I had my latest appointment with my doctor yesterday. It was interesting. After couple of tests, it was clear to him that things have not been progressing well. None of the meds have been working, and nothing has gotten any better. He asked me if I wanted to try a higher dosage of the current medication. After some conversation that is what we decided to do. The thing is there are only a few more possibilities in medications that we can try. Other than that there's basically electronic stimulation and Botox. Oh yes and surgery. I made it clear to him that I wanted nothing to do with any of these options and he said that was fine by him. In the end he said that at this point it seems to him that the best possible outcome was lessening my incontinence rather than eliminating it. Looks like I am in this for the long haul.