@someoneelse
There was no real trigger. I just started leaking a little bit about 5 years after the radiation. I needed a thin pad to absorb A small leak problem for a few years. It has just gotten progressively worse Over the last seven years. I now need a thick pad And if I’m really active, it gets soaked and so does my underwear.

I do put on a clamp when I go to the gym. I still need the pad because even though the clamp is as tight as it can be, I do feel occasional leaks through it.

I am 77, almost 78 So that could be a factor too.

I don’t have a problem when I’m laying down. Don’t need any protection at night, Though I keep a small towel nearby because if I sneeze or cough heavily, there can be a little leakage. I also need it if I get up because I will leak immediately standing, even if I just emptied my bladder.