Ostomy Accessories: A Guide for Making Choices

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by Michelle Stepp

After ostomy surgery, the quality of your life is highly dependent on choosing the right ostomy accessories for your unique needs. With the right ostomy accessories for your lifestyle and stoma type, you can avoid skin irritations, leakage, and unexpected odors in public areas. Know that you have choices and are not stuck with what was given to you at the hospital upon release home. You can continue doing all of the things you enjoyed before your surgery when choosing the right ostomy accessories.

There are More Ostomy Accessories Available to You

Hospitals do not carry all of the manufacturers of ostomy accessories and pouching systems available in the market. They are limited to suppliers they have contracts with, which may only be one or two manufacturers. It is essential to know that you have choices beyond what ostomy accessories you are sent home with.

Some of the major manufacturers of ostomy accessories are:

ConvaTec Ostomy Accessories

ConvaTec Sure-fit Natura moldable barrierAs a global manufacturer of ostomy supplies, ConvaTec is a company whose goal is to ultimately improve the quality of people’s lives. ConvaTec uses creative innovation as they continue to develop products to better fit the needs and preferences of actual product users.

ConvaTec ostomy supplies are a great example of their commitment to user-friendly products that combine advanced technology and features that are tried and true. For example, many users prefer the ostomy systems and skin barriers that feature ConvaTec’s Moldable Technology due to the easy customization and convenient use without the need for scissors to trimming to fit.

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Coloplast Ostomy Accessories

Coloplast Brava Skin Barrier SprayFor over 60 years, Coloplast has been developing ostomy supplies to help make people’s lives easier. Coloplast designed their ostomy accessories to help give you a custom fit since no two bodies are exactly alike. Coloplast convex skin barriers are perfect stomas that need help with protrusion. These ostomy accessories are excellent for those with skin creases, folds, and leakage. The wide range of Coloplast Brava ostomy accessories can also help reduce leakage and protect the skin.

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Hollister Ostomy Accessories

New Image Flat CeraPlus Skin BarrierHollister Incorporated has been manufacturing and developing healthcare products globally for over 95 years. The company strives to make products that allow those who use them to live a more confident and fulfilling life. They know that peristomal skin is essential in maintaining a healthy lifestyle after ostomy surgery. That is why one of their popular products, the CeraPlus skin barrier, is designed to protect the skin’s natural moisture barrier and maintain healthy peristomal skin.

Shop Hollister Ostomy Accessories

Choosing Your Ostomy Accessories Supplier

The major manufacturers listed above do not sell direct to the public, and most, if not all, are unavailable for purchase from your local pharmacy. You will need to get in touch with a reputable ostomy accessories supplier to get the ostomy supplies you need.

Personally Delivered carries all of the major manufacturer brands of ostomy products and ostomy accessories. Our ostomy supplies are competitively priced and shipped with reliable, on-time delivery. If you need assistance choosing your ostomy supplies, we also have Ostomy Product Experts to help guide you through your purchasing journey and are here every step of the way to make the entire process easy for you.

Shop Ostomy Supplies

If you have insurance and wish to purchase your ostomy accessories and other ostomy supplies, our sister company, 180 Medical, is the choice for you. They are the reimbursement side of our company and work with physicians and insurance providers every day. They take care of shipping your ostomy accessories and supplies discreetly to your door and file your insurance claims for you at no charge.

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More About 180 Medical

Sometimes, your insurance or Medicare will only cover a certain amount of ostomy supplies, and that is when Personally Delivered can help. You can purchase as many ostomy supplies as you need beyond what is covered by insurance and feel confident that you are in good hands and cared for by a professional, knowledgeable, and compassionate team. Our customer testimonials speak for themselves, and we are proud to know that we are changing people’s lives.

It is Normal for Your Stoma to Change

It is entirely normal for your stoma to change during the post-operative period. Your stoma may be slightly larger or swollen right after surgery and then gradually subside over time. The swelling may take several weeks to go down; therefore, you will need to use different types of ostomy accessories to accommodate your stoma changes. Correct sizing of your ostomy accessories will help prevent skin irritation around the stoma.

Here are some of the other common causes of stoma change in shape or size:

Weight Gain

Your stoma may change shape or size from weight gain. Gaining enough weight can pull the stoma inward and cause it to be flush with the surrounding skin or retract farther inward. In this case, a convex skin barrier may help increase the protrusion of the stoma. The convex shape applies gentle pressure around the skin surrounding the stoma to help ‘push’ the stoma outward.

Strenuous Activity

When the stoma suddenly becomes more prominent than usual and protrudes outward, it is called a prolapsed stoma. Strenuous activity such as straining to lift heavy objects can cause a prolapsed stoma. A prolapsed stoma can sometimes and fill an ostomy bag more quickly or require the use of ostomy accessories such as a support belt. You may find using a two-piece ostomy system works better by keeping the flange in place as the bag is routinely changed. This ostomy system might help protect the prolapsed stoma.

Hernias

Hernias around the stoma happen when the intestines push outward near the stoma. These types of hernias are called peristomal hernias and cause the skin to bulge around the stoma. Hernias around the stoma can cause pain and leakage, so choosing the right ostomy accessories will help

Aging

As we age, our muscles and skin change. We lose strength and tone with age, and therefore the stoma changes along with it. The contours of the skin around the stoma may not be as smooth as before and require new ostomy accessories such as adhesive strips designed to hold the skin barrier down to eliminate any leakage.

Types of Ostomy Accessories

Adhesive Barrier Strips

ConvaTec ease Strips as ostomy accessoriesAs an alternative to stoma paste to fill uneven gaps around the stoma due to skin folds or creases, adhesive barrier strips are an excellent ostomy accessory. These barrier strips protect the skin around the stoma from further irritation and create a waterproof seal. Adhesive barrier strips can prolong ostomy appliance wear time and significantly reduce leakage.

ConvaTec ease Strips are an excellent choice for barrier strips. These thin and flexible barrier strips keep your ostomy skin barrier in place and are made of a skin-friendly hydrocolloid material for comfort. And, since they are water-resistant, you can confidently bathe and swim knowing that your skin barrier will stay secure.

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Ostomy Belts

Cardinal Health Essentials Ostomy BeltOstomy belts help prevent leaks by pulling the ostomy pouching system upward toward the abdomen. These types of ostomy accessories are typically very discreet and do not interfere with the ostomy bag. An ostomy belt can help keep the ostomy pouch in place and prevent it from detaching from the stoma or snagged.

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Moldable Rings and Seals

Hollister Adapt SoftFlex Barrier RingJust as adhesive barrier strips help protect the skin around the stoma that has creases or folds and prevent leakage, moldable rings and seals are effective ostomy accessories to improve the fit of the skin barrier. Moldable rings and seals can be stretched, cut, or stacked to make the seal between the skin and the barrier leak-free and comfortable.

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Stoma Cap

A stoma cap is a unique little ostomy bag used for occasions when discretion is a top priority. Most of the time, a stoma cap is a choice when you will be active in some way, knowing that you won’t have much output. These activities might include swimming, working out at the gym, or times of intimacy. Stoma caps are not drainable, so they are most suitable for infrequent and predictable bowel movements.

Odor Neutralizers

M9 Odor Eliminator Apple Scented SprayOdor neutralizes are one of the best ostomy accessories to help with ostomy odors. These ostomy products cancel the unpleasant air in and around ostomy pouches rather than covering it. Odor neutralizers come in sprays that instantly neutralize odors in a room or drops that are convenient for use in your pouch before application.

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Stoma Powders

Hollister Adapt Stoma PowderStoma powder works to absorb any moisture from the skin around the stoma. When this moisture is absorbed, ostomy accessories adhere to the skin better and result in a sufficient seal. Often, people do not realize that they are tearing the top line of their skin when they remove their ostomy barrier. This damage to the skin leads to irritation that stoma powder can help alleviate. A doctor should examine skin that remains moist and irritated as this may require medical attention. Medical professionals can also provide further insight into the healing qualities of stoma powder. When the skin is no longer moist and irritated, users can stop applying stoma powder as it is designed to alleviate irritation and is not meant to be used for preventable purposes.

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Pouch Liners

Colo-Majic pouch liner as ostomy accessoriesPouch liners can be an economical and less messy choice for those managing their ostomy output. The ostomy pouch is protected by these ostomy accessories, therefore saving money on frequently replacing expensive two-piece pouching systems. Ostomy pouch liners like the Colo-Majic Ostomy Pouch Liners are made of biodegradable material, so they are safe to flush away and make change-out simple. Pouch liners also help prevent ballooning with their ability to release gas and prevent clogging.

