When you have no other way to empty your bladder, you accept the fact that it's a means to an end and deal with it. There's absolutely no pain. I kid with the medical folks about having to get used to peeing through a straw" (they seem to get a kick out of that). It's inconvenient, no doubt, but for me it's much better than strapping a bag to my body for cathing. For me, THAT"S apalling. Plus I've been a group fitness instructor and personal trainer for 40 years (I'm 72 now), and the self cathing is the only way for me to keep my exercise routine. If in fact you have to begin with self cathing (which means you will always be self cathing as far as I understand it), you'll likely get used to it in the short term. Because of my "medical experience" (another story), I get upset every time I insert the damn thing to pee, but it has nothing to do with the task "at hand". 🙂