They wanted me to self cath 2 x a day too but that doctor didn't seem to care my urethra is full of scr tissue from previous surgeries (they had to remove portions to make it wider and that caused scar tissue) so I then opted to suffer once a week for inserting a foley but that was even more painful on the bladder neck. They then wanted to shove a urostomy that I had to catheterise 5 - 6 or os times a day in me but after consulting various medical sources I refused and looked for other help.
The thing is this surgery (sphincterotomy) is rarely done, even when it is very much needed, they still prefer to do different things. A local friend of mine goes to my same doctor and has interstitial cystitis but he refuses to self cath (mainly because his job requires him to be on the road a lot and because of the pain ) and foley's get squished by his bladder neck spasms, so he too asked my doc for the same surgery and he said no ;(
He's now trying to figure out what to do and how to deal with this both physically and mentally because he's about to break, and I don't find it fair that despite his suffering he doesn't get it
Now while standing I do empty the bladder fully but while I sleep not, I hope this won't cause bacterial complications but depending on my position / stance, my bladder doesn't empty fully either, when it doesn't I just move, stand up or move etc but at night I prefer to sleep
But I am happy I can continue with life, I only have to worry about changing in time, anything else goes automatic, no more urges, toilet finding stress, retention issues etc.