Real the worst part of the whole thing was when they put the receiving tube in. The rest didnt hurt at all, i mean big tube little hole yeah. As far as i know i can have vaginal sex just like anyone else with no problems, think anal is out of the question but i am sure even that would be a go if you got her warmed up enough . Yes i can feel it move around in my pants, when i walk or turn the wrong way. Your own urine keeps it relatively clean, i just need to sit to pee and to take a minute to let it drip off or i wipe if off. I know its kinda out side the norm but i really like it and was worth it something i have been bouncing in my twisted little head for a bit. Got a blowjob with it and wow, it was a whole new level. Even masterbating is better now and i know that maybe hard to imagin. Just glad mine was done right so that it added to sensitivity and didnt take away from it. Not saying every guy should go have it done, it was my personal wanting and the tube going in really burned, but i would not go back now or take it out its in for life . If anyone has a question about it i will try and answer it the best i can. P.S. it also added a new moan or its one i have never done before.