I lost both urinary sphincters resulting in no control whatsoever. Life was very unpleasant. About three years ago, I had an artificial urinary sphincter installed which was one of the best decisions I've ever made. A few days to get the hang of it, but now I can use it easily standing up or sitting down. It's easiest to use two hand since it want to slide around a little in the scrotum. I highly recommend you take that step. It was, and still is a very positive experience for me. There are more important things to worry about it.