Viscus Lidocaine via Monojet

[Golden Girl]

I've been searching and haven't found anyone else commenting on this treatment. It comes pre-packed, with a tip designed to fit just into the urethra. My Urogyno suggested this as most of my discomfort is urethral and its simpler than an instill. It should be easier since its all together and the tip doesn't have to go as far into the urethra as with a catheter. The viscus part means jel, as in jelly. I meet with my Dr's PA who tried to teach me how to use it. She said usually the urethra is the most sensitive part with IC and was very nice but I couldn't do it. What is embarassing is that I'm a RN and she knows it. Anybody else totally freak out about this? I've read posts about finding urethras which were great but I know where mine is, its just so sensitive I can't get near it. Any help would be appreciated.:helpCENTER]

[Briza]

I believe most of the ladies here who have used it call it a urojet. I rarely get urethral pain but have used a plain old medicine dropper to get some in my urethra at times. Possibly if you could put some lido on the outside of your urethra first with your finger, then wait a 10 mins or so to let that numb at least the outside up a bit, then that would make it a bit more tolerable. Best wishes, you made it thru nursing school, you CAN do this:) Bri

[L. Thomas]

Everyone I know freaks out when considering self-cathing. One of the obvious reasons is that you are already having pain and then you are told to do something that has always caused you pain on a regular basis! Freaking out couldn't possibly describe the anxiety that most of us felt. I am not sure if your PA was referring to pain of IC in general or to pain of inserting the urojet. If they are talking about IC pain in general, they are probably not treating very many IC'ers. I think reading the board you would fine that most here would greatly disagree with pain mainly in the urethra.

I have had no problems, other than anxiety at the thought of self-cathing, with the normal instill. I have never used the urojet so I don't have any clue concerning the size of the urojet versus the size of the catheter I use. I use an 8fr pediatric feeding tube for instilling.

My thoughts would be since you don't feel successful with the urojet that perhaps you could try just the normal instills. I would definitely use the lidocaine gel before trying to insert anything in the urethra since you are so sensitive.

[Claredale]

I have used the urojet in the past. I have not been able to find them anywhere for several months. I used them mainly at night when my bladder and urethra were either burning or spasing. It is very easy to use. The tip isn't very big and you just squirt it in. It last for about 10 to 15 minutes, but it was usually long enough to get my oral meds to kick in.

Golden Girl, if you have a script for the monojet, please let me know what the number is or where you are able to get it filled. I would love to have access to them again!

I was able to use them right away with just one lesson by the nurse. Within the last month or so, I have had to self-cath myself due to a med that caused horrible retention. I told the nurse I was already familiar with how to do it and now I can do it without any mirror or anything. I truly feel that everyone with IC should really find out how to cath (the correct procedure for sterile reasons). I haven't had to be cathed since prior to my interstim in 2002 and I always went to my doctor's office because it was right around the corner from my work when I used to work downtown.

Now when I am having days that I am flaring and just can't get that feeling of being empty, it helps when I cath.

Thanks Goldon Girl for any iinfo on the monojet. I used to carry a few in my purse too for those times that my bladder would get a little irritated after I went to the bathroom. They always settled my bladder down pretty quickly. Plus they were so cheap to get.

Tracey

[Golden Girl]

Thanks for the replies and help. I think the idea of numbing the outside of the urethra first with the lidocaine would really help. I was given free samples from my Dr's Office so I can't vouch for their availability but I will check label for the manufacture when I get home. L. Thomas hit it right on about getting close to a area that has caused so much pain.

[Golden Girl]

Woops, the correct name is Urojet, not Monojet. The ones I was given were made by International Medication Systems, of El Monte CA. Stock #3012-SP. Please let me know if you need any more information.

[aprilchen]

Oh, if you can't find these...try a hospital inpatient or LARGE pharmacy. Also, specialty pharmacies such as The Medicine Shoppe usually have them. They are wonderful and cathing twice a day for treatments would have NEVER been possible without them!

-April

[catlover2]

Two nationwide pharmacies (Kmart and Kroger) can order urojets for you. Kroger is actually a grocery store but most of their stores have a pharmacy. You will usually have to order urojets by the box, so make sure your doctor writes your prescription for at least 25 urojets at a time. Urojets come in boxes of 25 unless you are getting them from a mail order pharmacy. If you call any of your local pharmacies, please make sure you have the urojet NDC# ready to give them so that they can look up whether or not they can order them for you. The NDC# for the 2% 10cc Urojets is 0548-3013-00. Urojets are also now classified as a generic, so they will not be as expensive as they used to be.
If your pharmacist can't find the urojets in their ordering system when searching by NDC#, ask them who their wholesaler is. If their wholesaler is McKesson or Smith, they can definitely order the urojets for you.
I use a local mom and pop pharmacy simply because the chain pharmacies don't provide the level of customer service I expect and the smaller pharmacies have the ability to order all of the instill meds I need.

[Claredale]

catlover2, Thank you so much. I have a Kroger right outside my neighborhood and I have never even tried them. I will give them a try this week. I see my doctor on Friday, so I will have him write up another script for me.

Bless you!
Tracey

[Dreamlove15]

Hi Golden Girl,

I use these, but I've always heard them called "Urojets". They are prepakaged, but you had to take the yellow caps off and twist the glass vile of lidocaine onto the syringe. The syringe has a small tip on it so that you can insert it into your urethra.

I got mine from a Urologist awhile back.

I have heard that they are hard to get from most Chain Pharmacies, but if you find an independent owned pharmacy I'm sure they would be more apt to order them for ya:)

Hope ya get it figured out.

[Golden Girl]

Thanks for the replies. I tried to correct my mistake on this thread's title, calling them monojets instead of urojets. Truthfully, I think I was so upset about the idea I couldn't even remember what they are called. The PA was very helpful about showing me how they work and very gently did one treatment for me (since I could not do it myself)My question was about anyone else not being able to do this.