I have recently because of urinary problems very likely increased because of my peg and hernia problems have been trained to use an intermittent catheter by Luton & Dunstable Hospital.
This is not my regular hospital but I mention it because of the very good nurse there who spent an hour training me how to use it. She used a Bard size 14 which she says is the best.
There are many companies making them, selling them and offer free samples but only to those who have been trained. They make a big fuss about the training. It isnt that complicated although the instruction sheets dont mention what I am going to write. First of all I found out that the bladder even if you dont drink will not stay empty. Since I inserted and took it out twice and the second time (later than the first) had urine in. There is nothing one can do about it but it is a great drawback. The problem with inserting it is that you really need three hands and only have two. Maybe there exists a catheter and there are very many, which solves this problem.
Anyway the catheter is like a long straw made from plastic but not rigid since the body is not straight. Today straws are made that bend I dont know why catheters cant be made like that. They are about the same thickness or just a bit thicker and are coated with some kind of gel for two reasons. One some kind of anesthetic to numb the body and also it should glide in easily and smoothly. This has the drawback that it comes out too easily when putting it in and somehow has to be held tight to stop it coming out. Now because of infection one should not touch the catheter so there is sliding 'ring' on it to be able to move it. Since it is not rigid one cant hold it at the end and slide it in so one first has to hold it near the middle and then move the 'ring' without touching the catheter and making sure it doesnt slide out before inserting the rest of it. This I found this the difficult part since one has to hold the catheter in place and that can only be done by squeezing the 'member' (I prefer that word to the correct one) to hold it. This cant be done too low down so one has to insert as much as possible at first. This needs getting used to. I am sure there ought to be some easier way to do it. Maybe such a catheter exists. It needs what is called an applicator. Which holds the catheter and you move it in. Something similar to a kind of gun which holds the middle of the catheter at the top and by pulling the trigger it moves it along. The catheter being in a casing and the gun also strips the casing away as it rolls it in to stop infection.
If anyone is using another make which they think sounds better I would like to hear from them.
A very simple method is this. Since the problem is moving the slider and at the same time making sure it doesnt fall out. One can add two or more sliders to it. Really the manufacturers ought to be doing it. Then one wouldnt have to move a slider but just go to the next one.
I shall have to try it out. One can take them off used catheters, making sure you dont take them off of the used part.
Hi seeker. I see you’re in the bladder cancer forum. You might get a good answer there as folk with a neobladder have to self catheterise. I hope you do because it seems a bit of a problem. Good luck.
Dani
Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019
No I know you don’t. Maybe if you ask there anyway? I found a post mentioning intermittent catheterisation in the prostate forum as well.
Dani
Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019
I am getting quite 'adept' at using it, the main thing is of course not to touch it with your hands you can only touch the slider.
So far about ten companies have replied that I am going to get samples and some have already sent. The ones I already have are manfred-sauer, gentle-cath, hunter-urology, clini-med and of course Bard. I intend to make a study of them. I am surprised this has not yet been done or at least if it has, I am not aware of it.
The headings would be something like this. If they are already coated with gel, how easy it is to insert, and how many hands you really need, if it hurts although one cant always tell from using just one and not all people are the same. Or like with the Bard one I am using, one has to hold the 'slider' tight and my fingers are not so 'deft' otherwise the catheter which is very slippery (and has to be) will just slip out. Some say they can also be folded to carry with you.
Maybe others have more suggestions.
I recieved today from Braun, and MTG pioneer.
I tried out the MTG one. This is my experience. Please be aware that this was the first time.
This catheter is made that it is covered the whole time with a bag and one pushed it in, in the bag. at the same time when it goes in pulling the bag out. Only a very little bit of the catheter goes in at first and one pushes only a bit at a time taking quite a long time over it. The 'slider' is made that it can only go one way so you can only push into it. Now the problem I had was of course holding it in the limb. With the other one you could push a lot in at first and then hold the limb. With this one you have to hold the slider to the limb which I found difficult. It went in very easily and I felt it less than the Bard one going in but maybe that is because it was a lot slower. This catheter comes folded and the urine goes in a bag so one doesnt need a toilet and the bag has marks on it to show how much you have taken out like I had about 50-100 cc.
What I did was, struggled at first and then once a lot had gone in held it in with the limb.
My opinion of it is, it makes it easy to put in originally, takes a long time, hard to hold inside at first, but does have a bag. And pushing it in and pushing the bag bag isnt so easy as just pushing it in.
The largest company coloplast sent mine to the wrong address and I am waiting for them to send me.i
A user friendly review seems like a good idea. I don't know how difficult this is for people who have to do it but a foolproof and easy method might be a godsend. Good luck with the research.
Dani
Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019
Yes....I've been saying that about beehives for years and nobody makes the ideal rucksack either
Dani
Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019
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