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@Kit I will second @Slomo recommendation of adult cloth diapers.com site. Personally, the last time I bought (several years ago) I bought the "night" (4 layer) small prefold purity diapers that I see they have now rebranded under their "Leak Master" label: https://adultclothdiaper.com/products/adult-flat-diapers-gauze-purity?srsltid=AfmBOorKish2nls3YGQ0XgXUyUQZJKC7rcrJDDVF3xSZpS4mwMwykXEN&variant=48761849676055 At the time of my last purchase, this was one of the best values for my money. I haven't done price comparisons in a while. I have heavier incontinence. While I could get away with 1 of these during the day for my current normal "light" day time issues, if I want to take a nap (and expect to have dry pants on after the nap *if* the issue hits), I need at least two (4 layer) diapers, which is my "standard" daytime configuration. When new, and not overly hydrated, I could get away with using three at night (most of the time). However with age (of the diapers) and my flexibility in hydration, I currently use four (4 layer) at night. Yes, you need a protective pant over this, I I'm normally using PUL for now. Before Comco and VI Products closed, I used to use their vinyl pants, which were (in my option) better that the current PUL pants made by Gary (due to differences in cut and elastic tension). PUL does last longer than vinyl, so costs might be closer now then I was thinking. .

I need to log in more frequently on this board.... From other discussions, I won't be surprised if it is Metformin, or something along with Metformin. I was normally good until I started on Metformin at three x a day (500 mg?). I could handle the 2x.... The 3x put me over the line..... I'm mostly good, but on occasion the body gets off. Still haven't figured out what the tweak is that takes me just over the line. If you figure out what your interactions are that put you over the line I'll be interested in hearing about it -- to see if that may also be part of my "fun".... From my perspective, I know part of the issue is the Metformin dosage. And I recently had my (slightly overdue) Colonoscopy - and came back with a clean slate from that -- so there is nothing showing up that way for me....

Sizing on this set isn't as good for me as the old VIP or Comco items.....

It's been a while, but I tend to not pass TSA's security without at least a pat down at this point. I wear cloth, not disposable, and they tend to be a little damp from sweat by the time I hit security. If I was to do it now, it would be a little more than that.... You mentioned "red". When I've seen the screen it has been a yellow box over the area. Maybe that's the difference between a pat down allowed, vs going further. My worst was years ago, leaving a warm vacation area, where I had an afternoon flight home. I had used sunscreen during the day.... Combine that with damp extra cloth layers, I had the private room visit. Eventually they cleared everything. I'm not sure what it took to clear their chemical analysis of the sunscreen.... Since that was more of a liquid, I had my spare sun screen in a sealed plastic bag in my checked in luggage and not in the hand carry. In addition to normally getting hit with the pat down, I also carry a bottle of baby power in my hand carry luggage. I now always pull that out so it is separate at the x-ray so they don't have to dig through that to find the bottle, to perform the "required" additional chemical checks on it. Brand new bottles (such as at the start of a trip) are basically guaranteed to get pulled for further inspection.

@dotcrawl2020 My dad had early prostate surgery. Unfortunately, for the time, no one was talking about those types of issues. I also had early onset BPH. If you need to deal with a prostrate reduction (from impacting the Urethra, and then also the bladder, from the bladder wall thickening and strengthening due to the blockage, you may already be a bit late in getting things corrected. If you can get the BPH issue handled prior to the bladder wall changes, it will be better in the long term..... For me, I have had the Rezūm procedure done. Personally, I recommend finding a Urologist that can perform a minimally evasive procedure and has a (good) record of doing the procedure. I am not a fan of the drugs that get prescribed in order to try to delay the (in my opinion) eventually needed procedure. Best wishes.

I need to check in here more often I've had discussions with my primary care doctor about Metformin.... I used to run on the more constipated side. That hasn't been an issue since starting metformin. I do have to more closely watch my timing on that medication. Normally not a real issue, but it does make me looser..... I'm unwilling to go to a higher does than I'm now utilizing of that medication.....

Finding a method that works for you and mentally accepting it is critical. Don't let the incontinence issues stop you from living life to its fullest.

To start with, I put myself back in diapers when secondary nocturnal enuresis kicked in during a major illness. At the time, the doctor wasn't that concerned (due to the acute start up), but I "felt" something had changed. Once I was off the medication for the illness, I was left with occasional nocturnal enuresis that replaced occasional noctueria... At first I view the situation as short term and for the next year and a half tried to get the issue resolved, including spending time doing research in the local university's medical library. Let's just say I can sleep through the night time potty training alarms and wear out the batteries..... Eventually, I accepted that this wasn't going away. I also recognize that a part of me is a DL.... However if you had mentioned any of this prior to the start up of secondary nocturnal enuresis I would have given you a quizzical look and not known what you were talking about. A few years back, early onset BPH bit day time control, and now I wear all the time. I try to not use the diapers during the day, but at this point they are typically slightly damp by evening. I've accepted the need, and just get on with life. I've made a point of not keeping the diapers from stopping me from doing what I want to do.-

On the rare occasion I wear a disposable (high capacity) diaper, during the day I do try to use the toilet, so either I need enough give in an elastic waste band to get the diaper down or I need to un-tape and tape back up afterwords. So, yes, now that BPH has added a daytime component, I prefer disposables that I can re-tape after using the toilet.

At this point, if I get a good nights rest, and am properly hydrated, when I wake up in the morning I'll have a wet diaper that I don't remember when it happened. On a rare occasion, if my sleep is disturbed, well, I might be "aware" of some things going on, but I'll typically still be wet in the morning because my maximum functional capacity has been reduced due to impact of BPH.... And I get better sleep if I don't try to make it to the bathroom to empty the bladder at night.

I don't think it is on the rise. In the past I believe it was more under reported. When I ended up with (occasional) secondary nocturnal enuresis years (decades) ago, I felt the statistics out of Israel were probably more accurate than most due to required military service.... The tri-state incontinence support site hasn't been online for some time, or I'd add a pointer to their graph of incontinence vs age with male / female split. Don't know if that could be dug out of the way back (internet archives) machine.

While I only need heavier protection while sleeping or napping, since the cost of most of the alternative reusable products are the same as just buying the (cloth) diapers (and protective pants) that I use, I just go with a slightly lighter cloth diaper set up during the day. I can still use the toilet when I need to and it handles the issues I have from early onset BPH and related bladder issues. So, while it may not be what your looking for, its an option. You don't have to use the diapers when you can make it to the bathroom.

@Brian Thanks for letting us know you are through this..... I'm sad that you had to advocate for yourself as much as you did. I expected you to have "fun" (not) with the prep, but not to the level it hit you. Best wishes.

While I'm normally wearing cloth, on my last vacation I had both NorthShore's MegaMax and Tykables (blue) Camo, plus both companies doubler's. Neither completely work at night for me, however with Tykables doubler added (to either), most nights were good. Because I currently need some protection during the day, but use the toilet during the day, I found the Camo's easier to use than the MegaMax, with the doubler. That took care of the slight issue during the day and then the heavier wetting at night. So, one diaper per day.... If I ever loose more control during the day, I'd have to change how I do things. With the doubler up front, this was overkill for my normal needs, but it kept from hitting leaks at the legs when the front was well used earlier during sleep. Next time I'm on vacation (or preparing / evaluating for) again I need to keep @Slomo's comment about lower tape placement in mind and see if I can make an adjustment in how I use things to get better utilization of the rest of the diaper before it leaks.