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RP December 16th 2019

User
Posted 18 Dec 2019 at 12:31

Cool. Mine goes in a few mm probably 5-7 without measuring but needle is super fine. I put it in front thigh which nurses showed. Alternative a preferable is fatty side of stomach pinched I think but I’m happy with thighs as found an area without much feeling so almost feel nothing. Be nice to get the compression stockings off next week.

User
Posted 18 Dec 2019 at 13:16
TechGuy are you pinching the skin on the leg as well as the fatty bit on the stomach? Also do you need to ware a night bag when just lying down for a nap? Does the bag still drain if attached to the leg and horizontal? Just a couple of questions on my mind.
User
Posted 18 Dec 2019 at 14:11

Hi Dave, pinch your skin & inject into the stretched skin, I did mine on my stomach & then often in my thigh, the knack is finding a fatty bit on the body. At night I used the larger bag which still drained even though lying horizontally, I gave up alcohol for the whole period until catheter removed & drank less tea or coffee, caffeine makes you urinate more.

Hope this is of some assistance,

james

User
Posted 18 Dec 2019 at 14:15

Hi Dave,

My Dalteparin went in subcutaneous which is a deeper layer than skin. My other half did most of mine, she put the needle all the way in to a good pinch of my abdomen. I found it easier that way and she probably enjoyed it too. I got some bruises but they cleared in time.

Kev.

User
Posted 18 Dec 2019 at 14:27

Hi Dave

No pinching on thigh. I just find a spot where it will go in all the way without too much pain etc Area on my left leg is slightly numb from an old martial arts injury so making use of that. 

the clexane I have is really well designed and nurse said thigh is fine as that’s what she used when my stomach was well worn from all the ports.

i only use the night bag at night as I go to bed. I’m just mindful of pipe routing so less chance of pinching it off etc. Flowed find across legs and down side of bed into the 2ltr night bag on the stand in a builders bucket. During the day I did get caught once or twice with my mobile 500ml bag when napping. Woke up and it was at max pressure. So I just waddled you the loo to empty. I think if I had needed one longer I would have been tempted to get the 750ml expansion tank and hooked that down my leg.

As Chris said it’s wise to empty well before being full I think for hygiene and backtracking reasons although all my valves were non return type.

enjoy your Wednesday and should be over the catheter before you know it.

 

User
Posted 18 Dec 2019 at 16:45

Cheers for all the responses and will try different places until I find which is the best place for injection. However it sounds like I need to be going a bit deeper. Regards the bag and was wondering if that is not a non-return valve in the catheter to prevent urine travelling back up the tube?

User
Posted 18 Dec 2019 at 18:17

Dave

The catheter does not normally have a non return valve, the leg bag has a non return design. Some bags have a flap that closes, some have an arrangement of wafers that prevent backflow. When I started the journey nearly six years ago bags did not have backflow control, if you got a blockage you could lift the bag higher than the bladder and it would push the blockage back up the pipe. The current setup is called a closed system and once a component is removed it should be replaced with a new sterile item. On a catheter forum I belong to the night bag is a frequent topic of arguments.On some night bags the drain tap has to be broken to drain and is thrown away once used. On a night bag with a reusable tap my DN tells me in the home environment they can be reused for 7 days. If you have been given 10-14 night bags change it every day. A night bag is usually attached to the leg bag spout. 

I attach my night bag tube to my ankle with a leg strap or bag strap. I am a fairly restless sleeper and never have problems with pipes kinking. 

Thanks Chris

User
Posted 18 Dec 2019 at 20:29
The injection needs to go in a lot further than 1mm. Pinch a fold of flesh and don't be afraid to really stick the needle in - it's very fine so it shouldn't hurt.

Best wishes,

Chris

User
Posted 18 Dec 2019 at 22:18

Originally Posted by: Online Community Member

Dave

The catheter does not normally have a non return valve, the leg bag has a non return design. Some bags have a flap that closes, some have an arrangement of wafers that prevent backflow. When I started the journey nearly six years ago bags did not have backflow control, if you got a blockage you could lift the bag higher than the bladder and it would push the blockage back up the pipe. The current setup is called a closed system and once a component is removed it should be replaced with a new sterile item. On a catheter forum I belong to the night bag is a frequent topic of arguments.On some night bags the drain tap has to be broken to drain and is thrown away once used. On a night bag with a reusable tap my DN tells me in the home environment they can be reused for 7 days. If you have been given 10-14 night bags change it every day. A night bag is usually attached to the leg bag spout. 

