Due to nerve damage I am fully diaper and aide dependent , I get no urge or sensation of warning nor is there any ability to think about something that can influence ,start or stop anything in my diaper.
my doctors prescribe medication to help shrink My prostate and relax my bladder neck theoretically it improves my stream and makes catheter insertion easier( i am both a chronic and acute user ,a temporary catheter inserted into bladder 5X’s if that should fail or be obstructed then any size foley they can get into me is used and left in for 2 weeks then my urologist and his sketch artist inspect if the coast is clear I go back to frequency if my urethra isn’t coping or my prostate isn’t a new foley is inserted and maintained for another two weeks .
I take 2 medications that “regulate“ my bowels ( that regulation makes large frequent very soft stools happen 4-5 X’s a day ) I am Not aware of when it begins or ends , I do become somewhat aware of the consequences after it happens ( I do have smaller random leakage that I am not aware has happened because it doesn’t have real consequences that I can identify , I find out when my aide is doing a routine wet change .
if I had normal nerves , I would have increasing urgency until I voluntarily used the toilet or shit myself , the longer the medication is in you the greater the effect , it goes from asking you to please cooperate , to overwhelming Your bowels and making you go now , combine nerve damage ,mobility impairement and incontinence add a medication that has no effect on you until it makes Your bowels empty.
honestly given the choice between not going and not being able to eat or taking the medication and having a full belly , empty bowel ,full diaper , I wouldn’t change a thing
so it doesn’t matter what I think or do as long as I have an aide to diaper feed dress me , I will be fine !