Thanks for all the replies everyone. I have a few nights in Abenas under my belt and am feeling pretty OK about things. They held up to a pretty substantial wetting last night. I woke up in a completely dry bed. That alone is worth the (intense) awkwardness of putting a diaper on before bed.
I bought some Tena Level 3 guards to try for my commutes. Since my day time leakage is rare and small volume and never happened in public I think I can get by with these. I tested them out at home and it's night/day vs the depend guards. They certainly wouldn't handle a full void but can hold a good 6+ ounces in strong spurts. I feel like this will more than cover my current needs. I think I will only wear these when commuting or when I'm in other situations where bathrooms are not available. I'm hoping exercises, timed voiding, and possibly meds will keep me covered.
I think the biggest issue for me is not feeling very manly in all of this. Relatively young, strong, active, I don't want my wife to see me as unattractive and less of a man. She's given me no reason to think that she feels this way, I'm likely just projecting but it's hard not to think that way. Not long ago I had no need for absorbent products and now I'm in diapers at night and now sometimes wearing pads in my underwear during the day. It's hard to feel like a strong tough man sometimes.
Thanks for all your support. In this thread and a lot of others I've read I'm able to get the sense that I'm not this messed up weird outcast, that I don't need to live in secrecy and shame, and that this problem is manageable. I keep telling myself I'd rather have a faulty bladder than a faulty heart. While getting a diagnosis of OAB gave me some temporary closure, now I'm kind of feeling disappointed about it. OAB is really just a name for a list of symptoms. It's not a definitive cause, and that's something I'd like to know. Maybe I'll get that answer some day, maybe not. Until then I guess I just have to play the hand I was dealt.
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