Based on you saying they have to rebuild your tendons, it will not be a simple 2 hour surgery, and you will most likely not be awake for it. I have had many, many, way to many, different surgeries for all kinds of problems. Some have been for urinary problems, others for my my knees, legs, spine, nose, sinuses, tonsils, and on and on. With each surgery I have always been up front with the pre-admission personnel that I wear a diaper. They note this in you chart so that the surgery prep nurses don't end up insisting you strip naked (except for the gown), and so they will know to re-diaper you afterwards. However; I have still had to remind a few of this at times. One quick look in my chart and they happily comply.
In each surgery they always ended up removing my diaper and catheterizing me. The catheter is sometimes removed and I am re-diapered before I wake up (unless it actually needed to stay in as part of my urinary problems/recovery). Sometimes this is done immediately after I wake up so I can help them re-diaper me by moving as needed. I have never once been given any grief or trouble for wearing a diaper into the operating room, or for being re-diapered afterwards.
Don't worry about telling any of them you wear a diaper. Doctor-patient confidentiality still applies to the administrators and nurses alike, and it will not be something that could come back to embarrass you outside of that hospital. Plus, if you have a legitimate need to wear a diaper, and that could include you needing to wear one into the OR, then that medical team along with your doctor actually does have a need to know in the first place. And besides, patients needing to wear diapers is quite common to begin with. Most won't even bat an eye with someone being a diapered, let alone cause some sort of scene that might embarrass you enough to get them fired. That just doesn't happen so you should worry about it either.
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