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The frustration of incontinence

Started by gothique11, August 11, 2009, 03:49:45 AM

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gothique11

Incontinence really seems like a disability. It's frustrating and it's really affected my life in a negative way. It's gotten pretty depressing to the point of suicidal thoughts.

I've called Dr. Brassard on several occasions about it -- and now, again, waiting for him to call again. I hope he does soon. I hope I can book something with him. I have no where else to turn.

I don't know anyone else with this problem this bad. I guess I'm the lucky one.

I feel afraid to talk about it to people sometimes, not just because of the embarrassment but I'm afraid that I'll drive people away from SRS or away from a good doctor (Dr. Brassard). 

I'm happy -- extremely happy -- that I had SRS. Everything looks good. The incontinence is wearing me down so much.

I've been constantly trying the kegel exercises he suggested. I'd have to say that it's improved some, but I still have issues. Somedays it doesn't seem as bad.

I've also been doing probiotics like crazy, which helped with the infections and helped calm it down a lot.

The amount of infections I've had have been insane. Usually 'caused by some incontinence, and once an infection (bladder or yeast) starts, the incontinence gets worse and worse.

I've been on way too many antibiotics, almost monthly. Same with the yeast infection stuff. I've been avoiding the antibiotics for two months so far - doing probiotic stuff as much as possible along with cranberry. That's helped, a lot, but it's not completely gone. I had to do yet another yeast infection treatment last week, although.

I've also been trying diet, exercise, and what ever I can think of or even find on the internet. Minor helps, but no cure.

It's hard, and I feel like I have no support. Other post-ops I ask don't seem to have these problems.

My GP won't do a thing, or even refer me. He says that I have to "live with it." I convinced him to do an ultra sound, but he claims he doesn't see anything wrong with it. He suggested some phsyo therapy that sorta indirectly might help, but it might not -- the cost is expensive, as it's not covered by health care. I can't afford it, especially if may or may not help.

I've gone from the very social girl who used to go out to clubs, out with friends, and do all kinds of activities, to sitting at home, depressed, too embarrassed to live life. I don't even work now.

I seemed to be getting neuro problems, which I thought would explain it -- but the neuro doc I saw said he doesn't think it's neuro, and that it's just from lots and lots of extreme depression... so bad that my nerves are shot and it's affecting my overall health in referred to a psychiatrist over this. At the moment I'm on a medication that's both a nerve calmer and mild anti-depressant. They're talking about putting me on some stronger anti-depressentans (so, I can feel happy in my own soiled pants).

I'm hoping they don't just commit me to the psych ward over it, 'cause just putting me on anti-depressants isn't going to help with the main issue, the 'cause of it -- the leaking.

Now, I'm broke (on disability), depressed, and having a difficult time. A lot of people know that I'm depressed, but don't know this is one of the major reasons.

If I'm just sitting, or not going out. I don't have much of a problem (sometimes small leaks). I can sleep and I don't even pee the bed. With the kegels, I can shoot ping-pong balls out of my vagina if I wanted. I can even use them if I sneeze or cough and prevent a major leak.

But walking, bending over, lifting anything -- no chance. I keep trying. I have to go through pads like mad, and it's difficult to keep up. I have to change my underwear several times a day. If I don't, then I can get an infection (bladder or yeast, or both) and it gets worse and worse.

It's been very difficult to work the last year -- I've even had to leave work 'cause I peed myself completely, I haven't been able to hold down a job at all due to this medical issue.

Peeing yourself at work is not only embarrassing, but hard to deal with. You can't excuse yourself to the bathroom every 10-15 mins to clean up, change, etc. So, you sit there with a wet pad, making things worse.

This issue has worn me down so badly that I don't think I can go on anymore. Being broke doesn't help, but trying to get a job in this economy and having to explain to your employer that you can't walk, move stuff, stand to long, etc, etc, is difficult and embarrassing. My last employer just kept cutting my hours until I had zero hours a week -- they can't fire me for being sick, but they sure can give me no working hours.

I've pensioned to the provincial health insurance for help. Apparently, they will send me to Dr. Brassard for this -- but, he has to send a letter in saying I need to see him.

I hope he does. I hope he gets back to me. He's been on vacation, and he's back now... I'm still waiting here. It's extremely hard. It's very depressing. I hope he just doesn't say do more exercises -- I've been doing them for a year!

Really, if this gets no where, I'm gone. I just can't live like this. It's torn me up way too much. I have a few friends who have been trying to convince me not to, for a long while now, but it's getting harder and harder.

