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I use it pretty religiously, although only in select zones. I put it on every time I change my diaper, but specifically at the points where the leg gathers engage with the "pivot points" or folds where legs become butt and groin. I get chaffing there, and it's usually the starting point for irritation, if it's not lubricated. But these days, I can wear a plastic diaper on a day-long hike across the city, with no issues, if I take care of that area. Wider application of diaper cream only occurs if I have diaper rash brewing, which thankfully has been a rare occurrence for a while. After 7/10ths of a decade, my skin seems to be adjusting to my wardrobe preferences. 

Urethral stents are permanent and are known to cause stricture growth and encrustation. Especially any mesh type stent. It's common for them to need to be surgically removed after just 1 or 2 years. Worse, they will cause even more steicture growth once removed, so you'll need to replace it with a new one. And should they ever fail, you'll need a diversion surgery.  A stent sounds like the perfect easy solution to becoming incontinent, but they really arent. Current improvements in stent technology are switching to closed cell or solid wall stents, and with a bio conpatible coating. They're supposed to be long-tem permanent, but they haven't been around long enough to fully prove they're safe. If you really want to "test the water" with a stent, I'd suggest you look into making a temporary stent that has a reteieval line.

I only use rash cream when I already have a rash or feel like one is coming on. Honestly though, if you like the smell then just use it anyways. IF it starts causing you skin problems later on, then stop using it so much.

I wish you all the best with your pursuits in clinical medicine, there plenty of need for hands on medicine.  I’ve been around for a long time, my attraction to diapers and such things started very early. I had no idea why, what it was, or where it came from, just that it was a very strong attraction, and I couldn’t turn it off. There was no such thing as the internet for me, that didn’t come till roughly 30 years later. I was very alone, and isolated in these pursuits. I thought I was the only one with such feelings. I suspected others from time to time, but too shy and scared to possibly out myself. So, it stayed my own inner secret till I was in my 20’s, that is when I got hold of a magazine, which had ab/dl content within it. That is when I knew, I wasn’t truly alone. It was still years away from internet, and much more broad information for me on this. It felt wonderful, once that came to be. Being able to connect with others, and find items associated with ab/dl, it changed allot for me, to say the least.  For all the goodness we get, and find on the internet, unfortunately we get the dark side and worse, the predators. Even without internet, we will always have this element with us, sad and unfortunate. Best we can do, is keep our guard up.  I can understand that dynamic that goes on in China, other people prying on innocent, vulnerable individuals. And of course, China isn’t the only place. As I touched on, with the internet, it’s everywhere. Parents really need to step up, and have more oversight with their children.   

Are there any Rhode Islanders active here?