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My 90 year old father has urinary incontinence at night. Leakage isn't bad,,,the problem is that he feels the wetness next to his skin & it wakes him up - which means he's not ever getting a decent night's sleep. We've tried every store brand we can find and I've done internet searches & ordered a variety of brands - nothing has worked well yet. He prefers pull ups to tabs,,,but will wear tabs if it will get the job done.


So....can anybody recommend a nighttime diaper that: 1) absorbs well and 2) feels dry next to the skin so my Pop can get a decent night's sleep?

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I really don't have any experience to offer but just wanted to say that it's good to see you back again. You have been missed.
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For my 90 year old mom we use the pull ups but at night add a heavy duty, extra long liner pad (it's unisex) that can be purchased in bulk at both Sam's Club and Costco.
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Not specific to your question, and I suspect you've already thought of this, but could he eat earlier, decrease his fluid consumption as bedtime approaches, with the goal of minimizing urine production overnight?
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I read your post this morning but had nothing to suggest. Then the mail came this afternoon. My moms mail comes to my home now - there was one of those catalogs taylored to an older population with all kinds of things -both ingenious and bizarre - aimed to help. And there it was - a product designed for Pop's problem. The product is called Wellness Brief. Disposable and both pull-up and tab style. A little spendy but if you only use it at night...The catalog is called Gold Violin. You might try googleing the product name to see if different places offer different prices.
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We use Tranquility premium overnight pull up briefs.. Order on Amazon.. They hold a lot of liquid..
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Garden Artist....He's all over limiting the fluid consumption and is especially careful from 5 pm onward - to the point that I get on him because I worry about dehydration. But I will say that he's sensible about limiting his liquids and always have several bottles of Gatorade in the fridge for his "between meals" thirst quencher (also juice & water).

The problem is his prostate. The pills he takes nightly do help quite a bit, but we're not going to be able to reduce that back to a place where incontinence is going to go away.
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assandache - funny you should mention tranquilty - I just ordered a small box from Northshore - I'll let you know if they work for us. I usually order Molicare (they have come the closest so far).
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Im glad you went to Northshore Thats where I get my overnite diapers.
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i just met a gal " masonry customer " who is a little outside the box like myself . her 75 yr old husband died about 1/2 a year ago . she left him naked in bed for the most part and had much less redundancy and indeed it kept him high and dry .
he wasnt going anywhere , there was nothing to dress up for .
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Khalter - thank you! I'm gonna buy a box of those & we will see what Papa thinks....hoping we can get him as comfortable as possible soon.
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Dear Captain: What an odd and impractical story. My father doesn't go out very often (currently due to the weather) - but he wears pajamas in bed at night and dresses & shaves every morning before breakfast. He has had this routine as an adult man for the majority of his 90 years - just because he's "less firm" due to his advanced age, does not mean his dignity is not intact. Asking him to lay in bed naked because he isn't "going anywhere" and it's easier to deal with his wetting himself is cruel and disrespectful.

If this is how "masonry customer" dealt with her husband - I shudder to think what else the poor man went through.
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PFontes, as you can tell by this post by Captain, and if you've read other posts by Captain, his posts are often vulgar, low class and offensive. I think he posts only for shock value.
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My dad is 101. He also can no longer walk without a walker and is very slow, too slow to get up several times at night to get to the bathroom. And diapers/briefs really were not satisfactory to him. Ultimately he went to a catheter. There is a maintenance issue of course with that, but he lives in assisted living, so it's monitored. The best part from his point of view is that he can sleep all night. He's been on it for about a year. I realize it is a last resort, but it is an option.
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My husband uses Depends in the fitted brief style and they really hold a lot and don't seem to feel really wet. However, I would guess that each person feels differently about them. Jim's fit a little larger in the groin area so that could be why he doesn't feel the wetness.
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I researched all brands and found the TENA overnight brand the best. It held the largest capacity of urine and my husband could sleep all night without the wetness feeling. Call the company reps of each brand and talk with them. They will send samples
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When my dad could no longer safely walk by himself to the bathroom, he started wearing an external, condom-style catheter overnight. He continues to wear briefs during the day.

Medicare covered the condom catheters at 100%. After many years, Dad developed too much irritation from wearing the condom catheter (perhaps due to the latex or silicone--not sure which he was wearing back then). But thankfully by then the Men's Liberty external catheter was on the market (this is a completely different style that wraps around only the tip of the male body part). With a letter of medical necessity from Dad's doctor, Medicare also has paid for this overnight catheter at 100%.

I can't imagine leaving someone overnight with just a brief and/or pads. For my dad it would be too much urine and his skin is way too sensitive. And if he had cut back on his fluids to avoid urinating as much, he might have had more bladder problems than he's had (Dad rarely gets bladder infections--maybe once a year at most).