The only thing I hate is when people assume I have SRS regret -- which I don't! That makes me so mad when people assume that. I love my vagina. I have no regrets getting SRS. I don't like the complication I have, but having SRS has made me feel complete in so many ways.

The one solace I have is that if I nix myself, I know that I'm complete and whole. I really don't think I can carry on with this complication. It's stopped my life in it's tracks so badly.

I've already been carefully working on writing a suicide note for when the time comes. I wanna word it carefully so I don't get used as some statistic by some anti-trans site, or have my family use that is proof for their anti-trans mind-sets. And, most importantly, scare people away from SRS. This isn't a problem that's common place. I also wanna mention I wanna be cremated, and to use my name -- not my old name -- at the funeral. I wanna have a last will printed up.

I know they wanna send me to the psych ward for the not idea, and the talk about suicide. (I have an appointment with a psych doc Sept 1st, but already tried to convince me to check myself in to the psych ward, although it won't actually help).

I only hope things can be fixed, so I can move on with life and be the happy girl I once was. More than anything, I just want that. I've been trying despite the problems, but it's just wearing me down too much. There's only so much a girl can take. I hope that it doesn't come down to suicide, but with the direction things are going it's going to happen if there's no fix.

I hope Dr. Brassard calls and has an answer. And I hope the provincial health care insurance can help me. When you're on disability making next to nothing, unable to work 'cause you're so f'd up, it's a difficult place to be in.


--natalie
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sd

I'm sorry you are having so much trouble Natalie.
Good luck with Brassard, here's hoping he can help.

Don't give up yet. :icon_hug:
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Renate

I'm so sorry, Natalie. It's sound like you're in a vicious cycle with incontinence/infections.

Strangely enough, I developed stress incontinence when on HRT.
It was just a few times a month while bending or sneezing.
It was usually just a minor "Oops", but sometimes a full-fledged underwear change.
After surgery there has not been a single incident (knock on wood).

I hope that you can beat this one.
Good luck.
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Janet_Girl

My ex had the same problem.  She did the exercises and took drugs.  It wasn't until she had surgery to install a strap to support her bladder, that it stopped.  She was absolutely in tears because of the problem, and I did all I could to be supportive.

It turned out that the floor of her bladder was weak and the strap helps her.  To this day she has had no problems.  Maybe you should try and see a urologist about this strap and the problem in general.

I doubt that your SRS was directly involved in the problem.  But it might have contributed to it.

Hang in there, Natalie,  It can and will get better.  Even if you have to go private to get the help.

Janet
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deviousxen

It is going to take longer than you think to heal from all of this physically.

I have had a big history (And still do) get really bad bacterial imbalances, allergies to things my body didn't properly digest, I take probiotics like mad as well.

I remember I'd have to go to the bathroom every 30 mins... And that my ->-bleeped-<- doctor said I had irritable bowel syndrome (An umbrella term for everything. Just like "Bipolar disorder" and "Depression" when, in reality, there are probably a thousand different specific types.


I don't think that this is permanent. It can't last forever, you know? I mean, even my allergies have calmed down a little cause I gave my body a break from them (not being able to have cake is.... Just... WRONG).

Maybe there'd be a way to transplant muscle tissue from another area to strengthen what you need to "Hold it in". I know its an embarrassing topic, but I've had HORRIBLE problems with things like this. Its like... The word Diarrhea... You just never wanna hear it.


I mean. Talk to the surgeon when he gets back to you. If they can make an fTm penis out of arm muscle, they can definitely do something. And plus stem cells, which later on, might be able to really "Rebuild" what invasive surgery has damaged. Don't give up. I know it sucks, but you're cool. I don't judge.

And for muscle stuff, maybe try Kava kava or something. Don't totally, EVER, rely on pharmaceuticals. Those medicines are mostly about money, not your health. Sometimes they work, sometimes NOT.



And holy crap your face got even prettier. D: Friggin fascinating :P
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Steph

I suffered with incontinence myself but not nearly as bad as you are experiencing Natalie.  I too had a similar problem that when I stood or walked I had trouble controlling my bladder, and when I acquired a bladder infection the incontinence increased; I spent half the day in the washroom.  To this day I still have a small problem with sitting for long periods and having to make a mad dash to the washroom when I stand.

From reading your post I would recommend that you demand that your doctor give you a referral to a Urologist who would be able to diagnose a problem with your plumbing whether it be physical or medical as there are many things that can cause incontinence, and don't take "No" for an answer, you are always entitled to a second opinion.

