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Hello, I do apologize for the longer wait. I wanted to be absolutely thorough and personally review your latest test results from every possible angle before we sat down to discuss them. It’s important to me that you receive the most accurate information available, even if it means taking a bit of extra time. Unfortunately, after careful consideration of all the data and consulting with a urology specialist, we’ve reached the conclusion that there isn't a viable treatment path forward for your incontinence. The neurological and muscular degradation has simply progressed too far at this stage for any kind of reversal or meaningful improvement. The condition is permanent. That said, I do strongly recommend transitioning to the use of high-absorption adult diapers as your primary method for day-to-day management. This will allow you to maintain your normal routine with significantly less stress or disruption. It's an adjustment, of course, both practically and emotionally, but modern designs are quite discreet and effective when fitted properly. Many patients initially struggle with the idea, but most find that, over time, wearing a diaper actually restores a sense of freedom rather than limiting it. It's best to opt for a thick, premium diaper from the start, they handle leaks better and require fewer changes. You'll adapt quickly, and soon it'll feel like second nature. Most men tend to find them uncomfortable, since their genitals are often crammed into a very confined space. But looking at your chart, I see you were previously diagnosed with a micropenis, so that’s actually good news in this case. You shouldn’t have any issues with fit or discomfort. One less thing to worry about.