Wetters, I'm late to this thread and am unaware of what brand you have been using as a pull on. but for me, as a female with frequent and unpredictable partial bladder incontinence, less frequent partial bowel incontinence, as well as dexterity problems from other issues, I have had the best experiences over a few years with Abena AbriFlex pull ons. On the occasions that I have had sudden full or almost full incontinence, which was frequent for a while, (300-350 cc's for me; you may have a larger bladder capacity) there has been very quick absorption and little or no leaking, whether I have been sitting, standing or lying down, to the point that I feel fairly safe without plastic pants over them, although I use them on occasion. If I am going out for many hours during the day and have more moderate and minor leaks, I almost never have to change until I return home and can do so in privacy and at my own speed (If I do have to change outside, I will use a large adhesive liner attached to AbriFix pants for the remaining time, which is usually short. Not ideal, but it is physically impossible for me to remove and replace pants and shoes in a typical public restroom with any efficiency.)
As far as pull ons are concerned, in my experience, even Tranquility, the next best and somewhat less expensive leaks more than the Abena when very wet, even with plastic pants and especially when lying down. It's also bigger (though thinner) than the Abenas, which means they take up a lot of room to carry around for travel, etc. The "peach mat" color of the Tranqulity also makes it difficult to see how much blood has come out during menstruation and when it needs to be changed because of that. No other pull ons I tried over the past few years have come close. If you have not tried them already, I highly recommend the Abena AbriFlex. I use the M (medium)3.
The downsides of Abena are that they are very thick, and therefore bulky to carry around or pack for travel, and not very discreet to dispose of if staying in someone else's home, for example. They are also expensive. Many people here use XP Medical online, which often is the least expensive medical supply company by the case. They are very quick to ship, and do so in unmarked boxes. Occasionally, I have found cases several dollars cheaper on Amazon.com third party vendors. Not always-- prices fluctuate there, but sometimes one gets lucky. When things are not as bad for me, or I know I will be home most of the time, I try to use less expensive liners so that I have the Abenas for when I really need them, and that helps keep the costs down. I tried cloth for a while and occasionally still use it at home, but unlike others, don't find it all that satisfactory for several reasons.
Good luck.
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