I read all the responses on this thread. I have had some level of incontinency since my operation and radiation 10 years ago. For the past five years, inconstancy increased to 100%. Depending on the pad, I go through about 200 pads and 40 pull-ups per month. VA gives me 104 pads per month. Some pads last an hour and a half, others last two hours. They all leak if you leave them in too long. For maximum utilization, I use a pullup and nest a pad inside of it so I can change the pads as needed. I tear off the only about a one-half inch of the paper covering the adhesive, so it doesn’t tear the pullup lining but stays in place. I then use a nylon jock strap on the outside to keep everything tight and in place. When lying down, sitting, driving, the urine pools in my bladder, upon standing, it floods out, filling a pad. I know I need an AUS installed but my local urology office seems overwhelmed and can’t get is scheduled. I now have an appointment in December at Johns Hopkins, hopefully to start the process to get the valve.

For all pad and pullup users, I have a remedy for pad and pullup disposal. About five years ago, I found a nearly new “Diaper Genie” at a Good Will for $5. I bought it and found it provides a clean way to dispose of pads and pullups. Bag refills are available on Amazon and moat grocery stores. I use 2 small electrical zip ties between the bags about an inch apart. I cut the bag in between the ties thus extending the life of the bag refill. You can get 1000 4-inch zip ties on Amazon for $4.95. The usual way to separate the bags is to cut them and tie a knot in both ends. The zip ties extend the bag refill life by 50%. Make sure they are tight. Just an idea to make life a bit easier.