Tips for Taking Control of Your Ostomy Care

You can do several things to ensure that you are making the best choices for yourself when it comes to your ostomy accessories so you can remain in control of your ostomy care. It would be best to advocate for yourself when it comes to the ostomy accessories that work best for you.

  • Know your ostomy appliance and accessories that make you feel most comfortable. Keep the manufacturer numbers handy in a notebook or on a spreadsheet.
  • Keep the reliable supplier contact information in a safe place and make sure you have a backup in the case of an emergency.
  • Remember that as your stoma changes, you have product selection options accessible to you. You have the right to choose your ostomy accessories and take control of your ostomy care.
  • Make sure to take advantage of all the available resources through your ostomy manufacturer, supplier, and physician of choice. They will help provide you with the best experience with your ostomy accessories and supplies.

If you have any questions or would like assistance choosing the ostomy accessories you need, our Ostomy Product Experts are here to help. Our goal is to get you the ostomy accessories and supplies you need so that you can continue to enjoy all the activities you did before your ostomy surgery.

Popular Ostomy Accessories

ConvaTec ease™ Strips

ConvaTec ease Strips

Brava Ostomy Powder

Brava Ostomy Powder

Bard Medi-Aire Odor Neutralizer

Hollister Stoma Cap

Hollister Stoma Cap
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Why would you need a nephrostomy?

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by Michelle Stepp

A nephrostomy is needed if something blocks the normal flow of urine from the kidneys into the bladder and out the urethra. When urine stays in the kidneys because of this blockage, it can cause damage to these organs. To help drain urine from the kidneys, a nephrostomy tube is placed by a surgeon. The nephrostomy tube is a catheter put through the skin on your back and into the kidney to drain your urine. You may need a nephrostomy tube if you have kidney stones, prostate cancer, pelvic tumors, or damage to your urinary system.

What is the difference between a nephrostomy and a urostomy?

A nephrostomy is an artificial opening (stoma) created between the kidney and the skin, allowing for rerouting the normal flow of urine directly from the upper part of the urinary system.

A urostomy is a surgical procedure that takes a section of the ilium, the last section of the small intestine. It connects it to the ureters from the kidneys for urine diversion. A stoma is created on the abdominal wall, and the open end of the small intestine is pulled through and sutured to the skin. This opening is the new path urine will flow out of the body and into a urine drainage bag for collection.

Can nephrostomy tubes be permanent?

A nephrostomy tube will remain in place depending on each individual’s unique situation. If your doctor feels that an alternative treatment may relieve the blockage, the nephrostomy tube may be temporary. One type of alternative treatment option is to place a stent in the ureter. The stent is a small, flexible, hollow tube, and the ureter is the tube that connects the kidneys to the bladder. The stent holds the ureter open so urine can flow out of the kidneys and into the bladder, and out the urethra.

Your doctor will decide whether the nephrostomy tube may be permanent if the stent option is not suitable. In this case, the nephrostomy tube will need to be cleaned and changed periodically by a surgeon.

How often should a nephrostomy bag be changed?

The nephrostomy tube will be attached to a urine drainage bag. This urine collection bag will either be reusable or disposable (single-use). Disposable drainage bags are thrown away after each use. If you are using a reusable urine drainage bag, it will need to be regularly cleaned for sanitary purposes.

The following are general directions for cleaning a reusable urine drainage bag:

  • Make sure you are stocked with reusable urine drainage bags so that you will be able to attach a new bag immediately as you remove the used one for each cleaning.
  • Keep an eye on the amount of urine the drainage bag has collected. It is recommended that urine drainage bags be emptied with they are approximately ½ to 2/3 full.
  • Detach the drainage bag from the nephrostomy tube and attach a new bag tightly to the nephrostomy tube. While standing over a toilet, open the spout at the end of the used drainage bag and pour the urine out.
  • Fill the urine drainage bag halfway with a white vinegar solution that is 1 part vinegar to 3 parts water. Allow the bag to soak for about 30 minutes. Rinse the bag with water and hang it to dry. If the smell of vinegar puts you off, you may use warm soapy water in its place.
  • It is recommended that you dispose of reusable bags after one week of use.

How do you check a nephrostomy tube?

The nephrostomy tube comes out of your back, so it is not the easiest to reach on your own. Caring for and checking your nephrostomy tube will require assistance from someone else. Your doctor should provide instructions on how your skin should be cleaned and what type of skin barrier and tape for securing should be used.

nephrostomy suppliesThe following general instructions explain how the person who is helping you can check and care for your nephrostomy tube.

Gather the items you will need.

Remove the old bandage, and check the tube entry site.

  • Wash your hands with soap and water and put on the medical gloves.
  • Have the patient lie on their side on the disposable underpad with the nephrostomy tube entry site facing up.
  • Hold the skin beside the nephrostomy tube with one hand and with the other hand, gently remove old bandages or tape and the skin barrier. Pulling in the same direction as hair growth will minimize any pain to the patient. Dispose of the old dressing and skin barrier in a trash bag.
  • Take a look around the skin at the entry site of the nephrostomy tube. If there are signs of redness or swelling, there may be an infection. Immediately contact the patient’s doctor.
  • The nephrostomy tube should have a black indicator line where it enters the skin. This line helps determine whether or not the tube has moved out of place. If the black indicator line is not next to the skin, contact the patient’s doctor right away. The nephrostomy tube will need to be put back in its proper place by them.

Clean the tube entry site.

  • Using the saline solution, wet a couple of the gauze pads. While holding the tube in place to keep it from being pulled out, take a wet gauze pad and wipe around the nephrostomy tube, clearing any material from the skin. Repeat this step with a couple of gauze pads soaked in saline solution.
  • Gently pat the skin with a clean washcloth to dry it.

Apply the skin barrier and bandages.

  • Take the skin barrier and cut an opening in the center large enough to fit around the nephrostomy tube. Cut a slit from the outside edge of the skin barrier to the center opening to fit around the nephrostomy tube. Place the skin barrier around the nephrostomy tube.
  • Use the gauze bandage roll and wrap it around the entry point of the nephrostomy tube to support it and stop it from kinking or bending. Tape the gauze bandage securely in place.
  • An attachment device such as the Hollister Vertical Drain Tube Attachment may be placed over the bandages to help keep the nephrostomy tube in place.
  • Bring the tubing forward to the front of the patient’s body and tape it to the skin. Careful not to stretch the tube too tight, as this may pull the nephrostomy tube out.

How often should you change the bandage, skin barrier, and tube attachment device?

It is recommended that the bandages around the tube, skin barriers, and tube attachment devices are changed at least every seven days. If your dressings, skin barriers, or attachment devices get dirty or wet, they should be changed right away to prevent infection. If your nephrostomy tube is permanent, the tube needs to be changed every 2 to 3 months. Your doctor should tell you how often you need to have your tube changed.

what to remember with a nephrostomy

What problems should you watch for?

The skin around the nephrostomy tube is red, sore, or swollen.

You might have an infection. Wash your hands and clean the skin and nephrostomy tube at the entry site once or twice a day with a saline solution. Change your dressing every day and apply an antibiotic each time. Put dry, sterile gauze over the tube. If the problem does not resolve within a week, contact your doctor who ordered this tube for you.

You experience pain in the middle of your back along with a fever, urine color changes, or the nephrostomy tube is not draining well.

You may have a kidney infection and should call your doctor immediately. Your doctor might want to start you on antibiotics and will likely change your tube right away. To prevent kidney infections in the future, try rinsing your drainage bag with clean water every day. Drink plenty of fluids each day and change your nephrostomy tube every three months.

There is leaking at the entry site of the nephrostomy tube, or no urine is draining into the bag.

Your nephrostomy tube may be partially or entirely out. Use some tape to secure the tube and call your doctor right away. The opening in the skin can close up quickly, and insertion will be more complex and painful. By checking to make sure your tube is secured to your skin and the dressing is securely in place daily, you can help prevent the nephrostomy tube from coming loose and falling out.

You experience pain in your kidney area, there is leaking around the entry site, or there is no drainage in the tube.

You may have a blockage in your nephrostomy tube. Check for any kinks or bends in the tubing. If you don’t find any problems with the tubing, you should contact your doctor immediately before the situation becomes more severe. Your nephrostomy tube will need to be changed. Drinking plenty of water and getting your tub changed every three months can help prevent blockages.

