I walk around the house, maybe wash a few dishes, or get something from a cabinet or the refrig. - same thing. Even just laying down, either watching TV, or during sleep, every 1-1/2 to 2 hours, the napkins I place on top of my diaper (which I also place a stick-on thick pad on), the paper towel is soaked. I use the paper towels because they suck up the urine, and I usually don't have to change the diaper for 2, sometimes 3 days.

We all have our sufferings.
 
Well I've had the interstim. No help. I had the initial dose of botox on Dec 23 and within a week my frequency of urgency was worse and I had to sit down and strain to pee. Now it's been almost 5 months and it's still the same. I'm about at the end of my rope. Too bad there isn't a forum of good urologists to read about all of our various problems. Maybe we could get lucky and get some answers.
 
@DEBEECHER I had the same problems with Botox, hence the reason I'm trying the interstim as a last option, Phil
 
Olwi and others, I’m sorry your problems are so complicated. I guess in one way I’m “lucky” because there’s no surgery nor interstim options for the permanent nerve damage that happened to me. I will say, it took me years to deal with the depression that ensued from bladder disasters, and years to find the products and routines that work best for me. Don’t give up; it’s a long, painful road but you’ll make your way down it eventually. I still haven’t tried every product. I still drink as little as possible to avoid peeing, which is totally unhealthy for the rest of my dehydrated body, of course. So I still have improvements to make. I sure do wish some urologists cared enough to help us here on these boards.
 
@Izthewiz - I had my accident that caused my incontinence over 5 years ago. Interstim and Botox will not help me. Neither will medications. I have days where I don’t even think about my bladder issues and other days when it’s all I think about. The latter days are getting less and less. It’s embarrassing and and stressful but I’m lucky to still be alive. I’m missing a leg and I have to wear diapers but in the grand scheme of things I’m ok. I got a call from my mom last night. My cousin died of a heroin overdose. I thank my lucky stars I’m still here. It gets easier friend. You may never find a treatment that makes you dry. In reality unless my whole bladder and nerves are replaced I’ll never be dry. Just be patient.
 
Sorry to hear about your cousin. That is just terrible. We lost a distant relative to heroin recently too. Some bad stuff and a hard habit to stop for folks.
 
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