08/09/2026
***Ainsley update***
08/08/2026
Ainsley has been doing very well! She’s still doing physical therapy once a week (unless she’s sick or there’s a scheduling conflict). She hasn’t been sick hardly at all, and we’ve not taken that for granted!
At the end of June, she had an urology procedure where they inserted a catheter into her bladder through her urethra. Our hope was so start flushing saline into her bladder to slowly stretch it and get it ready for later use. (Since she was born without kidneys, she’s never used her bladder before. It’s very tiny and is only able to hold 3 mls of fluid. Three mls is probably an appropriate dose of Tylenol for an infant…it’s nothing.)
This process we’re wanting to do is called “bladder cycling”. A lot of mamas have been able to connect their child’s bladder tube to a feed pump and allow the pump to do most of the work while their kiddo is sleeping at nighttime. However, their kiddos typically have larger bladders than Ainsley and can have a Supra-pubic (SP) catheter placed. This is a bottom that sticks out on their abdomen and feeds directly into the bladder. Since Ainsley’s bladder is so, so small, this isn’t an option for her.
The hope is that we can stretch her bladder to be able to accommodate an SP catheter in the future. However, things are looking very grim right now.
The urologist wanted me to start flushing 3 mls at a time into Ainsley’s bladder. It’s been over a month now, and I haven’t been able to put that much in at once ever. In fact, we’ve quit cycling altogether for the time being.
Most of the kiddos that do bladder cycling experience bladder spasms. These are extremely painful—imagine a Charlie horse in your bladder…and it happens all day long. Another mama explained it to me like this: Ainsley’s bladder has been sleeping. But now having a catheter in there and trying to flush saline, it’s waking up. And there are ton of nerves in the bladder. Her brain and body don’t understand what’s going on—her bladder has never been used before—and it’s very confusing.
While trying to flush saline into Ainsley’s bladder with a syringe, she cries and asks me to pause. The process started out okay. Not great, but okay. It quickly went downhill after the first week. I worried that there was infection, but there doesn’t seem to be. I’m unable to use the feed pump bc the connections don’t work. The catheter in Ainsley’s bladder right now is unlike anything I’ve ever seen before. We think it’s an IV catheter? But I don’t know what adapter to buy that would connect to her feed bags. I bought don’t adapters in Amazon and was very hopeful. Unfortunately, they don’t work.
I’ve been working with Ainsley’s primary nurse and nephrologist to find out what adapters will work, but it’s been a painfully slow process. I have other mamas offering support and information about bladder cycling, but most started with SP catheters and different connections. (One mama had the same type of catheter, but she’s unsure of what type of adapter her team sent her. I have a picture of it but haven’t been able to find anything like it online.)
Right now, even having the catheter in Ainsley’s is painful. Diaper changes are rough—the slightest movement bothers her. It’s always in her; it coils inside her bladder, which is the only thing keeping it in her.
At the beginning of this process, she would cry in pain. After one “session”, I held her on my lap afterward to comfort her. I asked her if she wanted to p*e like Mommy and Big Sisters do. She nodded. I told her that if she wants to, we’ll need to keep flushing her bladder. I explained that I need to do it three times a day, and we’d only been doing it about once a day, sometimes every other day. I asked if she still wanted to do it, and she nodded again. Even through the pain, she understood.
This last week, she’s started telling me that she doesn’t want to use her bladder anymore. And I wish we could quit. This is so hard—seeing her in this much pain, knowing that I’m the one inflicting the pain. But hearing success story after success story of other kiddos who had tiny bladders, were able to increase them over time through cycling, and were able to have their bladders connected to their [donor] kidney later…it’s keeping me hopeful.
Right now, I’m waiting to hear back from SCH about connections. I think I may still order the couple of things I saw online that mighty work. The problem is, they’re not on Amazon, and it’ll take 5-7 days to ship. I held off two weeks ago bc I had hoped her team would get back to me before then. Well, that’s not happened. So mating I just cough up the little bit of money, even if it’s the wrong fit/size/product, in hopes that we can make progress with this journey?
I don’t know what to do. I’m stuck, and it’s really challenging.
Otherwise, Ainsley is doing well. She’s walking better and better and the time. Our family and friends are always commenting on how far she’s come. It’s been truly amazing to see. I never doubted that she would be able to walk. I knew in my heart that she would make it someday. But damn, was it a long, hard road. And here she is. Nearly running, skipping and jumping. It’s been the best experience ever.
So for now, please pray that this bladder cycling works out. This is the last piece that we need to work on in order for her to have as normal a life as possible. If it doesn’t work out, it’ll be okay. There are other options. But we want to try, and we want to give her a chance. But it sucks, and it’s hard. She’s definitely stronger than me.
Thank you for all the love, support, and well-wishes. ❣️ We will continue to share her journey!