When to contact your doctor

Contact your healthcare provider if:

  • The skin around the nephrostomy tube is red, swollen, itches, or has a rash.
  • The black indicator mark on the nephrostomy tube has moved away from the entry point on the skin.
  • A large amount of urine is draining into the drainage bag over a short period.
  • You have little or no urine draining from the nephrostomy tube.
  • You are experiencing pain in your lower back or hips.
  • There are changes in the color or smell of your urine.
  • You have a fever, nausea, or vomiting.

Some of Our Nephrostomy Supplies

Hollister Vertical Drain Tube Attachment Device

Hollister Vertical Drain Tube Attachment Device

McKesson Drain Split Sponges

McKesson Drain Split Sponges

McKesson Saline Irrigation Solution

McKesson Saline Irrigation Solution

Covidien Simplicity Basic Underpad

Covidien Simplicity Basic Underpad

If you have any questions about the information provided in this blog or the home delivery medical supplies we carry, our Product Experts are just a phone call away and ready to help.

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Swim Diapers for Adults

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by Michelle Stepp

The weather is warming up across the country, and with continued safe practices and social distancing, the pools are opening. If you live with incontinence, you might think you can’t go swimming. However, you have options. Private swim diapers for adults are made to collect light urinary incontinence before entering a pool and contain minor bowel incontinence while in the pool. Swim diapers for adults can offer discreet incontinence protection in public, helping alleviate stress and insecurity in group settings.

Do swim diapers really work?

Many adults are concerned about how to swim with bowel incontinence. With properly designed incontinence wear for swimming, adults can get back to freely moving in the water with confidence.

By law, most municipal pools require that a person with incontinence wear swim diapers to contain accidents. Swim diapers for adults replace your regular incontinence diaper or brief and are put on underneath your bathing suit or swim trunks. These private adult swim diapers contain minor urine leaks and bowel incontinence, but don’t absorb it. With a proper fitting adult swim diaper, there is no leakage of fecal material in the case of an accident, and you are protected until you can get to a bathroom to clean and change yourself.

Tranquility Swimmates Adult Disposable Swim Diapers

Swim diapers for adults like the Tranquility Swimmates Adult Disposable Swim Underwear, you can get back to water-based activities you enjoy. As a bonus, swimming is a healthy fitness exercise that is easier on joints than most other types of aerobic activity and can be vital to your overall health.

Swimmates adult disposable swim diapers
Order Swimmates Swim Diapers for Adults

Swimmates Adult Disposable Swim Diapers are a discreet swim diaper for adults. These adult swim diapers can be worn confidently and comfortably in public, ensuring complete discretion. Swimmates disposable swimwear are worn underneath a regular bathing suit and designed to contain minor urinary and bowel incontinence with their moisture-proof barrier and inner leg cuffs. The material of the Swimmates Adult Swim Diapers help prevent swelling up in the water, which helps prevent them from breaking apart, so adults can enjoy swimming and wading in the water without worrying they are not securely protected. The tear-away sides make them easy to remove and dispose of after use.

These incontinence wear for swimming are available in sizes Small to 2XL to accommodate all body shapes and sizes.

What is the difference between regular diapers and swim diapers?

Regular incontinence diapers are made to be absorbent and wick away fluids from the skin. The absorbent materials used in regular diapers for adults puff up as they fill with liquid and contain any solid matter from escaping.

Since swim diapers for adults are not designed to absorb liquids, they do not swell up like regular adult diapers. Regular adult diapers in a pool or ocean would become very heavy and awkward as they absorb all the surrounding fluids. If there happened to be an accidental bowel movement or a more significant urine leak, it would be much more manageable in a swim diaper than a regular diaper. Swim diapers for adults provide much more discretion and security.

How well do swim diapers for adults actually contain bowel incontinence?

There has been some research1 that has shown how efficient swim diapers for adults are at not allowing any fecal matter to escape and leak into the pool. Incontinence swim diapers for adults are not entirely leakproof, and small amounts can possibly spill out into the water. If solid waste does happen to enter the pool, complete flushing is required to ensure that it doesn’t get into the water supply.

What about diarrhea when using swim diapers for adults?

For those with bowel or urinary incontinence that require frequent bathroom breaks and diaper changes, swim diapers for adults are not suitable. If you suspect you have diarrhea, you should stay out of the water at a pool or the beach. Diarrhea is caused by bacteria in the system, and by sharing that water with others, you are putting everyone else in the water at risk of getting sick.

To learn more about how you can help stop germs from spreading in the water you swim in, visit Steps of Healthy Swimming.

What to remember when swimming with incontinence

  • If you plan on swimming in a pool, buy proper fitting swim diapers for adults. If the adult swim diaper fits well, it will be discreet underneath your bathing suit or swim trunks. The inner leg cuffs help contain any accidental leakage of fecal matter.
  • Urinating in a pool or entering the water while knowingly having diarrhea is never okay. Bacteria will get into the water and cause problems for others, possibly making them sick.
  • Regular diapers and incontinence pads should never be worn in a pool or ocean. These incontinence products will absorb the water around them and swell up. Swim diapers for adults will contain minor urine leaks and bowel movements without causing embarrassment. Incontinence pads and diapers are best used for everyday activities that do not involve water.

If you are concerned about how to swim with minor urinary incontinence or bowel incontinence, consider purchasing Swimmates Adult Disposable Swim Diapers. These men’s and ladies incontinence swim pants will allow you to enjoy water activities and free from stress in group settings.

For questions about Swimmates Adult Disposable Swim Diapers or any other incontinence product we offer, our Product Experts are just a phone call away and ready to assist.

Swim Diapers and Swimpants at Personally Delivered

Swimmates Adult Disposable Swim Diapers

Swimmates adult disposable swim diapers

Huggies Little Swimmers Swim Pants

Huggies Little Swimmers Swim Pants
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Skin Issues Around the Stoma

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by Michelle Stepp

Skin issues around the stoma are usually experienced at some point in those living with an ostomy. This area around the stoma is referred to as peristomal skin. Taking good care of this skin is a crucial element in maintaining a comfortable lifestyle after ostomy surgery.

Skin irritation around the stoma is common, but it doesn’t have to be a normal part of life with an ostomy. Signs of redness, damage, irritation, and rashes are alerts for concern. Unhealthy skin around the stoma can cause pain, leakage, and negative quality of life.

We will address common skin issues around the stoma, some suggestions on preventing them, and a technique that can help treat many of them.  With proper treatment and care, most skin issues around the stoma can be solved before developing into a more severe problem.

Common Skin Issues Around the Stoma

Irritant Dermatitis

Irritant dermatitis happens when something is irritating the skin around your stoma. This irritation could be a result of stoma pastes, barrier sprays, urine, or stool. The area may look red, wet, weepy, or even bleed.  Make sure to change your pouch routinely and consider an extended-wear skin barrier or a convex skin barrier if you have skin folds or creases. Moldable Technology by ConvaTec can help give you a better seal.

Mechanical Irritation

Mechanical irritation is caused by aggressively wiping or washing the skin around the stoma or forcefully removing the skin barrier. The skin around the stoma will look red and weepy. It is essential to be gentle when washing around this area and be careful when peeling the skin barrier off.

Folliculitis

Tiny red bumps around the stoma that can also be painful are called folliculitis. More common in men due to hair growth on the abdomen, folliculitis is caused by the hair underneath the skin barrier becoming irritated. The hairs are repeatedly removed during each skin barrier change, and the hair follicles are irritated. Think of continually waxing the same area of skin over and over. It is bound to become red and hurt. Incorrectly shaving the hair around your stoma can also cause folliculitis. Using an electric razor or scissors to trim the hair may be helpful, and remember to be gentle when you peel back the skin barrier for removal.

Contact Dermatitis

When the outer layer of the skin has been damaged or cut, contact dermatitis can occur around the stoma. Ostomy skin barriers can rub the skin the wrong way and cause a red rash to form. You should speak to your physician if you suspect you have contact dermatitis. They may prescribe a special cream or ostomy powder to use.

Allergic Dermatitis

Like contact dermatitis, allergic dermatitis occurs when a red rash forms because of an allergic reaction to any pastes, sprays, skin barriers, or even the pouch material you are using. The body is releasing inflammatory chemicals, which makes the skin feel itchy and irritated. Contact your physician to find out if you need to change the products you are using.

