While I do not have RSD, I have bladder issues due to nerve damage....L3-S1. I have diminished sensation in the predictable areas and never experience urgency, regardless of how full the bladder is. Obviously, if it gets too full, it will empty spontaneously. I don't like incontinence supplies as they break me out, regardless of how frequently they are changed. I go to the bathroom q 60-90 minutes, do relaxation exercises and my bladder will empty at that point. Perhaps some sort of similar routine might help you avoid those annoying accidents. Best wishes.