Note: This post shows an illustration of a penis in a medical-context.
One of my deepest fears is realized. The antibiotic Ryan was on for ten days, Levaquin, didn’t touch the urinary tract infection (UTI). In simple terms, the bacteria has either built up a resistance to this class of antibiotic or we were treating the wrong type of bacteria.
I was worried, all along, the UTI was still active. Ryan’s pulse was higher than normal (about twenty beats per minute). So we tested his urine and, sure enough, his urinary leukocytes (i.e., white blood cells) were in the moderate to large range. Exactly where it was before the antibiotic. So, while he was on the antibiotic it suppressed the infection only to make it more resistant once coming off. Not good.
I placed a call to Dr. Rodriguez at some crazy hour of the morning. All I can tell you is it was still dark outside and the birds hadn’t started chirping. You know what? He answered the call! Cheery as ever, but equally concerned to be getting a call from me at that early hour. I was so impressed that he had Ryan’s file with him. Incredible! Before we hung up he had already called in a different antibiotic. Like Dr. Hinkle, I love it that he cares about Ryan so much.
Identifying the Source
UTI’s can be caused by so many factors. It becomes an exercise in deductive logic to find the source/cause. For Ryan, I believe it to be either: 1) Failure to completely empty his bladder, and/or 2) urine re-entering the penis from back flow of the condom or wetness from a diaper.
Here’s my plan… when Ryan is a couple more days into his antibiotic I’ll do an in-out catheterization immediately after he urinates. This way he is covered by the antibiotic when I do it. This is a sterile procedure, if ever there were one, or else risk actually introducing a UTI. Just the thing we’re trying to avoid! Although his bladder should keep some urine, anything high is a clear sign he is not purging. If this is the case, we’ll begin a routine of in-out catheterization.
I’m also changing his entire urinary management system, regardless of the catheterization results. I actually stumbled upon it while doing my own research. I was trying to design my own urinary system. I knew there were adhesives in the medical field that acted as a “second skin” and I was trying to merge this into my design. The benefit being that moisture would evaporate. This would be a major UTI factor eliminated if I could make it work.
As it turns out, a company (BioDerm) already thought of this! They are the company that makes this so-called “second skin”. What a find on my part! Dare I say, a happy ending?
So, at least for now, I concede that BioDerm has a better design solution than the one I envisioned. I was taking myself down the road of using this second skin with negative pressure in the collection bag (to suction the urine away) and a second collection bag below the first to completely remove any urine and fumes from contacting the penis.
I still see how this negative pressure (or vacuüm) would be highly effective. I guess the concern would be to avoid tho suction being applied to the tip of the penis. I call this a “penis hickey”. Sure, under normal circumstance this would be a source of great pride, but sometimes I have to swallow my pride… wait, that didn’t come out right!
- Completely external. No moisture in contact with the skin.
- Eliminates skin breakdown & UTIs associated with diapers, indwelling & condom catheters.
- Skin-friendly, hydrocolloid seal that moves with the skin as the body naturally changes size/position.
- Latex-free and hypoallergenic. The seal is gentle and will not irritate the skin.
[poll id=”21″] See previous poll answers here.
- Baclofen Reduced. UTI Found. (ryansrally.org)