Fungal Infection

Fungal infection around the stoma appears like a rash, but features raised round red areas. The skin around the stoma will burn and itch and fungal infections are known to spread outside the stoma area. Because fungal infections thrive and multiply in dark and moist places, make sure to dry the skin around the stoma entirely before applying a new skin barrier and pouch. Your physician may suggest an anti-fungal stoma powder.

Those who have been taking antibiotics for more than a week or have anemia, diabetes, or a lowered immune system may be more prone to fungal infections.

Using the Crusting Technique to Treat Skin Issues Around the Stoma

peristomal skin care productsFor most common skin issues around the stoma, using the crusting technique can help provide a seal while the skin is irritated.

The five steps to this technique are:

  1. Use warm water to cleanse any residue from stoma paste around the surrounding area of the stoma and pat dry. You can also use Brava Adhesive Remover Spray or wipes to clean off the skin gently.
  2. Sprinkle stoma powder such as the Hollister Adapt Stoma Powder onto the irritated stoma skin and dust off any excess to prevent clumping. This stoma powder is designed to alleviate irritation, so you may be able to cease use once the skin issue around the stoma has resolved.
  3. To seal the powder onto the skin, use a skin barrier spray such as Brava Skin Barrier Spray. This spray is non-alcoholic so that it won’t sting or burn the area. Spray the barrier spray over the stoma powder, dab with a skin prep wipe, and fan to dry. The barrier spray will turn clear when set and form a crust on the skin that acts as a layer of protection.
  4. Repeat Step 3 for additional layers of protection and allow each layer to dry completely before applying the next layer. Two to three layers should be sufficient.
  5. You are now ready to apply your ostomy pouching system as usual. Your physician may suggest an anti-fungal stoma powder if you develop a rash or itch that does not improve. This condition could be a sign of a yeast infection.

Skin Care Tips for Skin Issues Around the Stoma

Sometimes problems develop despite the effort made to keep peristomal skin clean and healthy. Staying educated about this area can help you learn about what to look out for and how to manage problems that may arise with peristomal skin.

Hollister Inc. has put together a convenient Peristomal Skin Care Tips brochure that outlines what the skin around the stoma should look like and suggestions to take.

Peristomal Skin Care Tips

Common Questions for Treating Skin Issues Around the Stoma

When should I use stoma powder under my skin barrier?

If the skin around the stoma is irritated, red, painful, or there is a rash present, you may want to use a stoma powder for treating the affected skin. Ensure you speak to your physician first to ensure you are using the correct stoma powder under their direction.

What kind of powder should I use if my skin has a red, raised, pimply rash?

zeasorb antifungal body powderRed, raised, pimply rash symptoms are good indicators that you may have a yeast infection. Choosing an anti-fungal stoma powder that contains 2% Miconazole, such as Zeasorb Antifungal Powder, should be able to address this condition. Check with your physician first to confirm that this is the proper course of action.

How do I use stoma powder?

Stoma powder is very easy and quick to apply in just a few steps.

  1. Start by washing your hands with soap and water.
  2. Clean the skin around your stoma with either wipes or warm soapy water and pat dry.
  3. Sprinkle the stoma powder all around the peristomal skin and brush off any excess with your fingertips.
  4. Use an alcohol-free skin prep and dab the powder to set for approximately 10-15 seconds until completely dry.
  5. Continue with your usual ostomy pouch change process.

Stoma powder is not helping my skin irritation. What do I do?

ConvaTec Sure-fit Natura moldable barrierTry removing the adhesive and check the backside. Feces or urine may have leaked and caused irritation between the skin barrier and the peristomal skin. Ensuring that there is a nice and secure fit of your skin barrier is one of the most critical steps to maintain healthy skin around the stoma. Moldable Technology by ConvaTec might be a helpful solution.

Could I be allergic to the adhesives used in my ostomy pouching system?

You may be allergic to the components used in your pouching system or the supporting products such as sprays, wipes, or pastes. Try washing your peristomal skin with just warm, soapy water for a period and see if the symptoms subside. If the symptoms go away, certain ingredients in the supporting products you are using are causing the allergic reaction. Consult with your physician about your symptoms, and they may be able to recommend alternative products.

Giving Your Peristomal Skin a Break Between Ostomy Appliance Changes

Sometimes giving your peristomal skin a break between ostomy appliance changes can help maintain healthy skin. After removing your skin barrier and ostomy pouch, try leaving your skin uncovered for 30 minutes or so. Make sure to have a towel or container nearby to catch any leaks that may occur. Taking a skin break can help with skin issues around the stoma or keep it from happening.

We carry a wide variety of ostomy products and supplies at Personally Delivered for all types and sizes of stomas. Suppose you need assistance choosing what ostomy products are right for you or finding ostomy supplies that your physician has recommended. In that case, our Product Experts are here to help guide you through the purchasing process. Just give us a call, and we will make it easy for you.

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Coloplast SenSura Mio Click Convex Barrier

Coloplast SenSura Mio barrier
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GentleCath™ FeelClean™ Technology

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by Michelle Stepp

Are you sometimes feeling “stuck” or frustrated determining which catheter is best for your unique needs? Have you been resorting to a less expensive intermittent catheter that you are used to and more familiar with for fear of taking a risk to try something new? Sometimes it is easier to just put up with the mess that has become the routine instead of opting for something that might be uncomfortable or not work for you.

GentleCath™ has developed a solution and designed their GentleCath™ Glide intermittent catheters with innovative and advanced technology to transform their users’ intermittent catheterization experience. GentleCath™ Glide catheters with FeelClean™ Technology are designed to finally offer a clean and comfortable catheterization experience without the messiness, drying out, and sticky situations.

What is FeelClean™ Technology?

FeelClean™ Technology was developed by ConvaTec for their GentleCath™ Glide intermittent catheters and are the only intermittent catheters with this advanced technology. As the GentleCath™ Glide catheters are manufactured, the FeelClean™ Technology additive is embedded into the catheter material itself. Whereas traditional hydrophilic catheters are dipped into a cured surface coating. GentleCath™ Glide catheters’ hydrophilic properties are in every part of the tube’s material.

View GentleCath™ Glide Catheters

What Are the Benefits of FeelClean™ Technology?

Hydrophilic Properties Are Maintained

GentleCath™ Glide catheters can maintain their hydrophilic properties because of this FeelClean™ Technology. The entire catheter from tip to end is embedded with this innovative technology to maintain its hydrophilic properties within a wet environment for a smooth and comfortable catheterization experience.

90 percent of GentleCath Glide users rated them as more comfortable because of the FeelClean™ Technology

Activation is Instant

With FeelClean™ Technology, there is no need to wait for the GentleCath™ Glide catheters to be activated. Some other catheters with a hydrophilic coating on their surface need to soak before they are fully hydrated and ready to use. GentleCath™ catheters with FeelClean™ Technology are ready to use as soon as you need them.

87 percent of GentleCath Glide users rated them as cleaner because of the FeelClean™ Technology

No Sticky Residue and Won’t Dry Out

Because of the FeelClean™ Technology embedded into the actual catheter material, GentleCath™ Glide catheters won’t dry out or become sticky. The catheter remains smooth for the entire catheterization process from start to finish for maximum comfort.

No Mess Left Behind

Worrying about a mess and getting your clothes soiled during intermittent catheterization is the thing of the past with FeelClean™ Technology. ConvaTec has taken the extra effort to test their GentleCath™ Glide catheters, and their findings have resulted in less residue left behind than competitive products. The unique technology has proved to leave less mess on hands, body, and clothing.

more than 85 percent of GentleCath Glide users rated them as more comfortable on insertion and removal because of the FeelClean™ Technology
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Watch How FeelClean™ Technology Works

Enroll in the GentleCath™ me+ Program

Many questions arise during your catheterization journey, and that is precisely why ConvaTec created the GentleCath™ me+ Program. This program provides support for intermittent catheter users at no cost. There are many benefits to the program that include video trainers, personalized product sampling, connecting with a team of nurses for specific questions and advice, and so much more.

Learn about the complimentary GentleCath™ me+ Program, how to enroll, and more by clicking the button below.

