I am real. I lost function for a while but then it came back. There are many things that can be done in the interim. Pills, shots, etc. Best to talk to your doctor about that in detail and he can explain all the options.
As for me, my first priority was not being dead. Then I would figure out the sexual function part. Dead people don't get any sex as far as I know so my chances were going to be much higher by being alive.
That's real.
I had complications with my neobladder so I have to catheterize each time I go. Most people don't have to do that and they either don't have to catheterize at all or just periodically.
Before I had the complications, I could urinate standing up but I could empty better if I sat.
If you have an Indy, you have to cath each time. If you cathed a new every time you wouldn't have to sit either. If you get an ileal conduit you don't have to sit either. Stoma placement can be different for each person. Many with India Pouch can get them in the naval so they don't show. Ileal conduit tends to be more toward the side. Google "Ileal Conduit" and select images and you can see examples.
The schedule is very important when you are new to the pouch (neo or Indiana). You have to slowly stretch it out to increase the capacity.
After that, if you go too long you can overstretch the pouch and wind up with a floppy bladder that you won't be able to empty easily. You get a sense of discomfort with any type of pouch as well. It's not the same but there is a feeling of being full in the abdomen. Just like a regular bladder, at some point you'd just start leaking if you went too long.
Hope that helps.
Mike
Age 54
10/31/06 dx CIS (TisG3) non-invasive (at 47)
9/19/08 TURB/TUIP dx Invasive T2G3
10/8/08 RC neobladder(at 49)
2/15/13 T4G3N3M1 distant metastases(at 53)
9/2013 finished chemo -cancer free again
1/2014 ct scan results....distant mets
2/2014 ct result...spread to liver, kidneys, and lymph...