I certainly would not recommend ProAct in your situation! As far as your question, I already feel that pushing the button, while somewhat awkward and inconvenient, is a helluva lot better than being wet all of the time. You will have to wear a MedicAlert, because you do not want to be cathetered if you have an emergency (ex: heart attack) unless they deactivate the AUS, which is simple to do. Dr. Daniel Elliott at Mayo in Rochester has performed more AUS surgeries than anyone in the world.....well over 2000. It might be in your interest to set up an appointment with him. He will do initial video appointments (he did with me anyway two times). Good luck to you. I understand and empathize with what you are going through.