GentleCath™ me+ Program

GentleCath™ Glide Catheters with FeelClean™ Technology

GentleCath™ Glide Male Catheter

GentleCath Glide Male Catheter

GentleCath™ Glide Female Catheter

ConvaTec Gentlecath Glide female catheter

GentleCath™ Glide Male Coudé Catheter

GentleCath Male Coudé Tip Catheter

We are proud to offer GentleCath™ Glide catheters with FeelClean™ Technology at Personally Delivered. If you have any questions about these or any other intermittent catheters we carry, our friendly, knowledgeable, and caring Product Experts are just a phone call away and ready to assist.

Remember, your catheterization experience should never be uncomfortable. With GentleCath™ FeelClean™ Technology, you will have less of a mess, no more sticky situations, and get back to doing the things that bring you joy.

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InterStim Therapy for Bladder Control Problems in Women

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by Michelle Stepp

Discussing bladder control problems with friends, family, and physicians can make most people feel uncomfortable. Worrying about bladder control can keep some people from enjoying activities they love. More than 33 million Americans deal with overactive bladder (OAB), sometimes referred to as urge incontinence. A minimally invasive procedure called InterStim therapy is a treatment option available for OAB if other non-surgical options have not worked.

First, we will discuss bladder control signs and symptoms, then conservative treatments to try, and finally discuss Interstim therapy as an option to treat bladder control problems.

Symptoms of Bladder Control Problems

  • Frequent urges to urinate (urgency-frequency)
  • Inability to hold urine/leaking (urge incontinence)
  • Inability to urinate (complete urinary retention)
  • Incomplete bladder emptying (partial urinary retention)

Conservative Treatments for Bladder Control Problems

Conservative or non-surgical treatments for bladder control problems typically come first. Some of the conservative treatment options are:

  • Kegel exercises
  • Medications
  • Physical therapy
  • Dietary and lifestyle changes

If these conservative, non-surgical treatments have not effectively treated the bladder control problems, your physician may discuss InterStim Therapy with you as an option.

What is InterStim Therapy?

InterStim Therapy, also known as sacral nerve stimulation or sacral neuromodulation, is an FDA-approved treatment for several different bladder control problems, most often for women. This therapy is completely reversible and uses a small implantable device to send mild electrical pulses to stimulate the sacral nerves. These nerves are located near the spinal cord and just above the tailbone and control the pelvic floor, urinary and anal sphincters, lower urinary tract, and colon.

InterStim Therapy can be used to treat the following bladder control problems:

  • Overactive bladder (OAB): The sudden, uncontrollable urge to urinate
  • Urinary retention: A feeling of “fullness” with an inability to fully empty the bladder
  • Urinary incontinence: The involuntary leaking of urine due to the loss of bladder control
  • Bowel or Fecal incontinence: Stool unexpectedly leaking from the rectum due to the inability to control bowel movements

InterStim Therapy is not intended to treat issues like stress incontinence or urinary blockages. Also, it is not recommended for pregnant women, those with a pacemaker, or diabetic patients.

How Does InterStim Therapy Work?

The sacral nerves control the bladder and are located near the tailbone. When these nerves do not communicate effectively with the brain, normal bladder function is disrupted. InterStim Therapy provides stimulation to these nerves called neurostimulation to communicate with the brain for increased bladder control. Neurostimulation is a reversible treatment that can be discontinued at any time by turning off or removing the device.

How is the InterStim Therapy Device Inserted?

Before the InterStim Therapy device that generates the electrical pulses is surgically implanted, the patient will have a trial period to ensure the therapy will reduce bladder control symptoms. This is the first phase of the two-phase procedure and typically takes 1 to 3 weeks. This trial period determines if InterStim Therapy is right for you. With both phases of the process, you can go home the same day but need a driver.

The trial phase takes place in a medical office or operating room. The doctor numbs a small area near the tailbone and inserts a thin, flexible needle attached to a wire placed near the sacral nerves. Once the electrical stimulation starts, a comfortable pulsing or tingling sensation is sent to the vagina or rectal regions.

An external battery is then placed on a belt that is connected to the testing wire. A handheld remote control can then adjust the level of desired stimulation. During the first phase, your doctor may ask you to keep a bladder diary to track daily urinary habits. It is essential to abstain from sexual and strenuous activity to ensure the wires stay in place during this time. The incision sites should also remain dry and the wires free from potential entanglement.

The first phase of the procedure allows you to try neurostimulation to see if it is right for you without making a long-term commitment. Suppose your symptoms are significantly reduced or eliminated during the testing period. In that case, you may benefit from long-term use of sacral nerve stimulation, and the second stage of the procedure is performed.  A permanent battery is implanted in the upper part of the buttock and is similar to a heart pacemaker’s size. Most all normal activities can be resumed within two weeks after this surgery.

What Are the Risks of InterStim Therapy?

As with any minimally invasive procedure, there may be risks, which could include:

  • Bleeding
  • Infection
  • Swelling
  • Bruising
  • Pain
  • Continued bladder control problems

The good news is that if, for any reason, the InterStim Therapy device can be shut off or completely removed. It is essential to share all health concerns and intentions with your doctor to determine if the device needs to be turned off. For example, if you become pregnant or are trying to become pregnant, the InterStim device would need to be shut off.

For even more information, visit: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2672997/

InterStim Therapy for bladder control problems is not suitable for everyone. There are many alternate options to help manage OAB, urge incontinence, bowel or fecal incontinence, or any other symptom you are experiencing. Personally Delivered carries a wide variety of incontinence products to help with bladder and bowel control. If you need assistance choosing what incontinence products are right for your unique needs, our friendly and knowledgeable Product Experts are here to guide you through the purchasing experience. Give us a call today. You’ll be happy you did!

Popular Bladder Control Products for Women

Prevail Overnight Bladder Control Incontinence Pads

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The Importance of Being Your Own Health Advocate

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by Michelle Stepp

Health care providers and hospitals have the best intentions in mind; however, medical errors do occur. If you feel something is wrong, it is crucial to be your own health advocate and speak up. Bringing attention to a potential issue could prevent a future error with another patient. Meena Dhanjal Outlaw suffered a spinal cord injury over 20 years ago that left her significantly paralyzed. Here, she speaks about the importance of being your own health advocate.

All Doctors Are Not Created Equal

When I had my spinal cord injury seventeen years ago, it was evident that the type of medical attention I need is by doctors who understand a spinal cord injury. I lived far away from the rehabilitation facility that practically took care of my needs, so I sought a general physician close to home. Unfortunately, I found that she was not well-versed in treating patients with spinal cord injuries,

I could go to my general physician for common colds and other minor issues. However, I realized she didn’t understand how my body functioned after a spinal cord injury.

For example, every time I had to give a urine sample, she would note that there was bacteria in my urine and instantly say, ‘You have a urinary tract infection.’ and give me a prescription for antibiotics.  I already knew from the specialized doctors I had seen thus far that I would only need an antibiotic if I had a fever or unexpected bladder accidents. So to avoid conflict with the doctor, I just never filled the prescription.

It wasn’t easy at times, but if I didn’t speak up for myself, then who will?

Pay Attention to Your Body and Ask Questions

Doctor Discussing Medication with his patient as they sit next to one anotherAt one point, I had to call my surgeon when I experienced a post-op problem. The surgeon had placed a port under my shoulder to provide easier access to the type of transfusion that will successfully treat the neuromuscular disease I have in addition to my spinal cord injury, which is called Myasthenia Gravis.

I knew there was a problem, considering the amount of blood oozing from where the incision had been made to place the catheter. The nurse in post-op knew that they had missed a stitch. After looking at the wound, the doctor didn’t think it was necessary to put in an extra stitch.

I was in pain the entire weekend after the surgery and felt I was consuming way too much over-the-counter pain medication.

Upon going for my second transfusion, I mentioned to the doctor that I was still in a lot of pain. He dismissed my pain, told me I had a small clot, and redressed the area.

Unfortunately, I felt I couldn’t speak up for myself at that time. However, since then, I spoke with my neurologist, who recommended pain medication. In addition, the doctors will now be keeping a closer eye on this area since I have several more treatments there.

If You are Concerned, Speak Up for Yourself

Self-advocacy isn’t always getting the result you think is necessary for you. Instead, it’s about not being afraid to speak up when necessary. Many people with a disability feel they cannot speak up for themselves because they don’t want to offend the doctor and possibly get more neglectful care.

I look back and wonder if I had spoken up at the time, would that surgeon continue to dismiss me or would I have had a weekend free of pain?

Take Charge and Educate Yourself – Be Your Own Health Advocate

older woman sitting in a chair and reading a book

The best form of defense for me as a woman with a spinal cord injury was to educate myself about my own condition. This helped me better take action over my situation and prevent specific problems.

