Has anyone ever had a problem with urinary incontinence BEFORE delivering their first child??

Here is my dilemma. I am 38 weeks and 3 days pregnant and 1.5 centimeters dilated...Basically I could go any time now...For my entire life ever since I got out of diapers I have always wet my pants when I laugh and I mean not like I leak a little bit I mean like a full bladders worth of urine... When I use the restroom instead of relaxing to let the urine flow from my urethra(?) I tense up too much and cause myself not to completely empty my bladder so then I have to go to the bathroom again about 2 minutes later this has been a problem my whole life. When I was about 17 I went to a urologist who did kegel exercises with me and biofeedback she measured my urinary output and the stream of my urine and said that I was bearing down when I went to the bathroom instead of emptying completely. I never stuck with it. Fast forward to now I am 22 years old and about to have my first child. My doctor is letting me decide whether or not I want to have a C section because there is no diagnosis for what I actually have and he does not want to tell me its not going to get worse from a vaginal delivery....Honestly in a perfect world I would LOVE to go vaginal but I was a 10.5 baby and my estimate is that my baby is going to be around 9lbs...they say the ultrasounds are almost always off but at 36 weeks and 2 days he measured at 21.6 cm and was 6lbs 7oz I am currently 38 weeks and 3 days....My doctor says that 90% of women tear during their first natural delivery regardless of the size of the baby and that most of the time it makes the urinary incontinence worse. However he said with a c section there are also other major complications and it is possible that they could nick or cut into my bladder during surgery although rare. He also said that there is no guarantee that the C section would make my urinary incontinence better or even stay the same. He said in very RARE cases that sometimes even the vaginal delivery can make things better but most of the time it makes it worse and the things "stretch out" during a vaginal delivery.....I need some personal opinions and also if there's any medical professionals in here please throw your advice out on the table. P.S. I have talked to several urologists about this and none of them can give me a definitive answer but this is what they have told me: Most of them think it is urinary stress incontinence which is when you put pressure on the bladder (i.e. when you laugh, cough, sneeze, but right now its only when I laugh) they say that they believe it is a nerve related issue and not a structural issue but they truly cannot tell me either way because they cannot do any type of formal testing on me when Im this far along) One of my doctors stuck his hand up my vagina (sorry graphic) and examined my pelvis he said that he thought I had more then enough room to deliver the baby and that he most likely would not get stuck on the pelvic ridge. However this same doctor I straight up asked if worst case scenario I would have to wear diapers for the rest of my life and he said he honestly could not give me an answer because labor is considered a "wild card". He also said though that it may help to "loosen things up" whatever that means and that my problem may actually get better from carrying and pregnancy (he did not touch on the type of delivery in that aspect) My OB has only seen me a total of like 3 times my entire pregnancy because I came to him late due to medicaid and he is going by statistics and he says 9 times out of 10 vaginal deliveries make urinary incontinence worse....What do you ladies think? Sorry for the LOOOONG post! 

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