There is always the possibility that you suffered nerve damage to that area as a result of the operation, a risk in any operation and Brassard would be in a better possition to advise on this.

One thing that I did to help was to cut down on my fluid intake and started getting my fluids from fresh fruit and veg.  As a rule I drink very little water (I only drink when I'm thirsty) and I don't drink milk.  Also cut out the diuretics such as spiro, coffee, beer, etc. and see how it goes as none of these things should impact you medically.

-={LR}=-
Enjoy life and be happy.  You won't be back.

WARNING: This body contains nudity, sexuality, and coarse language. Viewer discretion is advised. And I tend to rub folks the wrong way cause I say it as I see it...

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Cyndigurl45

Now this gonna sound crazy but, can you get to the ocean? I have heard though some homiopathic technics that standing in waist deep ocean with very mild surf develops your bladder control drink plenty of cranberry juice and water and it's OK to pee in the ocean, the motion and the salt water has excellent healing properties.
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gothique11

I've been demanding to see a urologist. I haven't been getting anywhere. I've read up on the sling thing, which and better than the suppression cuff, which has more risks. With the sling, they can go in via the vagina -- but, with SRS can they even do that. I don't know.

The doctor I have won't even give me medication for it.

I feel pretty stuck. Still no calls. I'm to the point where I hide in bed most of the day, extremely depressed. I really don't know if I can hang on and keep bugging doctors in hopes that they maybe might help me. I even thought that maybe I should OD on some pills, call 9-11, and then they'd catch me in time... maybe doctors would take it seriously and know just how badly this has been affecting my life in every aspect. I don't even know if that would work.

I've tried for a year now to keep up beat and keep on trying. I've put everything I've got into "keep going" even though I've been shot down and shrugged off so many times by the doctors. I tried. I tried. I just don't think I can do it anymore. I just don't see any reason to go any further. I'm a complete woman now, and that's all I could hope for before I died. I don't feel aweful about the idea of suicide anymore.

I have one string left, and I'm hoping I get the help. I hope Dr. Brassard can do something. After that, I have no hope and I'm barely hanging on as it is. I still haven't heard from him. I don't know. Maybe he doesn't care either. Then what hope do I have. What hope.

--natalie
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sd

Is there no way to go around or over your doctors head?
Even if you pay for to see urologist yourself?
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Purple Pimp

Hi Natalie,

I'm so sorry to hear about this continuing problem.  I recall that you and I had SRS right around the same time, and ever since I've followed your progress and complications.  I wish that there was something that I could say or do to make you feel better about this.  The only thing that I could possibly recommend: Could you possibly write a nice letter or email to Dr. Brassard, relating the story you've told us here?  If he understood the degree to which this problem is affecting your life, I'm certain that he would intervene.  It necessitates making him truly aware, however.

Thinking of you,
Lia
First say to yourself what you would be; and then do what you would do. -- Epictetus
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gothique11

I've tried finding private here, but the cost is very prohibitive and I'd still need a referral of some sort. I have no credit, so a loan is out of the question. The cost would end up being much more than SRS in Montreal.

I've sent a letter to Dr. Brassard. I've called him several times in the past about this problem and he's only suggested kegal exercises, which he said (back then) should have cleared up the problem months and months ago.

I've been trying and trying with the doctors here, but they have little to offer. If I finally get a referral for a urologist (assuming they can even help), it's a long while before I can even get in for a consult, and surgery (if they even bother) months after.

I really feel like there's absolutely no hope. Years of struggling with being trans, and finally having SRS after all of this time only to have complications that affect my life so deeply has just been crushing my spirit. I've tried to keep strong, but, really, I don't know if I can hold on any longer and honestly, what's the point if I can't live life anyway.

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Janet_Girl

Being demanding that it be taken care of.  Raise a little hell.  No one should go thru what you have.  Absolutely no one.


Janet
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bethzerosix

yeah! raise some ruckus!

besides, you've come to far to give up now

love you girl :-*, beth

Set me as a seal upon thine heart, as a seal upon thine arm: for love is strong as death; jealousy is cruel as the grave: the coals thereof are coals of fire, which hath a most vehement flame.
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deviousxen

Quote from: Janet Lynn on August 11, 2009, 10:58:57 PM
Being demanding that it be taken care of.  Raise a little hell.  No one should go thru what you have.  Absolutely no one.


