>Why don't you catheterize?
Physically uncomfortable, risk of UTIs, but mainly because it's psychologically difficult, owing to a traumatic procedure which involved one I had when I was about 5. I didn't want whatever the nurse was doing so I got restrained. Catheters make me shiver now, even seeing one tbh.
Doctors in general don't mind if patients manage with 'incontinence containment pads' rather than catheters, so long as you make clear it's your decision and not just because you don't know there are other options (as many patients have no idea there are options beyond just diapers)
>Has the sacral nerve damage caused sexual dysfunction?
Unfortunately it has somewhat, but it's not too bad. In general I would call my sexual function "inconsistent". My girlfriend has been understanding about it. Once you've dealt with it for long enough, you work out strategies and ways and routines--for instance, using a vibrator, which has a very strong effect on me now--so it's not as bad as it was at first.
>How did you end up with that kind of damage just from falling? Was this like falling off a ladder, or tripping on the sidewalk?
I managed to fall while playing in the playground, but not in any spectacular way lol. Just an unlucky way. I can remember the pain being quite bad and being convinced I must have been bleeding or badly bruised, because that's how the pain felt. But there was no blood and only minor bruising, so it must have been a quite light fall. Speaking to my doctor I get the sense a lot of the people who have what I have got it from quite minor falls. People think you have to fall off a building to have incontinence, but it's not at all like that
>Do you not have any awareness over when you need to go, or just cant control it?
My awareness is poor, but I know how my body works so I, for instance, know roughly the time when I will go #2 (a certain time after I eat).
>What does that do to an 11 year old kid mentally? Sounds like it would be potentially devastating, but I hope it wasn't as bad as it might seem somehow.
Well, that's too big a subject to discuss properly here, it changed my life in some ways both large and subtle.
All of a sudden I had to get used being dependent on other people, especially my family, or other institutions generally which was difficult when I was at that age when you're just becoming independent. So that took time getting comfortable with. I was going through an anti-establishment phase but needed to send a form and get approval to receive a key to use the disabled bathroom lol (they put locks on many of the new ones, because of vandalism--but I love the new ones because they have changing tables, showers, and locks which work almost 100% of the time haha). So it definitely retools how you relate to the world and authority
I had the typical sadness about my state but it just passed with time. ABDL has been pretty good for me. The idea of someone wearing 24/7 voluntarily somehow makes my state (wearing involuntarily) seem better lol. And I enjoy being able to give advice and chat to other people about diapers without having to use euphemism or polite words for what is a dirty topic, or whatever. ABDLs don't treat me weirdly when I talk about incontinence (well, you get people who ask "how do I have an accident and become incontinent right now", which is annoying... if you want to become incontinent, ok, either untrain and wait some years, or see a psych and find a doctor who will operate there... or go to Thatland... but don't stick a screwdriver in your head like that guy on Adisc lol)
My friends growing up supported me the whole way through and were exceedingly casual and normal about it. In that regard I'm fortunate as hell :)