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I took the advice of another poster and bought a large volume enema and did a clean out first. My Dr. is OK with it, though says I don't need to. It sure makes hold it in much, much easier. I still sleep with a towel under me, but I don't leak if I do the enema first. I would say that if you have a hard time keeping it in (as I did) try the enema bag trick....You can get one at any drugstore. It sounds not fun, but its not that bad and it works!
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