Good evening @fdxon63. I also take Merbetriq for similar reasons. When my PCP was informed that recent research was indicating that oxybutynin can increase cognitive impairment in senior patients, she replaced it with Myrbetriq. I noticed somewhat less stress incontinence simply because the medication relaxes the bladder muscle and allows the bladder to fill more before demanding to be emptied.

After a recent bladder sling surgery, I chose to remain on Merbetriq for the very same reasons, especially post-surgery. It has been a couple of months and I think it is still keeping that muscle relaxed and improving my surgery outcome.

You will find out that this medication is rather "spendy". There are some assistance options mentioned online.
My thinking is that I will continue to pay for medication that performs a necessary function.

Are you also doing pelvic exercises?

May you be safe, free, and protected from inner and outer harm.
Chris