Hi @kyle1976 and pml,

I feel your frustration too. I have overactive bladder and bladder spasms and when the spasms come, it’s like you said, I have very little time (none really) before a large rush comes out and can easily overflow my pad before it can get absorbed. I can go through several pads and pants in a day. I also use Poise pads after trying many others including the huge “mattress” ones you referred to. I get the Poise Discrete #7 in the long length. Yes they’re expensive but they have worked the best. They are pretty flat and look like they won’t be enough. But they hold a lot of liquid and will puff up and not leak. It has something that turns into a gel and holds the moisture away from your skin. Of course if I have a “gusher” nothing can stop it from overflowing. It just comes too fast. Check out some of the discussion under “Botox for Urinary Incontinence”. It has worked for me the one time I did it and have decided to get another treatment after the first one wore off. But you should try other options first if you haven’t already (pelvic floor exercises, meds, biofeedback, stimulators). Check back with any updates and if you have any questions about the Botox treatment please let me know!