Anyone recently experience sudden diaper rash using "Shields"?

Posted by rlpostrp @rlpostrp, Mar 21 5:00pm

Bottom line question first, then the detail:
Has anyone noticed a change in the "feel" of their incontinence "Shields", such that they are getting irritation and diaper rash?
Detail:
As if it wasn't enough to have to still wear an incontinence "Shield" at 11-months post-op, I have now suddenly started to get "diaper rash", and wonder if is one or both sources that any of you have experienced recently:
1. I am a Type II Diabetic. One of my oral medications is Jardiance (Semaglutide). It makes you spill more glucose out through your urine. If you are not attentive to and take meticulous care in quickly changing your diaper, pad, or Shield, you can have your skin develop a rash, which is worse when the urine contains more sugar like me when taking Jardiance. But...
2. I went through 3-4 months of full diapers, then 3 or so months of standard pads, and starting last Fall, I switched to thin "Shields" because I have thankfully regained 98% of my continence. I did not have any issues with diaper rash or discomfort for 9-10 months, especially when I was leaking quite a lot back then. So that brings me to the last two months or so:
Part of using Shields forced me to switch from my loose boxers to jockey style underwear to help keep the Shield in place. I am suddenly getting bad "diaper rash" on my penis and scrotum. "Nothing" has changed about my attention to cleanliness and changing the Shield in a timely manner when (barely) wet. My diet has not changed to create a more acidic urine, but suddenly I am experiencing bad rashes such that I am slathering on Destine and/or Balmex. I am wondering if the tighter-fitting jockey style underwear is creating a warmer, more moist environment that more easily spawns skin irritation and diaper rash?
But...I also simultaneously noted a new feel - a subtle discomfort - to the Shields. I was using generic CVS-brand Shields, initially bought because CVS always copies the packaging color scheme of well-known brands. I thought I was buying "Depends" Shields. Both the Depends and CVS Shields look exactly the same. When I noted discomfort with the CVS brand, I switched to Depends. I noted the same subtle roughness or discomfort. I was never aware that I was wearing a Shield, but now I am acutely aware of it. "Something has changed." Could they be using different materials now to make their Shields (cost cutting measure, etc.)?
My thought is that because they look exactly the same, that one brand supplies the other...like Depends makes the same Shield and sells it to CVS for their in-house brand. It seems too coincidental that both Shields are now feeling "different", and that both are causing a rash. Perhaps the skin of my penis is reacting a change in the material and less to the presence of the very small amount of urine before I change the Shield to a fresh one.
Sorry...this got way too long, but again, has anyone noticed a change in the "feel" of their Shields, such that they are getting diaper rash?
Thanks

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Never had any diaper rash from the pads I wear, and I wear them for a long time and they get pretty soaked at times When I was a baby, my parents had to deal with diaper rash with me, My urine was apparently quite caustic. Fortunately, that has not happened to me as an adult.

You could always consider using Desitin.

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To @jeffmarc Thanks for the reply..."Yes" indeed, I am using Desitin and Balmex, almost to no avail. It tends to rub off into the pad, but does leave a light coating on my parts. I just don't understand it...The first time this happened, I went to Urgent Care it was so bad, and I had to take an antibiotic and a one-pill/one-time anti-fungal since the doctor didn't know the type infection but could clearly see I was in deep need of treatment. I also had to take twice-daily epsom salts baths to sooth the skin and hopefully kill whatever bacteria or fungus/yeast was there, with the high salt content of the epsom salts. I might start slathering Desitin on when I go to bed. I don't have any leakage at night - never did from "Day #1" post-surgically. I am sure that rolling around in bed will see the majority of the Desitin rub off onto my underwear through the night, but that will be a nice long time of inactivity for the Desitin to do its thing. Prostate cancer has been the most exasperating ordeal of my life, with all of these associated annoyances.

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Profile picture for rlpostrp @rlpostrp

To @jeffmarc Thanks for the reply..."Yes" indeed, I am using Desitin and Balmex, almost to no avail. It tends to rub off into the pad, but does leave a light coating on my parts. I just don't understand it...The first time this happened, I went to Urgent Care it was so bad, and I had to take an antibiotic and a one-pill/one-time anti-fungal since the doctor didn't know the type infection but could clearly see I was in deep need of treatment. I also had to take twice-daily epsom salts baths to sooth the skin and hopefully kill whatever bacteria or fungus/yeast was there, with the high salt content of the epsom salts. I might start slathering Desitin on when I go to bed. I don't have any leakage at night - never did from "Day #1" post-surgically. I am sure that rolling around in bed will see the majority of the Desitin rub off onto my underwear through the night, but that will be a nice long time of inactivity for the Desitin to do its thing. Prostate cancer has been the most exasperating ordeal of my life, with all of these associated annoyances.

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@rlpostrp
I took a look, but I can’t see whether or not you are on ADT. I know you’ve written an awful lot, but I just couldn’t find it going for your profile. Didn’t want to spend too much time.

ADT can cause a rash. Just one of the wonderful side effects. Maybe you have a rash because of a combination of urine and ADT.

Have you tried putting a thicker coat of Desitin on? I imagine you’ve probably tried everything though.

