I’ve discovered a great way to use underpads. When my husband has a bowel movement, I take one of the underpads and cut it into pieces about 6 x 6 inches. I wet it down and use it to wipe him. It’s much better than wet wipes which, even in the adult size, are too small and tend to bunch up. The cut up underpads do a great job of helping clean him up. Since he doesn’t move in bed, I also fold one up lengthwise and put it between his legs as a backup to the diaper.