After 13ish years of wearing 24/7 for a mix of need and fun, my wife & I have figured out what works for us both. Generally speaking, a lot of our sexual encounters tend to be well planned as our children live with us so if our time is planned we tend to leave my diaper on, pull it to the side and either I penetrate her from behind or she'll get on top and ride me. We have had our fair share of spontaneous or " in the heat of the moment " times where she'll completely remove my diaper and then we go about our pleasures. I naturally dribble pee throughout the day, its happened for years. We treat that as normal moisture and go about our pleasures. I do clench down to try and limit how much I leak as that also coincidentally delays my orgasm which helps me focus on ensuring she gets there.