I've never tried nappies. The reason I went for a p-valve is because:
-I don't have to sit around in my pee (absorbed well or not, the idea is still gross to me)
The technology has advanced far beyond the days of simple pieces of cloth. You really don't feel it that much. It does feel like your carrying something heavy around, but not as damp as you'd imagine. Dampness promotes rashes, which can develop into infections. So the better dampness control you have, the better it'll be for the patient. That's one key feature that got a lot of focus while developing the technology currently available.
-I don't have to go and buy nappies
The one time I went I was the only one in the store. And it seemed that the lady did believe my diver story.
-I don't have to store nappies in my house that other people might find and think 'wtf'
I'm sure there's plenty of suitable hiding places in your dwelling. And if they find them, you can always tell them, "wtf, why are you snooping around my things"
-don't have to take lots of nappies with me when I go on a dive trip. I take my cath and a tube of glue, which fit in a small makeup bag
I always carry a spare change of clothes in case I get flooded. I carry the "nappies" in the bottom of the small clothes bag. I carry the bag with me when I go take the last peeing before suiting up. After the last peeing I install the "nappies". I only use one per dive trip day -- usually two dives per day.
-I don't have to find some way of disposing of used nappies
You dispose of them in the same place where bathroom paper waste goes. Just bunch them into a tight ball (no liquid will squeeze out) and use the adhesive strips to keep the ball in shape. Because it's heavier it usually goes to the bottom of the waste basket. I don't know much about this, but I suspect it's not any more complicated than disposing of womanly period absorbing devices.
-when I pee the pee goes out my suit, never to be seen again and I think this is a good thing
What can I say?
-I have a reusable cath that I just have to soak in disinfectant between dives so there is no ongoing cost (well there's the glue but you don't need much at a time)
The one's the store lady sold me where very low cost. I can't remember how much, but low enough not to sweat it.
-I'm not secure and confident enough to wear a nappy
You're a smart, successful young woman with nothing to be ashamed of.
-don't find punching a hole in my suit to be a worry at all
It's not just the hole punching. In the men's version, if you get an unbalanced one you may end up suffering painful squeezing. If you get a balanced one, the balancing chamber could become a bacterial haven and end up causing infections. Then, there are the hoses that can disconnect without the diver knowing about it and result in a wet surprise. There's even "public relations" challenges: a friend of mine was adjusting his P-valve while facing some bushes. To the untrained eye, it appeared he was committing a public urination "crime". The site just happened to be in the middle of a controversy because a few local residents wanted to ban diving activities due to the alleged public urination divers were doing...
for those thinking of trying diapers, get the ones for babies, not adults. the adult ones just have fluff & suit squeeze will squish the pee back out. baby ones have gel beads that won't release the pee.
If you get a squeeze strong enough to make the liquid come out, then you have bigger problems, particularly men. Such a squeeze would be VERY painful. You can get adult gel bead ones, can't you?