From the feedback I am getting here and elsewhere, it seems like I may be able to manage it myself (c5-6). My problem has never been constipation. It's about the 2 hours it takes to clear out + the damage to my innards sitting on a commode for that long. Add to that my need for help with transfers and program. I'm tired of my family's life revolving around my BP. My mitrofanoff gave me immeasurable independence & I'm hoping for the same here.