What if you have to pee during surgery?

Discussion in 'Medical Students - MD' started by barb, Jan 17, 2002.

  1. barb

    barb Senior Member

    Joined:
    Nov 19, 2001
    Messages:
    287
    Likes Received:
    0
    I am very interested in surgery, however, I have the world's smallest bladder. If I have to be in surgery for more than 4 hours, I think at some point, I will have to go pee. Do any of you have this problem? How will I pass my surgical rotation? Is there anything short of inserting a catheter that I could do? Can you just excuse yourself for a few minutes, take care of business, and then re-scrub?
     
  2. Thread continues after this sponsor message. SDN Members do not see this ad.

  3. Fanconi

    Fanconi Senior Member

    Joined:
    May 29, 2001
    Messages:
    246
    Likes Received:
    1
    Might I suggest a foley?

    Ok, seriously...this was never a big problem for me, but I did on occasion feel the urge to sneeze.

    Luckily I was able to suppress that urge, because how the hell do you sneeze and not contaminate everything???
     
  4. Purifyer

    Purifyer Dr. Funk

    Joined:
    Nov 29, 2001
    Messages:
    389
    Likes Received:
    0
    You could fake diabetes insipidus... and take this artificial ADH/vassopressin sutff which basically stops water in your system getting passed into urine. Don't know how dangerous that would be though :)
     
  5. tulanestudent

    tulanestudent Member

    Joined:
    Jul 29, 2001
    Messages:
    44
    Likes Received:
    0
    I was worried about that too, but had no problems when I did the surgery rotation. I guess somehow you just get busy and forget. You get the urge and then 5 hours later you remember you forgot to pee the second the case was over. I don't know why this happens, except maybe that you hardly get a chance to drink or eat anything anyway, so there isn't much to pee out anyway. Not too healthy, I guess, but it's only a few months, so it's not that bad.
     
  6. Billie

    Billie An Oldie but a Goodie...

    Joined:
    Nov 30, 1998
    Messages:
    348
    Likes Received:
    0
     
  7. NE_Cornhusker1

    NE_Cornhusker1 12" Member

    Joined:
    Aug 6, 2001
    Messages:
    877
    Likes Received:
    0
    I work with an orthopedic surgeon from China this summer and we got to talking about 12hr hand replanting surgeries. Nurses feed them and as for the bathroom issue he told you just kind of hold it and forget about it.
     
  8. drewdo

    drewdo Senior Member

    Joined:
    Mar 16, 2001
    Messages:
    129
    Likes Received:
    0
    First of all avoid diuretic agents like caffeine - hard to do on rotations I hear. Also, you are supposedly able to increase the volume of your bladder by constantly drinking plenty of fluids. Your bladder should eventually stretch and prolong the time before you feel the sensation to urinate.
     
  9. barb

    barb Senior Member

    Joined:
    Nov 19, 2001
    Messages:
    287
    Likes Received:
    0
    Thanks for the info you guys.

    Drewdo, I'm going to start drinking tons of fluids now so my bladder will be at max capacity by the time I have that rotation.

    <img src="graemlins/clappy.gif" border="0" alt="[Clappy]" />
     
  10. turtleboard

    turtleboard SDN Advisor

    Joined:
    Jun 3, 1999
    Messages:
    1,594
    Likes Received:
    0
    Status:
    Resident [Any Field]
     
  11. Winged Scapula

    Winged Scapula Cougariffic!
    Staff Member Administrator Physician Faculty Lifetime Donor Classifieds Approved

    Joined:
    Apr 9, 2000
    Messages:
    38,282
    Likes Received:
    26,168
    Status:
    Attending Physician
    I have a fairly small bladder myself but have never found the urge to urinate during a case - even really long ones. I do think you tend to forget about it and suppress the urge. Obviously don't load up on fluids before a case and I'm sure you'll be fine.
     
  12. Mary the Med Student

    Joined:
    Feb 2, 2001
    Messages:
    46
    Likes Received:
    0
    I have a small bladder and a bottomless stomach. I found hunger much harder to deal with than the need to pee. I got very insistent that I went to the restroom immediately before every case actually went in the OR. I would make sure that I had made nice with the OR nurses and the attending early on, so that I wouldn't be missed for the five minutes just prior to scrubbing. As long as I did that, I could handle up to nine hours of surgery - at least in terms of peeing.

