Hi Bill404,
Each of your choices have their own pros and cons for sure.

Neph tubes: Pros-much less risky surgery, Con’s-chances they may become dislodged, higher risk of urinary and tube site infections, more cumbersome to maintain (two bags, two dressing changes, clothing concerns)

Conduit: Pros- one site, one bag, much lower chances of site infections, easier to maintain. Cons- much riskier surgery, higher risk of post op issues.

I was 16 when I got my urostomy conduit, so I recovered quickly, and I was pretty active so I would have chosen the urostomy over neph tubes, and I probably would chose it again here at 62…not sure how I’d feel if I were 78.

As a nurse, I did recently have an 80 yr old man that had a urostomy, and he did great with it.

Ultimately it’s a choice you alone can make taking into account your tolerance for risk, and the day to day lifestyle you’re looking for.

Take care and God bless!