Love surgeons who can lighten a serious conversation! Guess I’m a Camry girl ;-). This has been my experience as well. The only problem I’ve had is very recent with some rashes underneath the device, possibly related to the padcev /Keytruda side effects. Continued incontinence, the potential need to self catheterize and inability to get a good nights rest were the main reasons I did not go with neobladder. My surgeon offered both. I wasn’t very comfortable with what might happen if I couldn’t train my pelvic muscles to urinate. I am 64 and became very active at gym doing functional strength training and walking after I finished my first 6 cycles of chemo in August 2024.