Don Incognito

The external sphincter is the one that's under voluntary control - cutting just the internal sphincter won't be of much help here. Though this does raise one question: I understand the ide behind hollowing out the prostate is to compensate for it swelling up when the sphincters are removed, which I'm guessing is due to the lack of pressure. Would that still be an issue if only the external sphincter is cut?

I'm sure a few people here would also be interested in knowing if any of them charge less than $25,000.

Yeah, I saw that. I don't suppose having a catheter in there while the Botox takes effect might prevent that? I'm pretty sure that surgical robots are still way too expensive for something like this - I wonder if manual laparoscopic surgery would work?

I've wondered how removing the lower sphincter through the abdomen (instead of chewing up the urethra to get to it) would change the risk factors there. Though it probably wouldn't have any real advantage if the muscle can't easily be separated from the urethra. That or leave the sphincter muscle alone and sever the nerve that drives it. Though tampering with the nervous system obviously has its own risks.

About that bulge: The instructions in your profile state that the inner plastic tube is made from a "plastic straw from spray bottle". Is there anything equivalent one can purchase if one doesn't have any empty spray bottles lying around? Thank you.

This is why I roll my eyes when I hear people promote religion as a source of moral guidance (well, that plus their anti-LGBT insanity, plus supporting politicians who want to ban abortion while letting major corporations go hog wild). Yes, there are churches that actually respect Jesus' basic teachings, but in my experience the more someone advertises Christianity as a solution to life's problems, the less likely they are to be referring to one of those.

I wonder if it would be possible to just cut out the external sphincter, ideally for less than $25,000. Edit: And part of the prostate if that's still necessary. Though there was talk of periodically putting in a catheter to hopefully prevent urethral strictures - would that also do anything to avoid having the prostate swelling?

Did they cut out both urinary sphincters, or just the lower sphincter?

For what it's worth, Amazon Locker has lockers in Mexico, though there are only a few brands of decent diapers that meet the size requirement. There has also been discussion of the idea of injecting Botox into the lower sphincter muscle, which should theoretically be much less expensive. One shot is only temporary, but I had also heard that repeated injections can render a muscle permanently inoperative.

Google can also be used for currency conversion.

There's actually a thread here by someone who attempted to get this surgery in the US. He actually persuaded a psychiatrist to sign off on it, but the urologist's response felt like a polite way of saying "you crazy".

I've taken an interest in stents because I'd like to experience true incontinence with no long-term commitment. There are enough times when I don't wear diapers that the other options wouldn't be practical. Plus it seems the surgery carries a risk of erectile dysfunction and structures. If I could buy a stent built to FDA standards, I'd be all over it.

Only 2 years? I had heard that the other type of artificial sphinter (which uses a pump and valve like those penile implants used to treat impotence) is supposed to last for 7-10 years, but then again that requires getting cut open. There's always PreCheck, which lets you go through a metal detector instead of the scanner. Plus the urethral plugs I linked earlier - this would be one of those times where they'd be useful.

Someone in this thread claims to have done exactly that by wearing catheters for six months straight: https://www.dailydiapers.com/board/index.php?/topic/23593-12-month-diaper-program/ There are a number of online machine shops where you can upload a 3D model and they'll make the part for you, and at least one offers tube bending: https://www.xometry.com/capabilities/tube-bending-services/ Though you'd still have to learn to use 3D CAD software.

I've been doing some preliminary tests with catheters, and I notice that with the one I used, my sphincter was able to clamp it shut, which obviously wouldn't work for a stent. Does this mean I need the next larger catheter, or a stiffer material? Also, I noticed that in this thread: Some doctor advised OP to make his stents out of stainless steel. Would an all-metal stent actually work? How would one design one so that it will get in and out but not migrate in either direction? Actually making it shouldn't be a problem - I've found at least one online machine shop that does tube bending: https://www.xometry.com/capabilities/tube-bending-services/

Well, that is what it's designed for, and it looks like it should theoretically work. Though I haven't heard anything about how well it works in reality.

Others have mentioned the possibility of Botox to the sphincter - I wonder if that would be easier to pass off as something other than an elective procedure. Say, having some emergency surgery with temporary incontinence as a side effect. In theory that would be the ideal solution - complete incontinence when you want it, but still being able to hold it in when you have a logical need for it. The main problems I see are the risk of infection (it's quite a bit of stuff stuck in you) and the fact that those things have to be replaced after 7-10 years. I wonder if something like this would be a reasonable alternative, at least for people who don't need to be out of diapers that often? https://siliconenozzles.com/collections/urethral-incontinence-plugs-49

ABUniverse has a Japanese site, and they can ship to a Kuroneko Yamato office for pickup: https://en.jp.abuniverse.com/ Also, Amazon Japan carries LittleForBig diapers, and they appear to have something analogous to Amazon Locker (called Amazon Pickup) I'm also looking into going to Japan, and I have some questions myself: Is there any possibility that bringing adult onesies and diapers through customs would raise any eyebrows? I've never had anything happen flying domestically, but last time I traveled to a different continent, I got the SSSS boarding pass (secondary screening) - Is there any cause for concern, or am I worrying about nothing? Elsewhere, I've heard it stated that Japan has relatively few public trash cans - how much of a problem would this actually be, at least assuming that I'm not going to be too far from the tourist-y parts (Tokyo then Nagasaki)?

Actually, it is available if you're willing to travel to Mexico: Getting Surgery in Mexico

After reading this thread, I'm thinking about making a stent out of a 16fr catheter, and I have some questions: Instructions mention making holes with a leather hole punch. I have a Dremel with the drill press attachment (including a depth stop) - would that work? I've seen waxed dental floss and fishing line used for retrieval lines - does either one have any clear advantage over the other? Would the flat plastic dental floss work there? Some have mentioned retrieving the stent with a crochet hook instead of line, and I'd like to have that as a backup if anything happens to the line. How would one choose the right hook for that, and are there any instructions for pulling it out with the hook? Thank you.

That was my point - how does one decide what qualifies as an acceptable reason to undergo surgery, and what qualifies as as self-harm warranting psychiatric intervention? I will admit that this feels like something of a gray area.

And then there's sterilization surgery (vasectomy/tubal ligation) - people who get it are altering their body in such a manner that it no longer functions "normally", but in a manner that will help them achieve the lifestyle they want (having an active sex life without unwanted pregnancy). Technically it's reversible, but the process isn't all that reliable as I understand (plus if you look on r/childfree, the current trend for women is having the fallopian tubes removed altogether). Not to mention if you look into the world of body modification, there are all kinds of things that would be WAY more detrimental to one's job prospects than wearing diapers.

Another nice thing about Trest is that a pack of 10 falls within the size limit for Amazon Locker - great when traveling.