Janet

Exactly. He probably doesn't want some lawsuit for something potentially messed up. You need to be blunt with him and tell him that kegel exercises are supplementary to help, but not the whole picture. Be very forceful. Do NOT hinge your whole life on one year and peoples crap. You are very pretty. Don't let one thing like that get the best of you.
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Audrey

Im so sorry babe, thats terrible.  Your an amazingly strong woman and after all you've been through, you can make it through this as well.

Wait for DR. B but dont hinge your life on that, it maybe that the surgery wasnt the cause but its hard to say.  Anyway Id wait for him to get back to you and explain to him exactly what you said here.  If that has no effect, then see a urologist stat!  Try getting a referral through another doctor to see one.  Theres help out there. 

I'll talk to the smartest person I know tomorrow about it and see what she can recommend.  Its my sister actually and shes a nurse practitioner and is a genius.  I'll let you know what her advice is tomorrow.  Hang in there.  I'll do whatever I can to help you as you've helped me and others over the years to transition. 

Audrey
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GinaDouglas

This is a real nightmare.  You have my sincerest sympathies.

If it was me, I would camp out in the doctor's office until he gave me the letter I needed.
It's easier to change your sex and gender in Iran, than it is in the United States.  Way easier.

Please read my novel, Dragonfly and the Pack of Three, available on Amazon - and encourage your local library to buy it too! We need realistic portrayals of trans people in literature, for all our sakes
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gothique11

So, Dr. B got to me today and emailed me a letter for my doctor to refer me to a urologist. My doctor filled out the referral form after he read it and also gave me some medication that should help with the incontinence while I'm waiting. He said that if the meds help it will probably help with reducing the amount of times I get bladder and yeast infections (that would be great, instead of just taking antibiotics and anti-yeast infection stuff every month).

So, yeah, Dr. B's letter really pushed my doctor to actually do something, which is nice.

So, I'm happy now and I'm hoping the meds help while I'm waiting to see the urologist. And, hopefully, I won't be getting as many infections and that would probably help a lot.

Thnx everyone for your kind words and encouragement.

--natalie
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deviousxen

Quote from: gothique11 on August 13, 2009, 01:31:29 AM
So, Dr. B got to me today and emailed me a letter for my doctor to refer me to a urologist. My doctor filled out the referral form after he read it and also gave me some medication that should help with the incontinence while I'm waiting. He said that if the meds help it will probably help with reducing the amount of times I get bladder and yeast infections (that would be great, instead of just taking antibiotics and anti-yeast infection stuff every month).

So, yeah, Dr. B's letter really pushed my doctor to actually do something, which is nice.

So, I'm happy now and I'm hoping the meds help while I'm waiting to see the urologist. And, hopefully, I won't be getting as many infections and that would probably help a lot.

Thnx everyone for your kind words and encouragement.

--natalie

^_^ Thanks a relief. Being on antibiotics that long is so horrid for you anyway. From what I hear, there are more bacteria in your body than human cells cause of the size difference. Weird no?
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sd

Quote from: gothique11 on August 13, 2009, 01:31:29 AM
So, Dr. B got to me today and emailed me a letter for my doctor to refer me to a urologist. My doctor filled out the referral form after he read it and also gave me some medication that should help with the incontinence while I'm waiting. He said that if the meds help it will probably help with reducing the amount of times I get bladder and yeast infections (that would be great, instead of just taking antibiotics and anti-yeast infection stuff every month).

So, yeah, Dr. B's letter really pushed my doctor to actually do something, which is nice.

So, I'm happy now and I'm hoping the meds help while I'm waiting to see the urologist. And, hopefully, I won't be getting as many infections and that would probably help a lot.

Thnx everyone for your kind words and encouragement.

--natalie
YAY! I'm so happy for you. :icon_hug:
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FairyGirl

 I am so sorry to hear about these troubles you are having. I have no medical advise, other than to say sometimes those so-called anti-depressants can just make it worse, and I do know this from my own personal experience. I always look forward to reading your posts here because you always seem to be so level-headed and in possession of good, down-to-earth common sense about lots of things. Dear you are beautiful and it would break mine and quite a few other hearts I'm sure if something were to happen to you, or if you checked out on us. I'm pleased to hear you are finally getting some positive response. For what it's worth I will keep you in my thoughts and prayers.

Sending lots of hugs and good energy your way,
Chloe
Girls rule, boys drool.
If I keep a green bough in my heart, then the singing bird will come.
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