This was a significant factor in my decision to use diapers rather than medications. The long-term, mental health risks associated with these detrusser-relaxant medications are pretty well-established. I wish the urological community was more forward in discussing these issues. My own practitioner did not tell me about the side effects. A mental fog had descended upon me after I was prescribed Oxybutynin, and I learned about the long-term side effects while researching the short-term ones. Personally, I think increased dementia risk is worse than urinary incontinence. I would rather wear a diaper for the rest of my life than increase my risk of losing mental acuity.