Hi, a bit like you, I got this type of "weight repartition". My extra weight is thighs and hips (I always found that funny being a guy...) and most briefs seem to not fit too well because of that, which also means leaks. I guess they're made or optimized for a different body shape than ours. I wear depend during daytime when I have to because they're cheap. They don't leak, but the fit at the top like you mention isn't great. As for the pull-on underwear, I've had nothing but problems with it. The only one I found that actually fits well is the attends. The leg cut is different and it works very well. I only use it at night though. Another good thing is - I've never had leaks with it at night, which is always a problem being a guy (leaks at sides or top with all others I've tried). As for using cloth, in my case it's just out of the question. Hopefully the suggestion helps.
@JoeK: ISO stands for "International Standards Organization", and is well known for that by over 90% of the population (certifications, film sensitivities and what not). I really don't think it's a good acronym to come up with for the site (not to mention you use it to differentiate from a site that could use the very same acronym then). And I still see no point to using an acronym at all... Aren't there already too many acronyms?
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