For example, if I took the antibiotics every time the general physician prescribed them to me, my body could’ve become immune to antibiotic treatment. At that point of severity, the only way to treat a UTI would be intravenously in a hospital with a much stronger dose of antibiotics.

Today, I have a general physician who listens to me and is well-versed in treating patients with Myasthenia Gravis and spinal cord injuries. While visiting her means a longer drive, it’s worth it to me because her care is so important.

So to recap:

  • Don’t be afraid to speak up.
  • Become knowledgeable about your condition so that you know what to do even after leaving a physician with no treatment to remedy your issue.
  • Find a doctor that understands
  • Don’t be afraid of distance.
  • Know your rights as a patient.

For further information on becoming your own health advocate and your rights as a patient, check out this helpful link www.patientadvocate.org, and remember knowledge is power.

Becoming your own health advocate can take time, but as Meena explains in her story, that tremendously helped her. There are many struggles that can come along with a spinal cord injury such as:

  • Neurological issues that can lead to loss of bladder or bowel control
  • Poor coordination or balance when walking
  • Extreme back, neck, and head pain
  • Changes in sexual function, sensitivity, and fertility

Being your own health advocate can help you feel more in control of your condition and have more confidence in the decisions you make for your medical care. When you take an active role in your health care, you are more likely to get the resources you need.

At Personally Delivered, we carry home delivery medical supplies for a wide variety of conditions. Whether you are looking for adult disposable diapers, incontinence pads, protective underwear, catheter supplies, or any other medical supplies, we have got you covered. Our friendly, knowledgeable, and caring Product Experts are just a phone call away and ready to assist you in the purchasing process.

About the Author

Meena Dhanjal Outlaw

On January 23, 2000, Meena suffered a spinal cord injury that left her a T12 paraplegic. She worked hard to grow and push past adversity and challenges and even went back to school for a four-year diploma in writing for teenagers and children.

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Hollister New Image Two-Piece Drainable Ostomy Pouch

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Multiple Sclerosis and Incontinence

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by Michelle Stepp

Multiple Sclerosis and incontinence often are experienced together. The central nervous system controls many functions throughout the body, such as walking, thinking, and controlling various muscles. Multiple Sclerosis can cause damage to the central nervous system and produce a variety of symptoms, including vision loss, muscle stiffness, or even bladder and bowel dysfunction.

What is Multiple Sclerosis?

mend and women exhibiting different symptoms of multiple sclerosisMultiple Sclerosis (MS) is an autoimmune disease that affects cells in the central nervous system. For those with MS, not only is their immune system defending harmful bacteria and viruses again, but it is also attacking their body. Electrical signals are sent throughout the body by the central nervous system to control almost everything we do, and MS disrupts these electrical signals.

Those with MS can experience a wide range of symptoms, and this disease affects everyone differently. Although most of the symptoms are not visible to others, some are and can worsen over time.

Common Symptoms of MS

  • Walking problems
  • Vision problems
  • Bladder and bowel dysfunction
  • Fatigue
  • Cognitive difficulties (attention, learning, and memory)
  • Mood changes
  • Muscle stiffness
  • Numbness and tingling
  • Pain in arms and legs
  • Hot and cold sensitivity
  • Weakness or poor coordination

How Multiple Sclerosis Can Affect the Bladder and Bowels

There is a coating on the nerve endings called the myelin sheath that protects the nerve cells. When the myelin sheath is damaged due to multiple sclerosis, electrical impulses transmit to the brain much slower. This nerve damage affects how the body interprets signals between the brain and the bladder and bowel. Coordination of the muscles that control holding and emptying the bladder and the bowels is disrupted, leading the incontinence.

Bowel or fecal incontinence can result from weak sphincter muscles from MS or can be from constipation. When a person is constipated from MS, it can be from the medication or lack of mobility and lead to overflow incontinence.

Some of the various types of incontinence a person with Multiple Sclerosis may experience are:

Overflow Incontinence

When the bladder does not fully empty, urine can leak. Those with overflow incontinence from MS are unable to squeeze the muscles needed to empty the bladder due to nerve and muscle damage.

Urge Incontinence

When a person feels a sudden urge to use the restroom and has to rush to get there, they are experiencing urge incontinence. The nerves linked to the bladder have been damaged with MS and cannot communicate quickly enough to the brain.

Stress Incontinence

When usually going about your day and having an unintentional loss of urine, you experience stress incontinence. You may also notice this leakage when you sneeze, cough, laugh, or lift something heavy. The pelvic floor muscles have weakened from MS, so stress incontinence is often experienced.

Constipation

When you are not emptying the bowels as often as you usually would is one of the signs of constipation. Some medications can often cause constipation that lasts for days and be very painful. Abdominal bloating, decreased appetite, and fatigue are all signs that you may be constipated, and you should speak to your doctor about treatment.

Fecal Incontinence

Fecal incontinence or bowel incontinence is when a person cannot control regular bowel movements. When the sphincter muscles are damaged from multiple sclerosis, the ability to delay emptying the bowels is disrupted.

Treatment Options for Incontinence Related to Multiple Sclerosis

Treatment options are available to help improve incontinence for those with multiple sclerosis. There are many conservative methods. However, if those are not effective, then there are medications available. If incontinence symptoms are more severe, you may be recommended surgery as a last resort to improve your quality of life.

Conservative Treatments for Incontinence

Diet and Lifestyle

Bladder and bowel health is critical when it comes to incontinence. Eating a well-balanced diet that consists of fiber and plenty of fluids can help with regular bowel movements and avoid constipation. Fluids like carbonated beverages, caffeine, and alcohol can irritate the bladder, so it is best to avoid them.

Establishing a Routine

Establishing a routine can help to avoid accidents. It might help to go to use the bathroom every few hours and after every meal. Keeping a pattern of eating and drinking at the exact times can also help. In the evening, make sure to have your last drink two hours before bed. This practice may help avoid an overnight accident.

Retraining the Bladder or Bowels

Bowel retraining and bladder retraining is a treatment for incontinence that can work well for those with persistent diarrhea, constipation, or nerve damage due to MS. With bowel retraining, the goal is to aim for consistency of the stool and regularity of the movements. Gradually increasing the time between bowel movements, you are retraining the sphincter muscles, which may help make it easier to hold on.

When retraining the bladder, this process also involves gradually increasing the amount of time between each visit to the bathroom. Both bowel and bladder retraining takes time and patience. Many people find that keeping a Bladder Journal or Bowel Journal can help. This journal can also be shared with your doctor to determine a treatment plan.

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Incontinence Products

Assortment of incontinence productsToday, there are many incontinence products on the market that are designed to address light to severe urinary or fecal incontinence. These incontinence products can help provide more comfort, security, and protection for your clothing, bedding, furniture, and auto.

Incontinence products are available in a wide variety of absorbency levels, sizes, and styles. And, these products are offered for all genders and ages. Some of the categories include:

  • Incontinence Protective Underwear resemble regular underwear and offer more traditional and discreet protection.
  • Incontinence Briefs are also called adult diapers with refastenable tabs. This incontinence product is a more secure and absorbent option.
  • Incontinence Liners and Pads are generally used for light to moderate incontinence and are inserted into regular underwear as an added layer of protection.
  • Incontinence Belted Undergarments are much longer than a typical pad and feature a belt for additional security.
  • Incontinence Bed Pads, Underpads, and Chux are an excellent option to protect everything from your bed, furniture, car seat, or use as a puppy potty training pad.
  • Incontinence Clamps are used to help treat urinary incontinence in men. This device blocks the flow of urine. Many men use them to control urinary incontinence after prostate surgery, obesity, old age, or those who have diabetes.

Visit our Incontinence Product page for more information and to order these products. Our caring, specially trained Product Advisors can help you decide which option is most suitable for you.

Intermittent Catheters

collage of intermittent and Foley cathetersWhen a person cannot fully empty their bladder independently, they may be given the option to use an intermittent catheter.  By using an intermittent catheter, it can help eliminate overflow incontinence. A thin, flexible tube is into the urethra to drain urine out of the bladder. All catheters are designed to be sterile, one-time-use, and require a valid prescription from a physician. There are various types of catheters available, and depending on your unique needs, your doctor will know what is best for you.

