It's because the bladder has atrophied to the point where it doesn't always
work correctly.  If I didn't have the sensation I do, I could probably live
with it.  In bed I can often raise the head of my bed and get the bladder
to start draining once again.

I saw another urologist who works with spinal cord injuries and he
concurred with my doctor.

Right now I'm doing pretty well, but in a couple of weeks I'll probably
start having a hell of a time again.  I'm been putting this off since July
2011 when I was given a diagnosis.  I tried doing all kinds of things and
while they work sometimes, it's become too painful and dangerous.  There's
been a few times where I've gone into AD and thankfully the only thing that
kept it from becoming a bad case of AD was the urine started began exiting
through my stoma.

Thanks,
Quadius
On Fri, Mar 16, 2012 at 12:13 PM, <[email protected]> wrote:

>  Did you find out why your suprapubic is not draining correctly? If it
> were me, I would get a second and third opinion on why it is not draining
> correctly. It might turn out to be an easy fix. My family doctor always
> tells me don't ever go to a surgeon for a medical problem as their
> treatment often revolves around surgery.
>
> As you say, these are long surgeries. I definitely would not have them
> done close together.
>
> I haven't heard much about colostomy use. My friend had one, and his
> biggest complaint was oder. Would it be possible for you to talk to someone
> who has one? If you can't find someone in person, there must be chat rooms
> for this.
>
> Just my quarter.
>
> Dan
>
>
> On 3/15/2012 8:16 PM, Quadius wrote:
>
>  Thank you John for the feedback.  I am worried about the length of both
> procedures.  They told me the ileovesicostomy takes around three hours and
> I have been told how long the colostomy takes.  I am prone to pneumonia, so
> that is definitely a worry.
>
> I'm also concerned that having two new devices on my body might be a
> little bit too much at one time for my caregiver's.  I use lay people and
> they can be trained, but I don't want to overwhelm them.  They are family,
> but I don't want them to feel like they're getting in over their heads.
>
> That's at least what is going on in my mind right now.
>
> My suprapubic really isn't tenable any more.  It doesn't drain correctly
> about 20% of the time and I have some determined this pain at different
> times.  Luckily right now the pain is not too bad and the catheter seems to
> be draining well, but that often changes like the weather down here in
> Florida.
>
> I don't like going into my living arrangements over the web, so let's just
> say it's a logistical nightmare.  That's why I am really considering the
> ileovesicostomy as a necessary treatment rather than an elected one.
>
> Thanks again everyone; I do really appreciate all the feedback.
> Quadius
> PS I still have some time to make my decision.  I'll let you know which
> way I decide.
>
>  On Thu, Mar 15, 2012 at 5:42 PM, John S. <[email protected]> wrote:
>
>>   dear Q, Don't Freak out. Last Sept. I had to get a supra-pubic
>> catheter,a J tube and a colostomy so they could remove part of my
>> stomach. Now I wish I had the colostomy long ago. 36 years of watching my
>> diet. (wondering how I got a damn ulcer). You have to let gas  out of the
>> bag now and then, it's called burping it. I still use acidophylus to keep
>> the stool well formed. That way I can put two needle holes in the high side
>> of the bag and not mess with burping since I only get two aid visits a
>> day and I can't burp it myself. I am using more cologne. I wish you luck.
>>
>>  john
>>
>>   ------------------------------
>> *From:* Quadius <[email protected]>
>> *To:* quad-list <[email protected]>
>> *Sent:* Wednesday, March 14, 2012 8:37 PM
>> *Subject:* [QUAD-L] Re: colostomy?
>>
>>  I forgot to mention I am just about 17 years post injury.  That will
>> happen in another couple of weeks.
>>
>>  On Wed, Mar 14, 2012 at 8:00 PM, Quadius <[email protected]> wrote:
>>
>>  Well, I'm back asking questions again.  I went in for my consultation
>> about a week and a half ago and unfortunately I've had too many days of
>> feeling bad wasn't able to get back with you all.
>>
>> In the consultation for the ileovesicostomy the doctor noted that I had
>> had a previous doctor recommend that I think about doing a colostomy in the
>> near future.  Well, now they're wondering if I want to consider doing a
>> colostomy at the same time I am having the ileovesicostomy performed.  I'm
>> about 90% sure I'm going to have the ileovesicostomy, because I really
>> don't see any alternative.
>>
>> As for the colostomy, everyone I talk to down here seems to think it's a
>> good idea, including at least one quadriplegic who has one as well as
>> ileovesicostomy.
>>
>> When the doctor made this recommendation I was having a terrible time
>> with my bowels.  Fortunately he was able to diagnose several of my problems
>> and I have improved quite a bit since that time.  I am still having
>> difficulties though.  The list of fruit and vegetables I can't eat or can
>> only eaten very limited quantities is much higher than the list the list I
>> am able to eat.  My lactose intolerance has gotten progressively worse, to
>> the point where I almost completely have to eradicate dairy products if
>> possible.  I have difficulty processing tomato sauces and am having trouble
>> almost every time I go out to be in a restaurant.
>>
>> Let me put this into perspective.  I don't really have problems with
>> incontinence, but when I do have problems it's usually terrible pain
>> followed up by very loose stool.  My bowel program has gotten much longer
>> over the last year and a half.  A lot of this is because my body produces a
>> lot of mucus after the stool has passed.  We usually check about every 15
>> minutes and sadly my bowel program is now averaging around 3 1/2 hours.  We
>> can probably cut it down to two hours and 45 minutes if I didn't worry too
>> much about the mucus and then had my caregiver cleaned up in the morning,
>> but she asked small fingers and I also risk having the mucus attack while I
>> am seated in the wheelchair if I do this.
>>
>> I'm leaning towards having the procedure done, but I haven't really heard
>> that many negatives other than the few comments I saw all on one forum.  I
>> know darn well there's got to be negatives, so I'd appreciate if you could
>> pass them on to me.
>>
>> One of the quadriplegics who I talk to last year told me about some sort
>> of burping, but he didn't elaborate.  I do not have the ability to move my
>> hands or arms at all, so I don't know what would happen if I need to do
>> something like burping.
>>
>> I'm going to continue to search the web, but I would appreciate some
>> feedback.  You guys have been great on the ileovesicostomy and I really do
>> appreciate it.  These are, as all of you know, decisions which we have to
>> live with.  Sure I guess they are reversible, but I have known one person
>> who had his colostomy reversed after he went into remission and he had a
>> horrific time getting his bowels to work properly once again.  In fact, he
>> ended up in the ICU on life support at one point.
>>
>> Thanks everyone,
>> Quadius
>> PS hopefully there are too many problems with this e-mail.  I am in need
>> of a microphone change.  :-) actually a soundcard would probably be better,
>> but I need something which improves my accuracy.
>>
>>
>>
>>
>>
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