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My OAB and level of hydration cause me to suddenly empty a full bladder rather than Brian's "short bursts." The Megamax diaper has extremely tall internal standing leak guards. We tend to associate those with containing bowel incontinence. However, they also keep pee in the main channel of the diaper (over the absorbent mat and away from the leg gathers) until it can be absorbed. As I am double incontinent, this feature is very important to me. Another diaper with very high internal standing leak guards is the BetterDry. It is substantially less expensive than the Megamax. Order it from XP Medical or LL Medico for very good prices. I also wear the Northshore Care Trifecta diaper cover that Brian mentioned. The diaper is made of PUL and is breathable. Although it is a bit more expensive, it lasts for a very long time. --John

@Scarth@Slomo@John Davis@david49 I agree with my esteemed colleagues: Using Megamax Diapers for total, HEAVY incontinence, work right because you put the diaper on the right way. Choice of what Diaper you use will depend on WHERE YOU are, WHAT YOU are doing, and that is important. If you have a set up where you can change often, this will work for you, and you may NOT have to worry about changing if you can do so at a certain location, at a certain time every day. If you work this type of job where you have easy access to the bathroom, you MAY be able to get away with a NS Supreme....... But lets break this down: A NS Supreme is a Great Diaper, and so is a Megamax. Remember this now: YOU have to have a diaper that works for YOU, and what one person uses as a Diaper may not work for someone else. I used to use the Supreme, but then, when I got the state to cover the megamax, it was like being in my late grampa's Caddy. It was like being inside a pillow, and you don't have to worry about it's ability to hold - BUT I don't care what diaper you use, you have to be able to open your "valve" and do short BURSTS, or you will FLOOD out - This can happen to All Diapers: You have to be able to control how much urine you release: Meaning, don't just let it go like a Super Soaker, or that diaper'll be as heavy as a bowling ball 🙂 I Use the Megamax: I'm Incontinent BOTH ways, and it is classified severe: for me, I NEED that diaper to be able to hold most of what I release, and it lasts 8-12 HOURS, while the Supreme may last a little less, but a Megamax, is DESIGNED for severe bladder/bowel incontinence, while the Supreme Briefs can last UP tp 8 Hours, and this, again, depends on the persons bladder and bowel habits, and how much that is released: if you need full nighttime protection, the Megamax will be ONE choice: This diaper is **supposed to** get big/puffy, because it is absorbing everything you are giving it, and the Supreme has the 8 hour limit, so you do have 2 diapers here, you would probably want a diaper that is middle of the road, and have the absorbability and oder control, but EVEN THEN, you will have to watch the diaper, as it can get filled to capacity and may leak, and that is why @Scarth was sayin' he uses the Garywear Incontinence Briefs: These have been substituted and discontinued on the Northshore site, and Now you can get the Northshore Trifecta (Northshores PUL Diaper Cover): Northshore Trifectas are available directly from them, and I've been incontinent since 2019, and Northshore really knows their business, and they have very knowledgeable staff, and they can answer any questions you may have. Good Luck, and let us know how it goes 🙂 Brian