Foley Catheters or Indwelling Catheters

Depending on the circumstance, a Foley catheter or indwelling catheter is inserted into the bladder and remains there for either a short or prolonged period. A balloon filled with sterile water is incorporated near the tip of the catheter tube. Once the catheter is inserted and inflated, this balloon prevents the Foley catheter from slipping out of place. Typically, a leg bag or urine drainage bag is connected to this type of indwelling catheter.

Percutaneous Tibial Nerve Stimulation

A treatment method that directly stimulates the nerves responsible for bladder and bowel control is called Percutaneous Tibial Nerve Stimulation (PTNS) and can treat incontinence. The tibial nerve is near the ankle, and during PTNS, a small needle connected to a stimulator device is inserted at this point. Impulses travel up the spine and target nerves in the spinal cord to retrain the bladder and pelvic floor muscle function. Some MS patients have found this helpful.

Using Medicine to Treat Incontinence

Laxatives

Sunmark ClearlaxMultiple sclerosis can leave some immobile, which can lead to constipation and ultimately overflow incontinence. Over-the-counter laxatives are available to help treat incontinence and come in various options such as suppositories, powders, and liquids. Laxatives are usually fast-acting to provide relief for irregularities. Make sure to you speak to your doctor or pharmacist about which type of laxative is best to use.

Antidiarrheal Medication

Antidiarrheals work to slow down the production of loose stool or diarrhea. Over-the-counter medications such as Imodium are available for purchase to help with the discomfort of repeated liquid bowel movements. However, it is essential to note that an underlying issue causes diarrhea, and these medications may offer only temporary relief.

Anal Irrigation and Enemas

Anal irrigation or rectal irrigation is a method that involves emptying the bowel by using a specialized pump, water, and irrigation tube. Anal irrigation is an effective alternative to conservative treatments like suppositories and laxatives. Anal irrigation can help manage chronic constipation and fecal incontinence.

Enemas are a quick, easy, and fast-acting treatment used to clear impaction from severe constipation. Using enema products involves administering a solution such as water and sodium phosphate to clear the bowel.

Antispasmodic Medications

Spasms of the bladder muscle can often be treated by the use of antispasmodic medications. These medications work to relax the muscles of the gut. They can help reduce urge incontinence associated with MS. Antispasmodic medications belong to a group of medicines known as antimuscarinic or anticholinergic drugs. A doctor must prescribe these medications as they are not suitable or safe for some people.

Injectable Therapies

Injectable therapies are available as a treatment that includes the non-surgical injection of a “bulking” material into the urethra to improve leakage. This material thickens the tissues, which then prevents soiling and improves bladder control.

Surgical Treatments for Incontinence

Suprapubic Catheters

As an alternative form of long-term catheterization, a suprapubic catheter can be used to treat incontinence. This type of catheter involves a minor surgical procedure to place a tube directly into your bladder through your abdomen. The suprapubic catheter can then be attached to a leg bag or urinary drainage bag to collect urine. It can be more comfortable than a Foley catheter and may be less likely to cause infection.

Botox

Botox is a potent neurotoxin that causes muscle paralysis by blocking the electrical impulses to a nerve. This type of incontinence treatment is relatively new in terms of treating an overactive bladder. If all other medications have failed to improve your condition, Botox may be a considered treatment by your doctor.

Bladder Augmentation

If medications and conservative treatments have failed to treat your incontinence, your doctor may discuss a bladder augmentation surgery may be an option. There are several ways this operation can be performed, but it is considered major surgery and involves cutting the bladder open. If you consider this option with your doctor, it is essential to ask as many questions as possible and take notes of your conversation.

Sacral Nerve Stimulation

Sacral Nerve Stimulation or Sacral Neuromodulation (SNM) can help restore normal bladder or bowel function by addressing the communication between the brain and the bladder and bowel. A device is implanted under the skin in the upper buttock. This device helps correct the messages that run along the nerve pathways that may be causing incontinence symptoms. As with other incontinence surgical treatment options, it should only be considered after medication and conservative incontinence treatment options have been exhausted.

Colostomy

For those with Multiple Sclerosis and incontinence, if fecal incontinence is severe, constipation is brought on from immobility, or dexterity issues have developed, your doctor may recommend a bowel diversion in the form of a colostomy. A small incision is made in the abdomen, and a section of the colon is pulled to the surface, forming a stoma. The stoma is an artificial opening that an ostomy skin barrier and ostomy pouch attaches to for waste collection. Colostomies may be temporary or permanent, so this treatment is typically considered in severe cases where all other treatment options have failed.

Where to Buy Incontinence Products

shop on Personally Delivered website, save an additional 5%, earn 3% cash back at teh end of the year based on purchasesWe carry a wide variety of incontinence products at Personally Delivered by many trusted brands like Attends, PBE Tranquility, Prevail, First Quality, Depend, and more. Incontinence is not the same for everyone, and that is why we have Product Advisors to help you navigate the purchasing process based on your unique needs.

Not only do we offer a wide range of incontinence products by absorbency, size, and style, we can help make it easy for you to get the products you need to be delivered right to your door when you need them. With our Automatic Delivery Program, you will save an additional 5% on each shipment and get 3% back at the end of the year. There is no commitment, it is hassle-free, and you can cancel at any time.

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What Resources Are Available for Those Affected by MS?

For those affected by Multiple Sclerosis and incontinence, there are many resources available.

Multiple Sclerosis and incontinence often go hand-in-hand, but as you can see, there are many options available for treatment. We are here for all of your incontinence needs at Personally Delivered. If you need assistance choosing the right incontinence products for your unique situation, our Product Experts are just a phone call away.

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The Hollister Infyna Chic Hydrophilic Female Catheter

Posted on
by Michelle Stepp

The Infyna Chic is the most recent hydrophilic female catheter from Hollister. This intermittent hydrophilic catheter for women is now available at Personally Delivered, and we are excited to share with you all of the beautiful features. Hollister understands that discretion is critical to women who catheterize, so let’s dive into learning more about this discreet and easy-to-use new female intermittent catheter.

The Hollister Infyna Chic Hydrophilic Female Catheter Features

Flip-top cap

This intermittent hydrophilic catheter for women was designed not only with discreetness but with ease-of-use in mind. The beautiful pastel pink pocket-sized carrying case’s lid flips open and closed using just one hand.

5-inch length

The Infyna Chic hydrophilic female catheter is 5-inches in length, giving assurance that the bladder is fully drained.

hand holding the hollister infyna chic catheter by the funnel allowing a touch-free catheterization process Touch-free insertion

The Infyna Chic Intermittent Catheter allows for touch-free insertion as it is just the right stiffness to glide into the urethra. The heat-polished eyelets are an added benefit to allow for greater comfort during the insertion process.

Uniquely color-coded funnels

The unique French size funnel colors of the Infyna Chic hydrophilic intermittent catheters are an array of beautiful pastel colors, unlike the traditional catheter funnels that are much brighter. These attractive, elegant colors give this female catheter a delicate feminine appeal.

Pre-hydrated

This hydrophilic female catheter is also pre-hydrated in its own water solution. This pre-hydration means the catheter is ready-to-go when you are. Since the fluid is water-based instead of gel-based, standard fabrics will not stain if you accidentally spill. Upon flipping the cap closed, there is no worry about any liquids leaking from the container.

Recyclable case

As a bonus, the case is not only discreet but recyclable. This feature means less environmental waste and a reduced carbon footprint.

hollister infyna chic hydrophilic female catheter flip top cap

The Hollister Infyna Chic Catheter Unique French Size Funnel Colors

The universal color-coding system that’s a part of catheter sizing allows you to look at the funnel color to ensure you are using the proper prescribed French size. Unlike the traditional bold and brighter shades of other catheter funnels mentioned in the features above, the Hollister Chic Hydrophilic Female Catheter funnels are a delicate array of beautiful and feminine pastels.

hollister infyna chic catheter funnel color reference chart

How to Use the Hollister Infyna Chic Hydrophilic Female Catheter

Collect your supplies

  • Alcohol-based hand sanitizer or anti-bacterial hand soap
  • A toilet
  • A moist towelette or personal wipe
  • Your Hollister Infyna Chic catheter

hand gripping the hollister infyna chic hrophilic female catheter by the funnelPrepare for insertion

  • Wash your hands with anti-bacterial soap or use an alcohol-based hand sanitizer.
  • Use a moist towelette or personal wipe and cleanse the genital area.
  • Either sit or stand near the toilet and open your legs.
  • Flip open the cap of the Infyna Chic catheter with your thumb. This action will break the seal.
  • Grip the catheter’s funnel with your dominant hand, making sure not to touch the catheter tube itself.
  • Using your non-dominant hand, spread the labia open and gently start inserting the catheter into the urethra until urine begins to flow.
  • Once urine stops flowing, slowly remove the catheter and insert it back into its case. Once the cap is closed, there is no worry about leaking.
  • You can now carry the catheter to a place for disposal or throw the catheter away and recycle the case.

