@jeffmarc Hi, I’ve had no ill effects wearing it 16-20 hours a day. It’s been three years now. I have just begun to alternate placement location (there are realistically only 2) after every void as a precaution. I don’t tighten for 100% effectiveness. Happy to need just one each day of a Tena Max Absorption pad (IMO the best on the market, blows Depends away).