Mr Urge Incontinent

@BrownBobby... Thanks for the in depth explanation of your situation. As someone who is incontinent I have been curious to understand the motivations of people who permanently seek this condition. It's a difficult and life altering affliction but very manageable (and in many cases treatable) and I wonder why people want to add this type of burden to their lives. I get role playing and regression, but permanent physical alteration still mystifies me. However through your explanation (and others) it presents the argument that emotional needs are just as relevant as the physical ones and your situation very much follows this. I also can understand the attraction diapers offer for many people who need them as a security blanket when dealing with the challenges of life. I wish you well in your life's choice. Thanks. It basically describes my condition pretty well and seemed to be a fitting user name.

@jellyjigger... I agree the philosophical dilemma about the reasons for either decision path can be seen as two sides of the same coin. Either way someone having surgery performed to obtain incontinence where there is none is in of itself is a lie. Should people learn of the reasons why it was done may view it strangely with heavy concern vs. much differently for playing the role of an incontinent person. A lie is a lie no matter what shade of grey it is colored. At least with role playing it is more easily reversible, where as with surgery is not (or may be very difficult and costly to undo). @BrownBobby... Interesting recount. What you didn't mention is why you had it done (physical or emotional needs) and how is it you were able to bypass the ethics part of the doctors medical practice as to "do no harm"? Did it fall under the same premise like gender reassignment surgery? I know personally my doctor felt bad having to remove damaged and necrotic nerve tissue that he knew would render me largely incontinent. But it was done to prevent bigger neurological problems down the road. His ethics standards were in play, but it didn't make it any easier for him knowing the end result. Also, what kind of hurdles did you have to overcome with the insurance company in getting them to agree to pay for such surgery since it was deliberate and not corrective? I would think they would be reluctant to pay for this because of the long term liabilities should complications develop requiring more surgery (of which they will have to pay out again). Or did you have to sign away certain liabilities both current and future? This then raises the question about future coverage by any insurance company since your case history will show this was a deliberate act and it may limit their desire to underwrite coverage for you (or done with huge restrictions).

As some one who is incontinent I wouldn't wish this affliction on my worst enemy. It's a royal pain in the butt, costly, inconvenient, embarrassing, and completely pervasive in everything you do, and I mean everything. There is no "off" or "reset" switch to push when you grow tired of the burdens it presents, this condition is forever. It truly is life changing. If it were possible, I would gladly exchange my incontinence with someone who desires it. There's proverbial saying that goes... "the wanting is sometimes more satisfying than the having". This is certainly applicable here. From my perspective, I would approach any incontinence desire like a movie actor. Get into the role of an incontinent person and stay in character on or off the camera of life. Basically live the lifestyle with all of it's affectations and encumbrances but without ever giving up control. Externally people around you will never know the difference if you commit to the part completely and are utterly convincing. But you have to own it deep down. From my wanderings through this forum (and others) many of it's members are doing this now and are completely comfortable with it, satisfied with their decision to live this way. It's better to have the option to stop vs. not because of permanent physical mutilation from surgery. Once done there is no going back. There is no need to permanently harm yourself in order to gain social "permission" to use diapers (which in my opinion is what most are really looking for). Just use them and enjoy your incontinence movie role. Who know you may win the "acadepee award".

Being urge incontinent I don't have accidents, more like "events". In my case I get a quick rising sense of urgency, kinda like in waves that results in a bladder release after about 6-10 seconds. When I first sense this is about to happen my initial thought is "how many times have I wet so far?" so I can remember how wet the diaper is and that it can take this next dose of pee. Fortunately my voids are relatively small but are frequent (about every 2-3 hrs) so it's important to keep an accurate count. On rare occasions I do get distracted enough to lose count and the reminder is a leak which I now classify as an accident. But generally I can maintain the "pee tally's", or feel the heaviness of the diaper and know it's time for a change. The other thoughts I have are the relief that I won't have wet pants or leave a puddle somewhere when the bladder does it's thing.

For me as someone who is largely incontinent, diapers are the only practical option for a comfortable and restful sleep. Plus the cost of replacing an unprotected mattress every few months saturated with pee isn't practical. Like Kaliborio, I too am a germophobe when it comes to incontinence hygiene. I can handle smelly morning diapers but sleeping nightly on a reeking mattress soaked-up with weeks old fermenting pee is over the line for me. Plus I hate the time and expense doing loads of laundry washing wet sheets when diapers can keep this down to a minimum. I sleep on my back and sides and have minimal leaks because I wear plastic pants over the disposable diaper in addition to a mattress pad to catch the few minor leaks I do get from time to time. I also have my bed raised at an incline (about 7-8 inches) to manage the GERD I can get. This has a secondary benefit in that it offers a slight gravity assist helping the pee flow into the diaper better when I sleep-wet.

