Help - How to find the posts by jimjames: "Dive Bomb Technique" and "Bladder Rehab"
Posted , 3 users are following.
I have been trying to search for these posts.
Can someone please explain how to find them?
0 likes, 4 replies
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Notes on Help - How to find the posts by jimjames: "Dive Bomb Technique" and "Bladder Rehab"
stebrunner richard36196
Posted
Hi, Richard,
This is Jimjames divebomb technique--taken from one of his posts:
Technique -- Because the Speedicath is semi-rigid, you can acutually insert it without touching the catheter itself like they show you on the videos. I hold it only at the plastic funnel with one hand. The other hand hold my penis up at at 45 degree angle and at the same time my fingers push the meatus open (from the sides) without touching it. Then I basically drop the catheter in. Hands free, no issues with germ transference. With this technique, altough I often do, you don't even have to wash your hands because they never touch the catheter or near the meatus. (Prior to inserting the catheter I swab the meatus with Provodine Iodine swabs or a less messy substiture)
For more information, you can go to this thread on this site:
https://patient.info/forums/discuss/self-catherization-an-alternative-to-turp-greenlight-holep--336874?page=2#topic-replies
As you read through this thread, you can learn more about Jim's story and techniques.
Stebrunner
Howard31850 richard36196
Posted
Hi Richard,
I am one of jimjames disciples from 2 years ago. I learned how to CIC from him with my 300gm prostate just days before I was scheduled to have my prostate removed due to BPH. It was a learning curve for sure, but today I CIC 4 times a day with less effort than it takes to brush and floss my teeth - just as jimjames promised!
One thing that really helped me was to get a color drawing of the cross section of the penis, urethra, prostate and blader. This shows an "S" shape to the whole structure which will help y guide your positioning of the catheter during insertion and withdrawl.
So for the first third, you point your penis straight up and drop the catheter in using the dive bomb method. It helps to keep your index finger over the funnerl during this stage to stabilize the tip. When you are one third of the way in, you orient your penis horiontally and then continue inserting until your reach the resistance of the start of the prostate. At this stage you point your penis straight down towards the toilet and then continue pushing up very very slowly until the catheter enters the bladder and pee starts to flow.
Once emptied slowly reverse these steps to withdraw the catheter. Never, ever force it and some bleeding is normal at the start of CIC jsut as it is when you start to floss your teeth. Good luck. Howard
richard36196
Posted
Thanks for the responses !
Jimjames is indeed a guru - he clearly has helped so many of us.
I'm still searching for his "bladder rehab" tehcnique.
Howard31850 richard36196
Posted
Jimjames' bladder rehab is basically to make sure that your total void volumes stay under 400ml. So when you do CIC, first you measure your natural void volume (if any ) and then immediately perform your CIC and measure that volume. The total should be under 400ml. Most urologists say that just the CIC volume should be under 400ml while the total could be 600ml or more. According to jimjames this will just maintain bladder and kiney health. But if you want to strengthen your bladder muscles the total should be kept under 400ml at all times. If this means doing more CICs each day then so-be-it. For me, I usually CIC 4 times a day and follow jim's rule. But if my totals get higher than 400ml, then I add a catheter for a few days and do 5. And sometimes I can drop to 3 a day as long as I follow the golden 400 rule.
Then there is the on-off strategy where is you are doing well for a period of time you might try not CICing at all for a few days and see if your bladder has enough strength to give you good voids under 400ml. That hasn't worked for me though.