I;m uk based so my nappies are supplied and delivered free bythe NHS, but here in Wales they only ones they supply are ID slips (nappies) and ID pads which are also used in Welsh Hospitals. When I travel I use Vivactive which are very good but which i have to buy in myself. The id nappies are terrible and I have to wear waterproof pants with them ( I like the gary clear and milky ones). Because of my spinal problems I was doubly incontinent until age 14 when they performed surgery but that still left me with bladder inco, i had a period of about 8 to 9 years where I had a very good dry spell during the day but was usually wet at night, now I have 0 bladder control and no sensation of when I need to pee or when I am peeing so have to wear 24/7 and have been doing for the last 29/30 years. A worsening of my spinal condition plus another condition called Cauda Equina and the neuropathy I am starting to lose bowel control again. As for how I cope with it, one way is by being an AB and my fiancee is also my mummy for when I need little time.
Most times I am ok with the loss of bladder control although it does sometimes lead to anxiety and depression. my worst time is when I swing my legs out of bed at nightand look down to see a wet nappy instead of a pair of nice clean and dry underwear. It's a constant reminder of the fact I need to waer a nappy. The other time i have real problems is if i have a bowel accident then I really have mental problems as all I can hear is my mother telling me "what a dirty little boy you are and it's about time you stopped acting like a baby and grew up" for some idea of my early life check the story section for a story called MY Early Life and you will understan why it affects me so badly.