Had my six monthly check up with my urologist today and it went more or less as I thought it would. After the usual pleasantries and questions (any UTI's etc) he asked if I was having any problems with my external catheters. This was the moment I hadn't been looking forward to but I bit the bullet and said I'd switched to nappies a couple of months ago. His reaction was much what I expected - a look of horror! He asked what my reasons were for the switch so I told him they felt more natural than a condom cath, were much more comfortable to wear, I didn't have to worry about a blow off or the bag tube getting a kink and in general I just felt better in myself. I didn't so far as to say I actually enjoy wearing nappies!
He replied that I was a little young for nappies (makes a change from being considered too old, lol), external catheters were cleaner, posed less risk of infection and were better for my dignity.
That last remark made me a little cross so I said there's not much dignity in having a condom glued to my penis, peeing through a tube and having a bag of urine sloshing against my leg. I also said a nappy was less noticeable than a full leg bag.
He still wasn't happy and said I should give it more thought to which I said I've practically done nothing else but think of my bladder for the past thirty years and I felt nappies were now giving me the freedom to do more and enjoy life to the full so as far as I was concerned they were now my preferred choice of bladder management. He made it fairly obvious that he thought I was mad but I'm glad I told him.
What is it about urologists that makes them see wearing nappies as a sign of failure? If only they could understand that the most important thing is quality of life, not the way we manage incontinence. Anyway, rant over - I won't have to see him for another six months, although I'm curious as to what he'll write to my GP.