Hi,
It’s been a while since I last posted, so I thought I would just provide an update as the forum has been so useful to me.
After a TURBT and diagnosis of MIBC followed by chemo, I had my RC at the Royal Marsden in mid January. I travelled to London from Staffordshire as I wanted skilled and experienced surgeons for a mitrofanoff urinary diversion with genital and nerve sparing techniques. The surgeons and their teams at the Marston have been amazing throughout.
As part of the operation, I also had a hysterectomy, cervix and lymph nodes removed. It was a long one … about 10 hours long …most of that (I understand) was creating the mitrofanoff from part of my bowel and my appendix.
The initial recovery, I found difficult and it made me feel so vulnerable. It took a while for my bowel to waken up and I had IV nutrition. I was in hospital for about 10 days.
Returning home, I had two catheters in place going through my tummy into the mitrofanoff pouch. A catheter which supported the mitrofanoff while it healed and a supra pubic catheter. I had these in place about 6 weeks and was very happy to get these taken out! The SP catheter was sore and I also had an infection and needed antibiotics during this time.
It’s about 2 months on from my operation now. I still feel some achiness and get tired easily but better by the day. I don’t need any painkillers.
I am growing my mitrofanoff and self catheterise every 3 hours at the moment. It’s wonderful having nothing ‘attached‘ to me. I am very glad to be at the other side of a heavy going recovery though …and despite this definitely think that having a mitrofanoff was the best option for me. I always knew recovery would be more difficult but I felt that it gave me a better outcome …so it was worth it. It was definitely worth it!
It still feels a bit strange peeing through my belly button …but is definitely my new normal now. It doesn’t feel that different from my life before. I just have to remember to keep a spare catheter in my bag/car.
The pathology following the op showed no growth outside the bladder, which is fab news. I move into the phase now …fear of recurrence and scan anxiety….which I know we all Iive with …particularly in the early days.
I will be keeping my fingers crossed and hope in my heart. I’ve done everything I could do to kick out cancer, I hope it’s enough but have good odds!
Excellent news, glad all is going well. I'm especially interested to hear you experience with Mitrofanoff, as I had considered that. My surgeon nudged me towards neobladder instead, which ahs worked out fine for me. I have to self catheterise to fully empty, but at least the catheters are shorter than for Mitrofanoff!
Hope recovery continues well - keep it slow but steady.
Hiya,
Yes, the consultant mentioned that a lot of women have to self-cath with a Neo bladder …and that self cathing through the belly button with a mitrofanoff is easier. I imagine you have lots of experience self cathing now …so it’s a lot easier to do over over time.
Self cathing the mitrofanoff is so simple. It’s just like a value that you poke the catheter through. It sounds a lot worse than it is in real life! It feels like a detachable penis ..which is a different experience!!
The only concern I have is keeping everything clean and infections at bay. I’m also taking cranberry/d-mannose tablets to help with this.
Yes, I did quite well stretching neo quickly, but several months to be fully confident of continence. I was told that neos can go on improving for a couple of years, I expect it's similar with Mitrofanoff. You get used to knowing when it's full, likely gap until next need to void and so on.
Although I had to be clean in hospital, they said it was less important at home. I don't take any special precautions & haven't had anny infections. Seems some people are more susceptiable than others.
The only aspect I still dislike is having to get up at night to empty!
Yes, I’m still cathing at night. Do one at 12, then 3am, then 6am currently.
Next step will be every 4 hours at night. My consultant tells me there’s a good chance of getting through the night without cathing with time. I would limit my water intake before bed as well.
From what I’ve heard from the ‘Indiana pouch’ Facebook groups it’s very doable but probably 6-12 months down the road.
Until then it’s me setting my night as alarms and trying to stop myself from falling asleep at that 4am wake up call!
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