Indiana pouch

16 years 4 months ago #11290 by Melodie
Replied by Melodie on topic Indiana pouch
Alan,

I have had my new pouch since late July. In the beginning I felt like it was such a nuisance, having to empty every 2 hours and having to irrigate so often, but as the weeks went on, things improved. Training the new bladder requires time and much patience. Everyone is different. Since Pat is a senior pouch owner, I tended to listen to her, yet found I differed in some areas. After four months I find that I can sleep up to 5 and 6 hrs at night, but during the day, I still can't seem to get past 3 hours. I am still trying out different catheters to ensure I have what works the very best for me. Cleaning and caring for them seemed like a hassle in the beginning but now I have it down to a routine. My insurance gives me 10 a month which I have to re-use. I haven't gotten the visit to the bathroom down to 5 minutes but maybe one day. Keep asking questions so you know how best to be prepared. It is a new norm but we adjust rather easily. Take care, Melodie

Melodie, Indy Pouch, U.W.Medical Center, Seattle, Dr. Paul H. Lange & Jonathan L. Wright

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16 years 4 months ago #11281 by Cynthia
Replied by Cynthia on topic Indiana pouch
Pat when I said adaquate water intake was very important I was talking after the training period. And what I meant by adaquate was your normal eight onces eight times a day. Of course you can over due anyting but you will have to agree with me that drinking enough water keeps everything running better.
I two use disposible cathathers but am blessed in the fact that my insurance picks up most of the cost. Many use reusable caths and do well with them. I have talked to one guy that used the same one for ever and just washed it and keep it in his pocket lol. I remember having a visual of him picking the pocket lint off of it to use it for heavens sake. But for most of us it would take a little more to make sure they were clean. Many Uros will start you with reusable caths and if they do they will give you good insturctions on how to care for them.
Pat thank you for the chance to clarify.

Chin up and striaght forward

C

Cynthia Kinsella
T2 g3 CIS 8/04
Clinical Trial
Chemotherapy & Radiation 10/04-12/04
Chemotherapy 3/05-5/05
BCG 9/05-1-06
RC w/umbilical Indiana pouch 5/06
Left Nephrectomy 1/09
President American Bladder Cancer Society

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16 years 4 months ago #11276 by Patricia
Replied by Patricia on topic Indiana pouch
Well i think my pouch has senior status..its almost 5 yrs old. I've never had a UTI and i attribute that to never re-using a catheter and to irrigating at first almost every other time for the first 6 months...now its about once a week.(my surgeon wrote a Rx for all the catheters that i need in a month along with the surgi-lube and saline solution for irrigation and its renewed every year and my insurance honors that script.) That breaks up any mucus to allow it to freely come out. I may disagree with Cynthia on the water thing...I actually was drinking to much and as my kidneys work pretty well i was cramping and having to cath way to much and leaking like crazy...My doctor asked me how much i was drinking and i told him the 8- 8oz of water that the stoma nurses recommended along with the other fluids i usually drank. He just looked at me and said "Don't do that"...So i went back to my normal pattern of fluids and that seemed to solve the problem.
It requires a little training and a lot of sleep deprivation for about a month or so as you have to empty at first every 2l/2 hrs for a week...then to 3 hrs for a week and up to 4hrs for a week. Eventually the bladder calms down and allows you to sleep longer hours at night...thats variable. I now go 6 to 8 hrs without having to cath.
The swelling, the scars have all gone away and i'm in and out of the bathroom in 5 minutes. Pat

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16 years 4 months ago #11273 by Cynthia
Replied by Cynthia on topic Indiana pouch
Alan,

I am the proud owner of an Indiana that just turned a year and a half. The best advice anyone can give someone going into an RC is to get yourself up and walking as soon as they let you. Those that do tend to recover quicker.
The other is to say to yourself everyday you are one day closer to normal. And one day you will realize you are.
You will have a learning curve with your new buddy and during the training period will feel it is a lot of bother we all do. But that phase ends and one day you will realize that it has all became old hat and that life goes on pretty much like it did before. It takes me no more time now to urinate than it did before. I carry a baggy with my supplys in a pocket. This kit contains my cathather, foil packs of lubricant and a small bottle of hand sanitizer. I keep a zippered cosmetic case in the car for refills if needed.
After your RC and everything has settled if I was to give you only one piece of advice it would be to make sure you drink plenty of water. I strongly feel that this is the key to many things. For me if I do not have enough fluids I see an increase in mucus in the urine and what can follow is an infection as the mucus is the perfect medium for it to grow. I know of some people that have restricted liquids because they did not wish to have to urinate as often but this is wrong thinking.
I wish you could be where I am now with this all behind you. But take it from someone who has been there one day soon the surgery and chemo will be a memory. I have relativly the same life I had before RC I just urinate differently. I dance, exercise, snorkel, hike and generally have the same crazy busy life I had before blc.
As always we are all here for you and if I can help you in any way do not hesitate to contact me.

Chin up and straight forward

Cynthia

Cynthia Kinsella
T2 g3 CIS 8/04
Clinical Trial
Chemotherapy & Radiation 10/04-12/04
Chemotherapy 3/05-5/05
BCG 9/05-1-06
RC w/umbilical Indiana pouch 5/06
Left Nephrectomy 1/09
President American Bladder Cancer Society

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16 years 4 months ago #11270 by lisaloo
Replied by lisaloo on topic Indiana pouch
Hello
Its only two weeks since my surgery so I cant help alot but just wanted to say it wasnt as bad as I thought it was going to be.Two weeks in I seem to spend most of my time faffing with my new plumbing one way or another and I get really tired really quickly.I am hugely over emotional and get cross with myself for crying all the time or loosing my temper when I know I shouldnt.Physically the incision site is ok it feels numb rather than sore my tummy is bloated and I get full really quickly but I dont feel too bad.I am starting to get bored which must be a good sign.My husband and I have gone out for a short walk every day since Saturday which was 10 days after surgery.
The NHS was great whilst in hospital but I feel a little left to it since I got home although my GP called this morning.
Good luck and if you want anymore information let me know.As I said I am bored so in between faffing with bags flushing out etc seem to end up on the internet.
Lisa x

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16 years 4 months ago #11268 by oakwood
Indiana pouch was created by oakwood
Hi all,

I have invasive bladder cancer (G3 T3) and am currently undergoing chemotherapy prior to an RC op tentatively scheduled for early Jan. I'm planning on having an Indiana pouch fitted. Does anyone have any advice, tips, hints, views, information or general advice on what to look out for to ensure all goes well and I make a speedy recovery? I'm in the UK by the way and am having the op done on our National Heath Service.

Cheers...Alan

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