I have had transvaginal tape surgery for my incontinence, and have had some problems with recurrent uti's but otherwise have been happy with it. Before that tho, I did use a pessary for a year. It was no more difficult to put in and out than a diaphragm, (which I used for birth control for years) and was effective. I mean, really, could you (and should you) refrain from having fun for ever. No and low impact? that may be ok for general exercise, but sometimes I wanted to run up the stairs, and jump for joy, and otherwise let loose. The pessary isn't perfect either but is a reasonable alternative.
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