23 years post-injury- Bladder stabilized?? (celebration post)
So a few months after my initial injury, I was able to self-void (pee normally as needed). I had no real bladder issues until roughly 10 years post-injury, when I started leaking. It was mostly at night and during sex, but I also had 2 kids by this time. So I started different meds and eventually just went the route of Botox.
My first Botox (2013) was just 100cc, which was just enough to relax my bladder and help it expand. This didn't change my ability to self-void. I got the Botox roughly once every 9-12 months. That seemed to help.
In 2017, I got an SNS (nerve stim on my bladder) to assist the Botox, but eventually my Botox was doubled to 200cc. This paralyzed my bladder and caused me to have to start self-cath. What was happening was that my bladder had essentially shrunk- just kind of shriveled up. At my worst, I was compared to a 5-year-old's bladder- about 40% capacity of an adult.
The SNS really was of no use to me because of my SCI; I've always had to keep it on such a low level otherwise it'd make my left leg/foot twitch. But we kept it in and running to do what it could.
So Botox continued and increased from getting it every 9 months -> to every 6 months -> to every 4 months -> to every 3 months. It had become so often that they started having to actually put me to sleep for the injections vs just giving a Valium or something. My bladder would spasm so hard otherwise, it'd push the needle out.
This became a very daunting thing because it's hard for me to get IVs (my veins are small and roll). Needless to say, all the nurses and anesthesiologists at my urologist knew me and my history without looking at my chart lol. It became this whole ordeal every 3 months and a very expensive one at that.
Finally, in 2022 my doctor said the Botox is no longer an option- which he had warned me in the beginning it's not a fix- it's just a band-aid. It was just buying me time. My pressures were constantly risking my kidneys.
So we opted for bladder augmentation surgery, which I got done in Jan 2023. I really didn't want to do it because up until now, I had no major surgeries besides my initial spinal fusion (2002) and a hysterectomy (2017). But, I did it. It sucked- the recovery was 2 months long and it completely screwed my bowels up. 6 day hospital stay + foley and SPC for 2 weeks + SPC for full 2 months. Hated it all - I was exhausted lol.
I stopped the Botox post-surgery, and my UDS looked good. I was holding almost 300 before my pressures rose, so this was a big improvement (lowest was around 40-60 pre-surgery). I had my last UDS in 2024 and an ultrasound last year. Finally got my bowels back under control just within the last 3 months.
So, I called this week to schedule my next UDS and ultrasound because I figured they would be yearly at minimum at this point. But my urologist said he has no concerns if I'm having no issues and I don't need to do these tests unless I have issues (which I don't). And I get to go in next week to discuss removing the SNS completely!
I still self-cath and will have to for the rest of my life, but I'm ok with that. I'm just so glad to finally be at a point where I'm not in the doctor's office every 2-3 months and racking up so many medical bills (1 round of Botox is like $15,000-20,000 USD- I was paying $500-700 out of pocket after insurance each visit). Also, I'm sooo ready to get this SNS out of me. I forget it's there until my bladder fills up at night and I can feel it pushing on the device.
Anyways- this is just a small celebration for me (and my wallet LOL) and to remind you- things can get better even decades post-injury.