Decisions, decisions - was hoping to try for a stable catheter setup that I was used to but trusted medico and partner led to another solution as better.
A suprapubic catheter is a hollow flexible tube that is used to drain urine from the bladder through a cut in the abdomen - find out more here.
www.bladderandbowel.org
Options of trying to fix my specific problem further risks incontinence and further sepsis infections or a multi-10s of thousands of dollars reconstruction that no one thinks is appropriate.. Not going there.
The deciding factor was the
supra was easily reversed. They take my penis and ureter out of the problem (neck below 1) and stick a small hole in me leading directly to the bladder. (2 and 3 below)
When I need to pee I just open a little valve as I do currently and pee in the toilet bowl. No bags etc
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A suprapubic catheter is a hollow flexible tube that is used to drain urine from the bladder through a cut in the abdomen - find out more here.
www.bladderandbowel.org

on my way to cyborgville
The thing that changes is
I no longer put the catheter in and out myself - it stays in for 4-12 weeks. ( that's a variation of what I have now ). I just open the valve to pee.
Then the urology nurse changes it to a new one - 10 minute visit no pain/discomfort procedure.
The key for me to making this decision is it is easily reversible.
Sounds dire but both partner and urology nurse have dealt with hundreds of supra catheters and there is far lower risk of infection.