MisstresM,
OK, here is a short history of what I have done because of my overactive bladder.
My urologist said we would try some drugs first.
In the USA, it is always drugs first then the other protocals.
I started with Oxybutynin CL ER 10 mg tablet, brand name Ditropan XL. It seemed to work, but I woke up with my tongue thick and I was getting up to drink water as much as I was getting up to pee. I had no energy at all, I figured because of the drug. I was so thirsty.
We then went to another drug, a different form. Tolterodine Tart ER 4 mg cap.
Detrol LA also know as an antispasmodic. It seemed to work, but again I was drinking a lot of water, at night I would get up to drink water, pee and drink more water. I was always thirsty.
My family Dr. gave me a months supply of Myrbetrig, brand name, (very expensive) it also seemed to work, but I got a constant headache. I took it for a week and said, that is it. I went back to wearing a catheter.
So that is what I did before I got the Botox injections.
The botox injections have worked for me for about 2-½ months. Your body absorbs the botox, so you have to have them again. This is the second time I have had the,. It takes about 3o minutes, you are awake the whole time and when he was done, he said see you in 3 months.
The injections are placed in the bladder wall in specific areas. The Dr. can see with a scope and when he nods or tells the nurse, she injects the botox into the bladder wall. In one picture you can se where he hit a blood vessel and it is all red. You have some blood in your urine for a couple days, then you are good to go. You don't feel a thing, I did feel some of the needle the first time, but the second time, not a bit of pain and what pain I did get, was not all that much.
From what I understand the urologist wants your urine to be like weak tea. Not much darker. They want your urine to be clean and light colored, never dark.
I asked my urologist's nurse about masturbating and she said the Dr. didn't advise that I do it with a catheter in me. Now I have and I didn't get any big thrill doing it. Just the normal feeling when you come. Some say it is great and almost heaven to masturbate with a catheter in them. I have not found it all that great.
Now if my wife would masturbate me, I would be in heaven for sure. She won't do it ever. She said she doesn't like “stickey” on her hands and her past experiences have now led to a rather non-existent sex life. She says her father molested her as a young girl and for a while she did enjoy sex, now sex is totally off limits. So I would say satisfy him as often as you want. For me more is better, but every man is different.
I hope I have answered your questions.