May 08, 2006 - 8:47 pm
Russ, as my Dr. told me..age and activity have alot to do w/ your decision. I'm 47 and still have a very active life style. I had to wear a bag for 4 weeks or so, until I healed enough to use my internal pouch (Indiana Pouch). I can tell you now that the internal pouch is so much easier. The only thing is you have to empty according to a clock. I empty about every 4-5 hours, depending on how much I've had to drink. The cath part takes some getting use too, but, in my opinion, there's so much more freedom. I only have to keep a patch, or bandage over the stoma. If I go to long, the stoma will leak, but that's not a problem so far. I just make sure to empty when I'm supposed to. As far as feeling the need to pee...I don't have that. I just have to go by time and also, I get a full or heavy sensation in my stomach, so that's how I know it's time to empty. Also, The UTI probability is lower with the internal pouch than with the external pouch. When I had the external pouch, I did experience some leaking from the bag, which caused irritation and odor. That's just me. The external bag is much easier to empty and you can use the big cath all night for a full night's sleep. With the internal bag, I have to get up about 2 times during the night to empty. I set my cell phone alarm and it wakes me. There are alot of pros and cons to each method, but for me...I'm very pleased with my internal pouch. Also, my procedure can be re-done to have an external pouch, where, I'm told, that an external pouch cannot be re-done. It's something you need to research and consider your life style. For me, I can do anything that I did before. Instead of feeling the "gotta pee" sensation, I can feel a "heavyness" and I know it's time. I carry a cath and can use any public restroom. If I go beyond my time frame, for whatever reason, there will be some very small leakage, but my bandage catches that. I never feel overwhelmed to pee. I hope this helps. Feel free to contact me if you want to discuss further. You and your husband are in my prayers. I'd love to help you if I can.