I do not find if an "issue" either to have to cath all the time, after 4 years it does become a part of what you JUST do.
I have a lot of pressure when on my feet or walking, exercising etc. because of a rectocele, not from the neo, but the rectocele causes me to cath more often, about every 2 1/2 hours because of the pressure.
It really doesn't hurt at all. I certainly wouldn't recommend it without the surgical lubricating gel or KY jelly though!
Without the prostate any more, it is simple. If I still had my prostate (especially since mine was enlarged and constricting my urethra for years) I would have a very different position on the matter. I hated cystos. Not a comfortable experience at all!!! Now I could probably do my own. .
I have to cath every time I go. Doesn't bother me a bit. I try to be discreet about washing my catheter in public restrooms so it doesn't embarrass other people but that's about it. Was kind of funny when my three year old granddaughter came out of the bathroom swinging the red rubber catheter around one day! (I don't keep it in there to dry out anymore).
Would I be happier if I didn't have to cath? Sure, who wouldn't. Is it a big deal? Nope.
I don't think they just go in and do the belly button surgery if you have problems that cause you to need to cath. I would guess it would likely be considered "elective" surgery by an insurance company but I don't know that for sure.