BrownBobby

Ooooh! Bladder capacity! I have a fun story about this! Recently, my stricture started making it so I held my pee at night if I was lying down. So cue waking up with a aching bladder, enough where I'm waking up in pain. I squeeze myself like a toddler and grab a mason jar to measure it, out of curiosity. Feeling like I'm about to burst, I finally relieve myself. 150mL. After all of this time being made into a dribbler...my bladder has shrunk to a literal toddler's bladder. And this is coming from someone who used to go all day at high school without needing to go. I'm honestly in disbelief how much I've lost in two years. It's kind of wild, honestly. But it's a good reminder the bladder's smooth muscle is like any other muscle - use it or lose it. Exercise it, or it atrophies. And the more it does, the harder it is to get back. So, if magically, I *could* hold it again...I don't want to imagine how often I'd be running off to pee now that I can hold about a half-cup in my bladder.

I mean...what do you do when you just kind of...stop trying to? That's where I am. I'm sure I *could.* But the thought just doesn't cross my mind anymore. It helps that I'm hypnotized to have an aversion to trying to use it anyway. :-p

Multiple therapists later? No idea! Yep, it's a disappointing answer. I've just known since I was a little kid I wanted it. I have no idea why I do. And there appears to be no underlying trauma or reason as for why it's the way it is. But it's deep-seated enough that NOT fulfilling it causes problems. Which is...both validating and weird. "No clue why, but it's definitely real?" I mean, that's an answer...:)

The irony of this topic coming up literally as I think, "I wonder if they offer penis reduction services..."

Thankfully, it wasn't targeted by the procedure - the big problem was people claiming that it couldn't ever be targeted by it. Which, just given WHERE the procedure is happening, you can't guarantee. I'm sure I have less of my prostate than before, though. And yeah, that's exactly the same procedure I got. I'd love to know more about where you found it and how it goes. Finding places willing to do the procedure wasn't hard, shockingly. Finding places reputable enough for it was harder. It sounds like you might have found one - though I recommend making it VERY clear your goal is incontinence at the end. You don't want them trying to "spare" your muscles there at all - a lesson learned the hard way the first time before I went with the Mexico clinic.

Have you seen the write-up on the “Real-Life (Un-)Trainer?” It’s kind of exactly what you’re looking for. And in a week, it basically untrained its user for a solid day and half after of him actively trying to hold it again. Feel mild tickle/itch from the device? Instinctually wet pants.

Sadly, there’s a strict “no photos or videos allowed” policy for the convention. Makes sense - they want everyone comfortable being able to just wander around in their diapers and little clothes. But I’m happy to present at other venues if anyone wishes.

Hello there! I ended up going to a convention this weekend of crinkly folk, and presented a panel on un-potty training. Besides filling a room to the point the fire marshal would have been worried, I've been told it's been useful just to have the actual presentation itself. So in case it's useful for anyone here...here's 101 Ways to Piddle Your Pants (and fill it). bit.ly/UnpottyTrain

Sounds like a good enough reason to me! Though honestly, just wanting to is also a good enough reason for me. It sounds like you know what you're doing - so enjoy it!

Agreed (and thanks for the tag!) - there is a world where I see this working but I don't know if you want to go down it. I'm sitting here as I type this in a 24fr cath stretching out my stricture, draining into my diaper...but even then, I know the VERY real risks that come with this, even if I'm minimizing them. Even if you keep sizing up your stent, you have the rest of the urinary system to get through first to get to where you want to seat it. Unless you want to start scarring things along the way, you'll need to stretch those out just as much as the other muscles. A cath is ideal for this - a stent, less so. Now, there is *another* way I can see stenting making you more incontinent - urge incontinence. If you keep your bladder draining as soon as it fills, it will atrophy and lose its elasticity. When it can't stretch as much, you'll need to go more often, in smaller amounts, and with greater urgency. Keep stenting for long enough, and I bet you could make that pretty darn powerful. And once you get past the point of no return, it self-perpetuates. It's pretty hard to hold it and stretch your bladder when you only have a few seconds before you're wetting yourself. At the end of the day? If you want to try it, more power to you! I won't discourage anyone from it. But only when they have a good idea of the risks and effectiveness of what they're attempting.