I incurred bladder and Pudendal nerve damage from a mountain bike accident (lower abdominal area crashing into the handlebar headset). The net result was crushing the bladder against the pelvic bone and then hyper-stretching the tissue to the point it nearly ruptured (I must have been quite full when it happened making it worse). The nearby internal organs distended from the sudden impact causing bad stretch trauma to the Pudendal nerve branches that service the urogenital diaphragm of which contains the external urinary sphincter. The bladder damage developed into a strong form of OAB, and the badly stretched Pudendal nerves required surgery where the surgeon had to remove the damaged areas. This was done because of the severity of the damage, location relative to larger nerve junctions, and their potential to cause other problems if the tissue continued to die back into healthy areas. Losing these 2 key nerves rendered me 85% incontinent. Normally my bladder fills until it hits the trigger point whereby I feel sudden strong urges that come in waves (usually 3-4 over 8-10 second period) followed by complete emptying several times a day (usually every 2-3 hours). The remaining nerves are not strong enough to allow me to operate the sphincter sufficiently to prevent leakage or control it and pee when I want. The remaining control I have only allows me relax things a little bit to help everything flow better minimizing discomfort when the strong urges hit. I wear diapers 24/7 to manage since it's the easiest for an active lifestyle with the lowest risk of complications. In the beginning I used to try and rush to make the bathroom in time, but this quickly proved to be a losing effort and resigned myself to just completely go in my diapers. Been this way for 18 years and treat my diapers as nothing more than a different form of underwear and get on with life. I was fortunate because the outcome of the accident could have turned out far worse. So yeah incontinence is a hassle but manageable and I still ride to this day.

Also the acids in coffee irritate the bladder wall causing the void reflex to trigger sooner/easier. This I can attest to personally for when I drink coffee my incon urges are way more intense, and frequent which is why I limit my coffee consumption to once and awhile and stick mostly to tea or chai. Plus coffee makes the diaper odors harder to conceal which I'm very conscious of when in public places like my work office. No need to offend my co-workers noses if I can easily avoid it.

This is why it prudent to regularly clean out the browser search history, cache, and temporary file folders.

I do know when the first body scanners were introduced if your diaper was wet it triggered an inspection. This largely was because of threats like the underwear bomber and the scanner settings were set too conservative. Over time as millions of people have gone through the machine a more accurate statistical base line has been developed and the scanner settings were adjusted accordingly along with operator training. I too have had to go through a scanner with a wet diaper due to time constraints and didn't have a problem. However if you are wearing a soaked diaper that can hold a huge amount of liquid like a NorthShore MegaMax, the probabilities go up that the scanner will trigger an inspection. From what I understand it has to do with mass density that isn't proportionally distributed for the body shape.

Most of the time it isn't a problem unless you make it one. Discretion is the key along with self confidence. I use diapers out of necessity and likewise treat them like any other form of under clothing. In your case, just own the fact that you need/wear them for your own personal reasons and carry on accordingly. 99% of the time most people don't really care what your're wearing provided that it doesn't in any way effect or invade their personal space. This is especially true in public places full of strangers like airports.

Many many times. The key is to make sure you change (if wet) before going through security, especially the body scanner. If your diaper is wet it will trigger the scanner where a TSA agent will pull you aside for a pat down or possibly for a disrobement inspection (in a separate room of course away from the public). Wearing baggy clothes helps conceal the extra padding and not provide any unusual visual cues that would trigger a pat down or inspection. I have have gone through TSA security for years using the above tips with no problems. If you do get "inspected" while padded just explain that you need them for medical needs and leave it at that. Most TSA agents are professional enough to finish their work quickly with the least amount of embarrassment to you or themselves. The thing to remember is TSA agents have seen it all and people of all ages wearing diapers are no exception.

There should not be any long term side effects for occasional usage or experimentation. If this wasn't the case short term usage therapy would not be offered by the medical field. It's the continual usage that can cause problems. From what I understand the hyper stimulation long term causes a gradual desensitizing of the neurons leading to way more problems than desired. Messing around with the electrical wiring of the body is foolish. Stimulation implants are ok long term because they target very specific nerve locations and have tightly controlled and metered outputs. Conversely external E-stim can cause undesired problems because of the "broadcast" nature of the electrical impulses since they are not very target specific, as the original poster found out the hard way trying to deal with a leg cramp. I have used an E-stim quite a bit for my lower back stiffness and muscle aches for years without problems. I find it's a much better alternative then popping pills.

From your electrode placement description it's likely the E-stim affected the Sciatic nerve which is part of the Sacrum nerve group S1-S3. Within the Sacrum nerve bundles contain the Pudendal nerves which have distal branches to the bladder and more importantly the Urogenital Diaphram, which contains the external urinary sphincter muscle. There are treatments for urinary retention that uses E-stim to trigger the voiding reflex, typically done externally using the Tibia nerve. However implanted E-stim's use the Pudendal directly for the same effect. It's highly likely your electrode pad placement was able to also cause secondary innervation to the Pudental nerves and it falsely triggered the micturition reflex. It's a complex coordination of control and and feed back signals from the Sacral nerves that make up the micturition process which is easily scrambled from external stimulation. I would caution that this kind of stimulation is not recommended for long term or continual use (from what I was told). I used it to try and help with my severe urge incontinence which it did not after several weeks of treatment. In my case the bladder and Pudendal nerve damage caused from a cycling accident was too great to recover from.

Just a FYI. Bladder voiding by manual compression is called the Credé maneuver. There is another variant called the Valsalva maneuver.