PJF
This is always a hot topic of conversation around the neobladder cooler. I have had my conversion 2 years now and even though it is not perfect, it is better than the alternative.
After surgery I was able to maintain "daytime" dryness after 4 months. I was careful about any "unprotected" physical activity (like weightlifting) as the exertion would and still does cause leakage if I'm not careful.
As for nighttime leakage; Houston we still have a problem. I am able to spend most nights dry, but then I seem to run into a spate of wet nights. The signals are certainly different than before and sometimes I have no idea that I am losing fluid. I try to limit fluids after 6pm, but there seems to be no rhyme or reason to it. I am one of those proverbial "leakers" I guess.
As for sexual activity. It has taken approx 1 year and 6 months to perform with confidence. Even now, 2 years out, I am still taking the pill as a confidence builder if I have a prior notice. I was sure after 1 year that I would never be able to perform again without a chemical aid, but IT gradually came back. Now it is different and not automatic, like before. But, I am still pleased with the progress.
The big thing about the healing process is not to put too much pressure on yourself. Goals are important but everyone heals at different rates so keep a good sense of humor about it all. It will all become a part of daily life. This is not a contest. If everything does not come back perfectly, don't give up on it. A body has a strange way of coming through adversity.
George