Oh, if you only knew the methods I tried first. I’m probably one of the experts in the field of purposely inducing and developing incontinence with all I exhausted. Ten years of 24/7 diapers. Hypnosis. Behavioral training. Catheters. Physical therapy. Standard mental health therapy. Trauma processing. Prescribed meds. Illegally sourced meds (note: don’t do this one - the ER trip was not fun, and what led to me starting to find urologists seriously.) This is why this question is especially one that I have trouble with people asking. It’s easy to “armchair diagnose” about what other options there are and conclude it isn’t necessary. But gods, the weight off my shoulders when I sat up a week after my revision surgery and just…wet myself. It was divine. Nothing else even came close to that level of satisfying that maddening compulsion and desire. If the cost of my mental health and satisfaction is a one-way ticket to wet pants for the rest of my life, gods am I glad I paid it.

Considering this is the framework that multiple urologists used when working with me…I think you got the right answer here. I won’t fault anyone for not wanting the risk, but dang it’d be nice to have a framework instead of having to hack it together, for a willing surgeon to do an operation with reasonable assurance it’d improve their life and not lead to a lawsuit.

Alright. Three things I can help with here - and feel a need to, given my experience and research. Dr. Aguilar's qualifications extend even beyond what @nareh60280 listed. Before starting his transgender practice, his urological specialty was continence. He has been nothing but professional in working with me the entire time I worked with him, and while there may be doctors out there who deserve skepticism and judgement, he's not one of them. He made it clear what the results were be, made sure I wanted it, and did it with professionalism and sincerity. I wish all my interactions with doctors were like this one. If you don't believe me, just look around the internet for the dozens of others who have positive experiences with transgender and other operations - it's what led me to trust him with my own procedure. Realistically, even an open-minded doctor isn't going to pursue a stent as a way to induce incontinence. In talking with the urologists who consulted with me on my own incontinence journey (all of which knew fully well I had a healthy urinary system I wanted to make incontinent deliberately), stents were pretty much the only thing 100% off the table. There's so many risks to them that it's become best practice to look for any other methods you can (and yes, the research is there to back that too, if you start looking through journals.) Between encrustation, migration, ingrowth, blockages, and the like...most urologists will just tell you to cath if you want to do something like it. So given that... Why does @Wolle have a study recommending it? Read through it a bit closer, and the picture becomes clearer. The test subjects were four elderly individuals for whom other methods - medications, TURP, etc. - aren't available. But even the authors acknowledge the very real risks - they selected the particular type of stent because if the complications they expected did arise, it would be the least worst to get out. (Not easiest - least worst). You'll find the research recommending these stents starts taking a turn around in the mid 2010's, as the failure rates for these stents became more widely known in longer-term studies. Currently, stents like this are seen as an option of last resort, if nothing else works. This leaves...frustratingly few other options that I'm aware of at the moment. Unsurprisingly, there isn't much research into inducing temporary urinary incontinence (especially with catheterization available), while permanent incontinence has a greater body of research due to conditions like DSD. If you're going to stent, my recommendation is to get really familiar with the best practices for it (documented here and other places), and then find a professional who's willing to advise you if things don't go as planned.

That works! For the surgery, it depends on the person. Over two years after my first operation and a year after the revision (really? That long already? Wow that time went quick), I'm down to needing to cath for half a day about once every 4-6 weeks. If that's the "cost" to maintain my complete and total urinary incontinence, then I am *so* happy to pay it. While long-term stent use will more lead to urge incontinence from shrinking your bladder over time, it *is* possible to stretch those muscles out with long-term catheter use, slowly increasing to larger sizes. The end result is the muscles not being able to close properly just from how stretched they are. But even then, you'd need to put in a 'maintenance" cath every once in a while to keep things stretched out. End of the day? Our bodies, frustratingly, really want us to be continent, and they have a lot of ways to try to help that, it seems. But as long as you accept the two major risks of stents (damaging something during insertion/retrieval in the urethra, and stent migration requiring an ER visit), they're a pretty solid choice for sometimes-but-not-always incontinence, with proper hygine.