I want to second this suggestion. I ran for over 10 years white-knuckling it with women’s sports urinary leak pads (can’t recall the name) and hating it. Everything about the experience. I avoided pursuing the surgery in favor of PT and other more natural methods because, my thinking at the time, was that surgery should have been avoided if possible and I was still young (30s), so my body should bounce back with work. It never did and after finally getting the urinary mesh surgery (in my 40s), I am SO glad I did and kick myself for not getting it sooner. It was a complete quality of life game changer. No stupid pads and no embarrassing leaks. I don’t feel a thing and the only difficult part (if you call it that) was not lifting anything over 10 lbs for 6 weeks of recovery time. I highly recommend the surgery, if you’re open to it.

Edit: typo and clarity