Well, where does one start? After 15+ years of battling bladder incontinence issues, I have decided to register on a website instead of just reading and lurking in the shadows… I will try to keep this short!
I am now 43, M, single and not sexually active, and have had bladder urgency issues since 1995. Started the night of an MVA rear-ended of which I was the recipient of, although not by my choice!
Had no fluids onboard for the previous 2+ hours, and wet my pants a fair bit while on the stretcher in the E.R. before I got formally introduced to the urinal No broken bones, but the impact of the crash was rather nasty, enough to knock me out for 5-10 seconds. I was off work for 11 months doing all the rehab crap that follows accidents. Physio, massage, more chiropractic then you could imagine, gym, pool therapy and specialists. All I wanted was to return to my former self, if that was even possible. I immediately noticed in the following days after the MVA that when I had to go, I REALLY had to go, and that was new. About one month after the accident, I had a nighttime wetting incident where my entire bladder just decided to bust out of its holding pattern while I was sleeping, and I awoke to a rather shocking lot of wet underwear and sheets, (waterbed thankfully!) I told my then doctor about what happened and he made a comment about being too old to start wetting the bed to me that TOTALLY shut me down to talking to anyone about it. I was horrified about that comment for a long time, in fact I still am disgusted with him to this day, but he since moved and I have a new doctor. I quickly became aware I had to cut off fluids at least 2 hours before appointments, which there were many. The nighttime incidents were very spread out in the following years, maybe 2 or 3 times a year, but with no obvious reason for them.
In the following months I had several occasions where I had daytime wetting accidents while out in public, once that left a full shopping cart in the middle of the grocery store, and me on the way home to change, un-noticed thanks to a pair of long johns and a longer winter jacket, but still totally humiliating to say the least, even if nobody did see the wet pants (that I noticed in my hurried exit).

At this point I knew something had to give, but still took a while to finally step into the “Bladder Control” section at the not so local pharmacy. I have grown up in the place I currently live and know MANY people, so I travelled 30 minutes to the next best place to go where I would not be noticed. I knew of the absorbant products on the market from TV ads, (Depends & Attends) and have always made jokes about “that problem” unknowing it was coming for me in the not so distant future! Just to go into that isle took me 10 minutes or more, but I grabbed a bag of Depends Fitted Briefs (OK let’s face it, they are diapers everyone!) made sure it was a Medium, and bolted for the till… praying there was no line up or a younger cashier to deal with, thankfully I didn’t encounter either!
The following months were a learning experience to put it lightly, as the daytime urgency limited what and where I go to unless it is a “safe place” where I know the bathroom situation. I discovered that just a brief alone doesn’t always do it when you are losing your entire bladder (300-350 mls), so more researching and reading came to liners/stuffers and plastic pants. At nearly 30, I still had a hard time accepting diapers, so after talking to a continence nurse on the phone, and later face to face, I discovered the external catheter system. For someone who has no idea about this stuff, let me tell you, I would have never know. That system gave me my life back without a diaper, and I was thrilled to put it mildly. That became my primary avenue of coping for several years, as it was without any problems (until latex and my skin became not so friendly towards each other) I was dry and it has no odor if maintained properly. Problem was it is now the cheapest route to go, so I have since been using both, depending on the situation at hand. The nurse I talked to also did some Urodynamic testing at a local clinic, but didn’t show anything except some spasms when I was filled up, and had to go right away, as well as a not so large capicity. She was kind of shocked when I told her I was using a diaper for nights and leaving the house, most likely because I was still very young at 30 and looked active and healthy. I am thankful to her for giving me info on the external system.
I finally spoke to my new doctor about this in August 15 years after this all started. I had just returned from holidays, and had been using the external catheter system daily for two weeks. I told him I had been avoiding this topic for many years, and finally just came out and said it… When I have to go, I HAVE TO GO! Like, right now or there is going to be a problem Captain. I am sure I had a terrified look on my face, and tried to joke about it with him, but when he asked why so long in talking to anyone and I told him about the comment, he TOTALLY understood my reason for keeping it hushed up and to myself for so long. He replied with something like” wet your pants problem” and I said YES… finally off my chest, what a relief!!! I told him I had been on the external system for several years, and it gave me my life back as far as being limited as to where/when/how long you are out for and where the bathrooms are. I was kind of floored that he didn’t object to the use of it, but the options available are not that many, especially for someone like me (or so I thought). I have not had any negative issues with it as far as UTI's, only the latex reaction, but going to silicone solved that problem immediately, as well as staying on far better then the latex types.
Off to the Urologist for a Cystoscope and Urodynamic test last month, both of which I dreaded, but where not nearly the big deal I thought they would be, just embarrassing but tolerable. I wore a pull-up to both procedures, but had it tucked away under my clothes. He didn’t really get into how I deal with all this, and I never felt comfortable enough with him to want to discuss it. I have since had an Ultrasound where they discovered a hernia (inguinal sp?) but I and my doctor doubt that is casing the problems. The next topic of discussion is Medical benefits, as I will most likely need a doctor’s note explaining all this to try and get my extended medical benefits to cover some of the costs, and we all know, this stuff is not cheap! I don’t see it listed on their website, although Ostomy supplies are, so what gives? He is aware of the external cath useage, but I don’t think he knows I am using a diaper when needed. He had no problem with the first one, and I told him I am using protection during the day if I needed to, so I am sure he knows, he just has not broached the subject.
So, after all this time, only my very best friend who I would tell anything to knows about it, as well as the doctors and Urology Nurse at the local Pharmacy where I buy my supplies at. Family has not clued in, although I think they have their suspicions, as they know I go WAY more often than normal, unless I have the catheter system on, and that in itself is nerve-wracking enough to think about being found out on… I really doubt with all I have been through in the last 15+ years they would even bat an eye at it, it your bladder acts up and this is how you manage it, BIG DEAL… still not going to be an easy conversation I know already… cross that bridge when it arrives for now.
THANKS for letting me vent a bit, and tell my story/situation, this has been a nightmare to live trough by myself to put it lightly… I have had more than my share of dark days, as I know anyone dealing with medical issues has, but the future looks brighter all the time! I just think…this whole thing could be SO much worse for me, I am still able to walk and work, and do my activities I enjoy, so big deal if they involve needing a diaper/pull-up or external catheter to be able to do… I am over it!
Sorry for the long winded post, but it is all kinda complicated and has been drawn out for what seems like forever! I hope to be support for anyone having difficulties with incontinence, as I have been there, done that!
Puffy Pants (not that anyone has noticed yet! )