At the same time, if one is a daughter taking care of a dad by herself, without a mom or a brother to put on and to take off the catheter, it's a pickle. We've been fortunate that Mom has been willing to put on/take off the catheter for those times when we don't have an agency caregiver available, which is most of the time. (I have been the primary caregiver for my dad for the past few years, but my mom continues to take the catheter off in the morning and put it on at night, and she is the one who wipes after a bowel movement, since I would not be comfortable with doing that for a male family member. Agency caregivers come in to give Dad a shower three times a week, etc.)
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North shore is awesome! They have everything! I loved the booster liners, as well,as being able to,get daytime and nighttime and disposal bags, etc
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The best product I can recommend is SENI Super Plus Pullon. I believe they are available on Amazon for the best price. They are super absorbent and yet remain dry to the skin when full. They are also very soft. Know waist or hip size which ever is larger to find the correct size, they should fit on the snugger side. Booster pads are the pads made to go inside of disposable products. Tranqulity Topliner has an adhesive tape and they can also be stacked.
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What assandache7 said, Tranquility Premium Overnight. They are the only ones I've found that are any good. They last 8 to 9 hours.
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Tranquility premium overnights holds the most liquids than any other diaper I have tried. I also use the booster pads and disposable bed pads as a precaution.
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My mother uses Tranquility pull ups with two "top liners" at night and has great luck with these 2 products. The top liners are large rectangular flat liner that fit inside the pull ups, they give great extra protection. She orders them both from Comfort Plus--they have a web site.
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Can he make it to a bedside commode?
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Walgreens sells many kinds of disposable underwear. I rarely have diarrhea, but when I'm having an episode thereof the briefs come in real handy. If it's just urine that is the problem, you might talk to his doctor about an external or even internal Foley. I have an internal one, because after 27 years since my spinal cord injury I've been unable to pee the regular way, so my bladder has shrunk to about fist-size, says my urologist.
If bowels are involved, then the paper pants would definitely be in order. I hope this helps, and good luck to both of you.
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Dollar General sells disposable briefs.They have a number of types in different sizes. They seem to hold up just as well as those we were getting from a higher-priced store.

You can also set up a recurring order on their website, so your order is delivered automatically to your home (monthly, every 2 months, every 2 weeks, etc).

It's FREE SHIPPING and 5% off. If you prefer going to a local Dollar General store, they've got a $5 off deal going on now, where the receipt invites you to come back the following week, spend at least $25, and get $5 off. Very nice.
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I have found that the best pull up brand for my husband is Tena for men. I order them online from Walgreens. I also put a pad in them; this way I don't have to get him undressed when he is wet. The Tena brand is the best brand that I've found. Unfortunately, I can't get them in stores anywhere.
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Tena is available on Amazon with free shipping. Subscribe & Save is available on some Tena items.
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Thanks for all the tips! We're not going cath - Pop wouldn't be able to figure out how to use is and I'm not ready to see what I need to see on my dad in order to use one. Pop is already limiting liquids....he supplements with Gatorade and chewing gum....I really wish he wouldn't have to do that as I worry about dehydration...so getting a diaper that will allow him a long night's sleep would be our dream.

I've ordered samples of most of the products mentioned here. I'll let you know if anything works out perfectly!
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pfontes16, good luck!! I am amazed that so many people have have found that Tena and other brands actually work overnight. I have tried everything on my husband. Even with an added pad, they don't keep him dry more than two hours. And limiting liquids only helps minimally. It also interferes with his medication absorption, leading to unresponsive episodes. We have gone so far as to hire someone to stay until midnight , to keep him dry until then, and so I can sleep. But by 1am , 2am at the latest he is calling me to say he is soaked. And indeed he is. Every time he is hospitalized he gets hugh bed sores because they don't change him. And that is at a "nationally recognized" hospital known for excellence in geriatric care! Several doctors agree that catherization is dangerous in this case because the chance of infection is high. So, if you find something that really works, please let me know. I am way past sleep deprived, impoverished from trying diapers that do not absorb!
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I read another recommendation on another thread here for Wellness Diapers. The poster said they worked great. They are pricey, but worth it. That post is located in the Discussion section.
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For overnight, have you ever considered an EXTERNAL catheter such as a regular condom catheter or else the Men's Liberty external catheter (which attaches only to the tip of the penis using hydrocolloid--a material also used in wound treatment and which does not irritate like latex or silicone)?

I agree that an INTERNAL catheter should always be avoided if possible, due to the risks, but the external catheters have sure made a world of difference for my dad's overnight comfort.

Men's Liberty is covered under Medicare at 100% with a doctor's letter of medical necessity. Condom caths are also covered under Medicare...I think... but I'm not up to date on how that currently works cause my dad has been wearing Men's Liberty for the last few years. He's 91 and he wears an external catheter so that he does not have to get up in the middle of the night to go to the bathroom.
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