I attach my night bag tube to my ankle with a leg strap or bag strap. I am a fairly restless sleeper and never have problems with pipes kinking. 

Thanks Chris

Cheers Chris I thought there is a non return valve somewhere couldn't remember where I have seen it. The night bags have a break off connection so I assume can only be used once. I only have enough for the week but have been assured more will be sent out to me. Hope so as I Don, t want to run out over the Xmas period.

 

User
Posted 19 Dec 2019 at 07:31

DAY 3 Post opp Another hurdle completed this morning. Opened my bowel this morning immediately after getting up and around. Very little effort needed but really glad I started on the laxative as soon as I got home. I am now a liitle tender when sitting down even when on a pillow.

User
Posted 19 Dec 2019 at 08:27

Good to hear you have that in hand.

Yeah avoid sitting on anything firm for. Week or so. Sitting on my home office chair would bring on a bleed in urine for me as the bladder would be irritated. Talking to a doctor friend he recommended Hard seats as much as possible as lots of swelling and bruising downstairs plus weak blood vessels trying to heal. ‘Deck chair mode’ of the sofa works well :-)

User
Posted 19 Dec 2019 at 10:27

Last night when I was fitting the night bag I noticed that fitting the tube to the bottom was not what I would call totally secure. The male end is tapered and cerated but the female is not and does not enter very far. I am a bit worried thing with a bit of a tug this could come apart and allow urine to escape.

Are people undoing any of the leg straps  and if so which ones. I sleep on my side and usual turn over a couple of times and could possible get tangled up. I can,t remember having this issue the last time I wore the bag, but think it was a slightly different design .

Looking ahead My wife and I bought tickets to take the grand son to see THe SNOWMAN  preformed my the Northern Symphonia. This for next monday which is only a week after surgery. Realistacly is this going to be to soon. Distance traveled in the car and  walking is similar to  when I traveled home from hospital/

 

 

Edited by member 19 Dec 2019 at 10:36  | Reason: Not specified

User
Posted 19 Dec 2019 at 11:12

It’s a good point reference the night bag. The male side of mine was graduated so I just pushed the tube on similar to how the nursing staff had pushed it on. Maybe call and ask?

For me sitting upright one week on would have been quite uncomfortable. 

User
Posted 19 Dec 2019 at 11:39

Originally Posted by: Online Community Member

It’s a good point reference the night bag. The male side of mine was graduated so I just pushed the tube on similar to how the nursing staff had pushed it on. Maybe call and ask?

For me sitting upright one week on would have been quite uncomfortable. 

This was my thoughts too as the seats are just wooden so might not be very nice. Looks like I might have to  get a substitute for me rather than cancel. I might give the  Nurse a call about the bag.Cheers

User
Posted 19 Dec 2019 at 12:14

Problem solved regarding night bags. When disconectting the night bag the first night I had accidentally removed the little rubber tube that fits over the end of the day bag.

 

 

User
Posted 19 Dec 2019 at 13:36

Originally Posted by: Online Community Member

The male end is tapered and cerated but the female is not and does not enter very far. I am a bit worried thing with a bit of a tug this could come apart and allow urine to escape

 

I cut the tip off.

Thanks Chris

User
Posted 20 Dec 2019 at 20:22

Pelvic Floor Exercises

Just going through the paperwork received when leaving hospital. For the second time I have received instructions for the above. I started doing some prior to the having the RARP.

I am sure I have read somewhere either on here or somewhere else not to start these again until the catheter is removed. Although I am feeling pretty good for day four. I still have some tenderness down that area and sometimes sore when I sit. I still get the odd fleck of blood in the bag usually after a bowel movement.

I really can, t find anything in the literature from the hospital when to start but don, t want to give myself any unnecessary pain. On the other hand want to gain some control as soon as possible after catheter removal.

 

 

Edited by member 20 Dec 2019 at 20:31  | Reason: Not specified

User
Posted 20 Dec 2019 at 20:32

I was told to wait until catheter out then a few days after that as would be tender and sore. 

User
Posted 20 Dec 2019 at 20:47

Post catheter removal is advised. 

Can recommend NHS  Squeezy for Men App 

 

User
Posted 20 Dec 2019 at 20:55

Dave

As the previous two posts wait until the catheter is out.  I would have thought flexing the joint can't help the healing process.

From this site 

https://prostatecanceruk.org/about-us/news-and-views/2014/9/the-manual_-pelvic-floor-exercises

 

Thanks Chris

Edited by member 20 Dec 2019 at 21:02  | Reason: Not specified

 
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