You should not feel sharp pain or hurt in any way during the catheterization process. If you experience these feelings, try taking a deep breath and attempt insertion of the catheter again.

Also remember, that all catheters are intended to be single-use devices. Attempting to reuse a catheter increases the risk of urinary tract infections (UTIs) and can damage the hydrophilic coating, making catheterization more painful.

Real Women Talk About Life With the Hollister Infyna Chic Catheter

Where to Buy Hollister Infyna Chic Hydrophilic Female Catheters

We are proud to carry the Hollister Infyna Chic Hydrophilic Intermittent Female Catheter at Personally Delivered. Should you have more questions about this female catheter, our friendly and knowledgeable Product Experts are ready to assist.

hollister infyan chic sizing options

As a friendly reminder, all catheters, including the new Hollister Infyna Chic Hydrophilic Intermittent Female Catheter, require a physician’s prescription. With a valid prescription, our team can help guide you through finding the right size and type of catheter that will suit your unique needs.

Buy the Hollister Infyna Chic Catheter

View Other Popular Hollister Female Catheters

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Hollister VaPro Plus Hydrophilic Female Catheter

Hollister VaPro Plus Hydrophilic Female Catheter

Hollister Onli Ready-To-Use Women's Hydrophilic Intermittent Catheter

Hollister Onli Ready-To-Use Women's Hydrophilic Intermittent Catheter
Personally Delivered- home

GentleCath me+™ Program by ConvaTec

Posted on
by Michelle Stepp

It is natural to have several questions along the way on your catheterization journey. ConvaTec is committed to supporting your needs and making continence care more convenient and comfortable.

The GentleCath me+™ Program is a free support program designed to help intermittent catheter users like you navigate life a little easier. The goal of GentleCath me+™ is to make sure your catheterization needs are taken care of so you can be less stressed and focus on what matters to you most.

What are the Benefits of the GentleCath me+™ Program?

When you enroll in the complimentary GentleCath me+™ program, you will gain full access to several valuable benefits:

  • With GentleCath™ Video Trainer, you can create your personalized video guide with tips and advice tailored to you and the specific intermittent catheter you are using.
  • GentleCath me+™ Support consists of a team of WOC nurses and product specialists available by phone or email to answer questions and offer advice.
  • GentleCath me+™ Answers is your “go-to” resource for answering all of your catheterization questions in great detail.
  • GentleCath me+™ Community highlights real stories from other intermittent catheter users and provides a wealth of help and advice.
  • Personalized product sampling offers to help ensure you are using the best intermittent catheter for your unique needs.

We will go into more detail about each of these benefits, but let’s first discuss the available GentleCath Intermittent Catheters.

The Four Types of GentleCath™ Intermittent Catheters

GentleCath™ users feel confident using products designed for safety and ease of use. Each individual has their own unique set of needs when it comes to catheterization, which is why GentleCath™ offers a variety of product solutions.

The four types of GentleCath™ Intermittent Catheters are:

1. GentleCath™ Glide Catheter

GentleCath Glide catheterThe GentleCath™ Glide Catheter is a less messy option for a fast and convenient catheterization experience. The FeelClean™ Technology offers a smooth, slippery surface and reduced residue. Also, it features a handling sleeve for a touchless experience, which helps you avoid getting bacteria from your hands on the catheter.

Benefits of Using GentleCath™ Glide Catheters

  • Quick lubrication: GentleCath™ Glide catheters are ready to use as soon as you break the included water sachet and wet the length of the catheter.
  • Low-friction hydrophilic surface: The smooth, slippery surface makes the catheterization insertion experience more comfortable and prevents any tissue trauma.
  • FeelClean™ Technology: The unique FeelClean™ technology is less messy and reduces the residuals left behind when catheterizing.
  • A touchless handling sleeve: GentleCath™ Glide catheters have a no-touch handling sleeve to help prevent contamination of the catheter with bacteria from the hands.
  • Not made with DEHP: DEHP (di(2-Ethylhexyl)phthalate) a plastic softener that may be linked to cancer and reduced fertility.

 

Download the GentleCath™ Glide Male User Guide

Download the GentleCath™ Glide Female User Guide

2. GentleCath™ Hydrophilic Catheter

GentleCath Hydrophilic Female CatheterThe GentleCath™ Hydrophilic Catheter allows for a simple catheterization experience from beginning to end. The included sterile water sachet activates the coating, and the handling strip allows you to catheterize without touching the catheter tube itself, reducing the risk of infection.

 

Download the GentleCath™ Hydrophilic Male User Guide

Download the GentleCath™ Hydrophilic Female User Guide

3. GentleCath™ Uncoated Catheter

GentleCath Female CatheterThe GentleCath™ Uncoated Intermittent Catheter makes insertion and removal smooth and easy with its soft rounded tip and polished eyelets to minimize friction. The GentleCath™ Uncoated Catheter is available with both straight and coudé tips.

 

Download the GentleCath™ Uncoated Male User Guide

Download the GentleCath™ Uncoated Female User Guide

4. GentleCath™ Pro-Closed System Catheter

GentleCath Pro-Closed System CatheterWith the GentleCath™ Pro-Closed System Catheter, you can use your catheter wherever and whenever you need it. This all-in-one intermittent catheter minimizes the risk of infection with its touch-free design of a pre-attached collection bag.

 

Download the GentleCath™ Pro-Closed System Male User Guide

Download the GentleCath™ Pro-Closed System Female User Guide

GentleCath me+™ Video Trainer

With the GentleCath me+™ Video Trainer, just answer a few simple questions, and you will be able to view your very own video within a couple of minutes. Detailed instructions and tips tailored to you serve as an educational aid to provide clear instruction on the use of your particular type of intermittent catheter.

GentleCath me+™ Support

two men laughing and supporting one anotherWhen adjusting to catheterizing, you might find yourself dealing with a range of practical, physical, and emotional challenges. GentleCath me+™ Support brings you the products and support you need, tips and advice you can use, and an inspiring community to be a part of. You’ll get the support you need throughout your entire journey.

GentleCath me+™ Support is customized to provide the proper support at the right time throughout all stages of your journey. A team of dedicated nurses and product specialists can give you the support and answers you need.

You can fill out a contact form, call them directly, or send an email from HERE.

GentleCath me+™ Answers

You can get answers to commonly asked questions and explore articles providing tips, tricks, resources, and solutions with the GentleCath me+™ Answers benefit. Topics span relationships, travel, physical activities, and everyday life.

GentleCath me+™ Answers is committed to helping you find answers to the questions you may have as an intermittent catheter user. There is a place to ask your unique questions that you would like answered.

GentleCath me+™ Community

community of cheerful people supporting one another in a park

In the GentleCath me+™ Community, you can read inspiring stories and experiences from other intermittent catheter users while discovering an entire community of help and advice.

Everyone’s catheterization journey will be different, so the GentleCath me+™ Community was designed to help create meaningful connections and facilitate encouragement between intermittent catheter users.

GentleCath me+™ Personalized Product Sampling

GentleCath Glide Male CatheterWith a valid prescription from your physician, you can request GentleCath™ Intermittent Catheter samples for both men and women. Just answer a few simple questions, and you will be contacted by a ConvaTec representative regarding the GentleCath™ Intermittent Catheter sample that interests you.

Enroll in GentleCath me+™

Enrolling in GentleCath me+™ gives you all the valuable resources and support you need all at no cost to you. You will have access to a dedicated team of WOC nurses and specialists to information on products and lifestyle. You don’t have to figure it out alone with the GentleCath me+™ program.

Enroll Now

We at Personally Delivered are proud to be a part of the ConvaTec family. We are also available to speak to you about any questions you may have about GentleCath me+™ or any of the GentleCath™ Intermittent Catheters we carry. Our dedicated and compassionate catheter experts are just a phone call away and ready to assist.

So if you are a GentleCath™ Intermittent Catheter user, why not enroll in GentleCath me+™ and get back to living your life the way you want to!

Enroll In GentleCath me+™ Now!
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