That depends very much on the situation I find myself in. In most cases, I can stop it after a short time. That gives me another 10 minutes to reach a toilet.
However, I have to concentrate quite a bit to make it work and there are situations where that is not possible. Moreover, the 10 minutes it gives me in these situations are often not enough. Fortunately, such situations are usually predictable and in such situations I just wear diapers or stronger pads. Otherwise, fortunately, a light incontinence pad is now sufficient in most cases.
And as for the "paralysis"... No - my body is not paralyzed. The bladder cramps and it just starts running. It can happen in any situation - running, walking, standing, sitting, lying...
However, there are situations where it is more likely to happen - for example, when the pressure in the body changes quickly - for example, when I stand up after sitting for a long time or I wake up and sit up in bed. Another point are cold stimuli or also stronger shocks as they occur for example when running or jumping.