I'm 79 and I'm a bedwetter. The urologist says this will be life long, partially because I wet my bed until I was 18. Back then mom put cloth diapers on me and added plastic pants. It was humiliating. I felt like a toddler. Today I have outgrown shame. Recently I tried XXL Goodnites and they work very well. I weigh 155 with a 38" waist. I do put a toddler prefold diaper folded in thirds to add absorbency. I am very satisfied.