    I would getn HUNGRY. Attendings could hear and would remark upon my growling stomach. Since I'm kinda skinny, they would accuse me of not eating enough and/or being anorexic. It was annoying, because the reason I couldn't eat was because I had too much work to do. And then when I had time, the cafeteria was inevitably closed.

    Sneezing isn't a problem. Just sneeze in the mask. It isn't even that gross, because your mask is already damp from breathing.

    -Mary
     
  13. tonem

    tonem Senior Member

    Joined:
    Sep 13, 1999
    Messages:
    619
    Likes Received:
    2
    You could "accidently" contaminate your hands and when you have to go scrub in again you run to the bathroom
     
  14. Winged Scapula

    Winged Scapula Cougariffic!
    Staff Member Administrator Physician Faculty Lifetime Donor Classifieds Approved

    Joined:
    Apr 9, 2000
    Messages:
    38,282
    Likes Received:
    26,168
    Status:
    Attending Physician
     
  15. tonem

    tonem Senior Member

    Joined:
    Sep 13, 1999
    Messages:
    619
    Likes Received:
    2
    I think you have to pull down your mask and sneeze into your hands to accomplish this feat properly. :p
     
  16. Thread continues after this sponsor message. SDN Members do not see this ad.

  17. Annette

    Annette gainfully employed
    Lifetime Donor Classifieds Approved

    Joined:
    Aug 24, 1999
    Messages:
    1,446
    Likes Received:
    3
    Status:
    Attending Physician
    AH AH AH AHHHHHHHH CHOOO! Now you don't have to worry about holding your bladder!

    If you are really worried, what about a "bladder control undergarment?" Certainly much nicer than a foley!
     
  18. jen628

    jen628 Member

    Joined:
    Dec 1, 2001
    Messages:
    28
    Likes Received:
    0
    I was concerned about the peeing problem too. Fortunately, I tried to pee shortly before every case and that would be fine until I could go again after we took the patient to recovery. There was only once, during a twelve hour case, that things got bad. So, I said something jokingly about having to go to the bathroom and the attending, surprisingly, said he was just thinking the same thing. Then he said, "You go first." So I did. No big woop.

    It seemed to me that as long as you are pulling your weight and don't do too many stupid things (sometimes difficult as a med student), surgeons can be reasonable people.
     
  19. Goofy

    Goofy Senior Member

    Joined:
    Nov 20, 2001
    Messages:
    503
    Likes Received:
    2
     
  20. giantDHrider

    giantDHrider Junior Member

    Joined:
    Jan 20, 2002
    Messages:
    11
    Likes Received:
    0
    dude man...just let it go...let it go man.

    if there is a drain in the OR...stand over it.

    :D
     
  21. JAMMAN

    JAMMAN Chief Exceutive Officer

    Joined:
    Oct 9, 2004
    Messages:
    263
    Likes Received:
    0
    Status:
    Attending Physician
    I just tie mine in a knot until the case is over. :eek:
     
  22. Winged Scapula

    Winged Scapula Cougariffic!
    Staff Member Administrator Physician Faculty Lifetime Donor Classifieds Approved

    Joined:
    Apr 9, 2000
    Messages:
    38,282
    Likes Received:
    26,168
    Status:
    Attending Physician

    Dude...way to revive a TWO YEAR old thread! Thems some searching skills. :laugh:
     
  23. medic170

    medic170 American Infidel

    Joined:
    Mar 13, 2001
    Messages:
    1,858
    Likes Received:
    4
    Status:
    Resident [Any Field]
    LOL :laugh: :laugh:
     
  24. You could always excuse yourself...but personally, I tend to just suck it up. Same goes for going to the bathroom (#2), eating, resting your legs/back, etc.
     
  25. ericdamiansean

    ericdamiansean High Profiler

    Joined:
    Jun 25, 2003
    Messages:
    1,191
    Likes Received:
    3
    Status:
    Resident [Any Field]
    I've got a senior who's addicted to the smell of burnt flesh from diathermy :p
     
  26. wam_256

    wam_256 Member

    Joined:
    Jan 26, 2005
    Messages:
    86
    Likes Received:
    0
    Status:
    Medical Student
    I survived my surgery rotation....I was so busy that I didn't have time to realize that my bladder was full :D
     

Share This Page