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I initially tried briefs + guards and found it was too tight. Then I switched to a diaper + guards and that worked well. At some point I started getting a rash too and I switched from store brand diapers/guards to Depends and that felt much more comfortable but still I had a rash. I then tried Balmex and again more comfortable but still had a rash. Finally I treated myself for jock itch and that solved my problem. I found a shower wash for jock itch and also a cream (and then spray) to treat the area. For me, I think many issues came together to cause different irritation problems, the briefs were too tight, the store brands irritated my skin and finally I got jock itch.

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Not sure if it will help. I could not wear the briefs or pads. I use a condom catheter. 6 years now. I wear it daily and do not need it at night. I have had a couple of spots that need attention and used Bag Balm. Green can. Its a daily maintenance but I think it soaks into your skin better. Just a suggestion.

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It is most probably combination of multiple factors in your case and it can even be some type of allergy. If I were you, I would try completely different brand , like Tena, so you can possibly exclude allergy part. Creams are meant to make "physical barrier", waterproof shield and maybe you can try plain old "Vaseline" since it has one single ingredient (of course buy fragrance free one ). If that makes not difference try what @jeff1963 suggested and also try old fashioned method of exposing the area to free air circulation ; ) until skin repairs itself and forms new and healthy epidermal layer. Now your skin has broken natural barrier and it is extra sensitive to many things. You mentioned that you are 98% continent so perhaps it is not impossible to spend some time au naturel ? If there is no leaking when you lie down or sit, just lounge at home in a bathrobe and no underwear while reading or watching TV. Place on a sofa some protective pads and nice beach towel and let the area heal.

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I use Depends Shields. I was having trouble using these in a pair of briefs type underwear, so my solution is to hold them in place using a jockstrap, and wear underwear over that. Compared to using a pad like this with just underwear, the jockstrap is great.

Most of my leakage problem is during the day, although even then it isn't that much. At night the pad needs to be there because there are a few drips to absorb in the first few minutes after I return to bed when I get up to urinate. Eventually I developed scrotum irritation. I decided that the constant high humidity around my testicles and penis caused by wearing a pad all the time was the cause.

So, about 10 minutes after I get back into bed I take off the jockstrap and pad, and keep it off until I get up to urinate again. The irritation has subsided.

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"Jock strap"...Brilliant" idea. I'll give that a try. And...I did some research on bacteria and yeast infections, assuming that is why I have the rash, besides extra sugar in my urine irritating my skin (again, I am a Type II Diabetic taking Jardiance). I came upon a women's yeast infection product: Clotrimazole 2%. It is made as a 1% or 2% cream, suitable it said for men's genital skin irritation, as well. I resumed using a Terrasil anti-fungal bar soap left over from my first infection, and...Literally after the first application of the Clotrimazole-3 (twice daily), it started to clear up. I got a couple of strange sideways glances/looks at CVS when I was standing in front of the women's various vaginal hygiene products and pregnancy test kits, but I made sure to go to the self-check-out terminal to avoid having a counter clerk ring it up. I could just envision the embarrassing scene with the clerk announcing over the intercom in front of a line of customers: "Gentleman needs a price check on Clotrimazole-3 vaginal yeast cream please."

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Profile picture for climateguy @climateguy

I use Depends Shields. I was having trouble using these in a pair of briefs type underwear, so my solution is to hold them in place using a jockstrap, and wear underwear over that. Compared to using a pad like this with just underwear, the jockstrap is great.

Most of my leakage problem is during the day, although even then it isn't that much. At night the pad needs to be there because there are a few drips to absorb in the first few minutes after I return to bed when I get up to urinate. Eventually I developed scrotum irritation. I decided that the constant high humidity around my testicles and penis caused by wearing a pad all the time was the cause.

So, about 10 minutes after I get back into bed I take off the jockstrap and pad, and keep it off until I get up to urinate again. The irritation has subsided.

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@climateguy and @rlpostrp, interesting idea to replace the jockey-style briefs with a jockstrap to hold the incontinence pads. @rlpostrp, I also was a lifetime wearer of loose full-cut boxer shorts (never boxer briefs), at least starting when I converted from ball hugging briefs to boxers in high school, right up to the time severe incontinence required pads and I went out to buy Fruit of the Loom briefs for the first time in 50 years. I have also been a lifetime wearer of what my dad called athletic supporters, still wearing jocks at the gym unlike most men because my boxer shorts were longer than my gym shorts, and I still have a supply of traditional white McDavid and Goldberg jocks. If I wear my baggy full-cut boxer shorts over the jock and pad and tuck in my A-shirt into the boxer shorts they will completely cover the waist band and bulge. It won't compare to the hang loose freedom I used to enjoy when I would come home from the office, hang up my work clothes, and hang out in my boxers in the warm months. But at least I won't have to wear a pair of trousers over either my Depends or tighty-whiteys.

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After my RP I regained my continence after a few months, but years later still have little squirts/dribbles (never trust a fart) - so I use a thin pad under my jockey shorts. I haven't had a bad rash, but occasionally my scrotum will be very itchy (the eye-watering type) from what I assume to be irritation due the damp pad against my sensitive skin. It usually happens at the most inopportune times in public with all the associated squirming, crossing legs, and hands rummaging discreetly in my front pockets.

I found that Micatin (powder or spray) helps a lot as it treats the underlying fungal infection that is causing irritated and itchy skin. The itch goes away after applying it for a couple of days. I usually wear Depends thin pads, but when the itch strikes I'll switch to the Tena brand. In my opinion the Tena thin pads offer more protection for my skin - but they are more expensive than the Depends brand so I only use them for special occasions.

Hope this helps.

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