Shane Partridge
Neo-Bladder Reconstruction
Neo-Bladder and Urethra Hygiene is a vital component in reducing the continued element of Urinary Tract Infections. As in my case, being given a Neo-Bladder in June 2017 to eliminate Urothelial Carcinoma Stage T1 HG. I have had multiple Urine Infections since then. Even though having Physiological Training in Pelvic Floor exercises to reduce Stress Incontinence (Urinary Seepage) an underlying factor in Urinary Tract Infections involving People who had a Neo-Bladder Reconstruction.
The Pelvic Floor Exercises involves a (Ten Second) Pelvic Floor Contraction followed by a (Ten Second) Rest for a Maximum of (Ten Repetitions) at (3 x Per Day).
Wow, seems a lot of Exercises, especially for any one with a Busy Lifestyle.
But remember, (Not doing) these Pelvic Floor Exercises and keeping the Urinary Tract Clean can increase the Element of (UTI's) and over time have an recurrence of a Tumour forming below the Sphincter Muscle in the Urethra Tract.
As what happened in my Case.
I had a Retrograde Pyelogram and Washings on the 20th Dec 2019 to ascertain the severity of my Urinary Tract Infections, Neo-Bladder and Ureters. The end result concluded that a small 1/2mm Tumour had developed at the base of the Sphincter Muscle below the Neo-Bladder itself.
The Specialists came to the Prognosis, that Stagnated Urine may be the culprit of continued Urine Infections, reduced Kidney Functions and eventually small Tumour formation beneath the Neo-Bladder in Urinary Tract.
The Specialists then advised that I have a Self-Catheterization of the Neo-Bladder every night before going to bed, mainly to eliminate Stagnated Urine that pools in the Neo-Bladder at night regularly.
My First Self-Catheterization Procedure occurred at the Brisbane Mater Hospital on Friday the 21st Dec 2019. Before having the procedure which were conducted by some lovely Nurses, I went to the Toilet and Urinated approximately
100-150mls, then 10-20 mins afterwards I went through my first Self-Catheterization procedure and filled the Urinary Bag to at least 400mls. Gosh, I thought, how can that much Urine be retained in the Neo-Bladder.
But it does happen, for people who have to work during the day and avoid night Training Urinations every 2-3 Hours just to get some sleep, the Neo-Bladder does increase with Volume over time, thus storing Large amounts of Urine, and Urine that is stagnated causing Multiple Urine Infections and eventual Tumour formation in the Urethra Tube. Luckily, for me though, being under constant surveillance the Tumour was found early and a plan devised to eradicate the formation of stagnated Urine in the Neo-Bladder.
Having a Neo-Bladder procedure, it is easily to fall back into old Habits of Lifestyle as before being diagnosed with T1 HG Urothelial Carcinoma because from a Mental Situation, you have a new Bladder and look as normal as before the diagnosis of Cancer.
But that isn't the Case. A Neo-Bladder is (Hard Work) especially for Working People, It's Maintenance involves (Hygiene) and (Continence) to reduce Bladder Infections. So your Lifestyle does (Revolve) around Neo-Bladder optimum Functionality. Which in my case, I had to re-think about my Future Perspective and Neo-Bladder Health and Maintenance and not fall back into the old routine of Pre-Cancer Lifestyle. So you must consistently ascertain your Situation and Lifestyle around the Maintenance of a Neo-Bladder Optimum Functionality.
SELF-CATHETERIZATION -So another implementation Procedure to the Neo-Bladder Management is Self-Catheterization. For myself, as a working Person, Self-Catheterization is a good procedure to drain the Neo-Bladder completely at night before going to bed, so no Stagnated Urine is left sitting in the Neo-Bladder over Night or during the next day.
As in my case, in the Urology Ward, I urinated 100-150ml of Urine, then 20mins later I completed my first Self-Catheterization procedure and filled to Urine Bag to approximately 400ml. Which concluded that just Urinating alone with a Neo-Bladder does not completely drain all urine from the Bladder.
To sum it all up, well in my Situation anyway. Yes, having a Neo-Bladder Procedure does help in keeping you as normal as possible by still urinating through your Penis, but the underlying management of a Neo-Bladder is being consistent with Hygiene, and but not least, Pelvic Floor Exercises to reduce leakage of Stress Incontinence which is consistent with a Neo-Bladder Procedure.
I hope this information is vital for people who are going through the motions of a Neo-Bladder maintenance and Hygiene Procedure. Mainly because your HEALTH and LIFESTYLE revolves around how well you can maintain Functionality and Hygiene of your Neo-Bladder which does in turn change your Lifestyle and attitude perspective of Health and Hygiene.
Self-Catheterization with a
Neo-Bladder Procedure.
Relaxation of Sphincter Muscles making easier insertion of Urine Catheter.
Of course with a Neo-Bladder, the Native Bladder and Prostrate are removed.
Avoid letting your bladder get too full. This increases your risk of infection, permanent kidney damage, or other complications.
Sphincter Muscles
Intermittent Catheter
Color Coded Diameter Width.
Length - 16in (40cm)
Straight.
Created by catheter Users,
for catheter users
Intermittent Catheter - (FR) to Metric & Imperial Conversion Size.
In general, urinary catheters range in size from 8Fr to 36Fr in diameter.
1 Fr is equivalent to 0.33 mm = 0.013" = (1/77") in diameter.
General Adult beginners Size = 14fr : Color Code = Green
Metric Conversion = (14fr x (0.33mm)) = 4.62mm diameter
Imperial Conversion = (14fr x (0.013")) = 0.182" diameter