Mom wears diapers at night and starts to urinate before fully seated on commode getting clothes wet. Any ideas how to prevent the extra laundry?

Kegal exercises! They take awhile to kick in though. It will strengthen everything in the pelvic region. Though they initially developed it for pregnancy, many therapists are using them for incontinence and there's no reason why most seniors can't do them. Start small and work up. Google Kegal exercise for tons of informational websites on it.

Happens here too! As seven said-take her to pot more often... At night, my mom only wears a pj top to bed and a Depends. I have 2 chucks on the floor-one on top of the other. When she leaks-she will change her own Depend as I keep everything within arms reach. And, sometimes, she will roll back the top chuck if she gets it wet and then there is another one there if she gets up again. I am blessed that she can still do that much for herself...not sure of your situation. Funny, during the day she acts like she can't do a thing for herself! But, for now, at night she will do that much. I have a monitor in my room so I can hear her and if she has any trouble-she calls out to me. Doesn't always know it is me she is calling-but she knows the routine and frequently calls out to "somebody!" Good luck....

What's a chuck?

It may be that her pelvic muscles are too loose and the action of squating is causing her to accidently release. Try raising the toilet seat height. You could also try doing some pelvic muscle stregthening exercises with her. Could be a fun activity for her.

Take her to the washroom on a more frequent basis and hopefully she will start to go normally without the leakage. Does she awake in the night to go? If so change her to a dry diaper after the last urination. Hopefully if she goes more often it will prevent the "flood" wetting her clothing. ie the longer before urinations the more chance of wetting clothing.

Have you taken her to a gynochologist who specializes in incontinence? My mom had a Botox like injection that helps her urinate more slowly. It's not very invasive, done in the doctors office every 6 months

add Poise pads, sometimes two inside the pull-ups

Adding the (overnight) pads inside seems to work best if you slit the plastic (bottom) layer for the fluid to go down through. I did this for My Mom with two diapers (inner one slit in outside plastic, too) and one pad (to reduce bulk & lower spine pressure).

My mom will do the same thing, chitchat. She can go to the bathroom two or three times a night sometimes and will still do that. She has diabetes and her doctor told me that her nerves have been compromised so she doesn't have the sensation that she needs to go sometimes or doesn't even know that she is going. Her muscles are completely shot as well, so she really has no control over her incontinence issues-makes life difficult. I just do a lot of laundry because I really haven't been able to find anything to help the situation. (Until right now, with the pollen count through the roof, I have been giving her some benadryl to help with the drainage, and strangely enough it has seemed to help her sleep through the night and evidently dries her up enough that we haven't had those issues in a couple of weeks-unless it's a bowel movement!) I hope someone has another suggestion because my mom is not together enough to ask for help or change herself if she does make a mess. Oh-she wears a nighttime pad with cotton panties at night because the Depends hold too much moisture and she ends up with rashes so I only use the Depends if we are traveling or going to be out for an extended time just to protect her dignity and clothing. Sorry, I'm not much help....

This all was good advice. And a reminder for all of us, because some day we will be there too. My MIL has constant UTI's and incontinence at 92. When we discussed with her doc what to do and why she has these issues, he talked about prolapse of her bladder, how it is common for elderly women, how hysterectomy plays a part in all of this, etc. Trying to explain to her how to do a Kegel now - let's just say, forget it. But I am sure she never did them, ever. And I am sure she had her uterus out when her doctor told her it needed to come out, no questions asked.
My son, who is now 33 and the middle child, was a very big baby with a particularly large head (he is 6'6" now and played offensive tackle in college!) and came out face up. Two weeks after giving birth when I was showering I felt what seemed to resemble a water balloon coming out of my vagina while showering. I freaked out! Went to the doctor and he told me that I had a prolapse due to childbirth and the fact that he was so large (also face up and a difficult labor). The prescription was Kegels - 1000 a day! Believe me, at 25, I didn't want this anomaly plaguing me all my life but I had no idea the seriousness of it then. I did my Kegels and continued to do them/ do them still! I have been told when I go for my annual pap that I have 'great muscle tone'. I know this sounds way like TMI but it all came together when I heard what was going on with my MIL. That is where we are headed, ladies, if we don't take care of our WHOLE bodies. So we have two things here - we need to care for our elderly parents/mothers but we also do not need to necessarily follow in their footsteps. We need to be for them and for us, informed patients and caregivers, and as for us, start today toning up and caring for our bodies if we haven't already started. Ten or so years ago a female doc that was my PCP said "We are all going to live to be old. It' just a matter of how healthy we are going to be". There is so much to keep us alive now but quality of life is everything. Constant UTI's are not inevitable just because women are old.