What is the best combo of diapers and pads for men’s incontinence?

I'm glad he won't wear plastic pants. I didn't even know that the reputable manufacturers made any!

Is "he" - who he? - able to stand at all? To use a commode, a urine bottle, anything?

The right combination of continence care products depends on many different factors. Go to a big supplier's website (just Google "continence care supplies") and you should, if they're worth their salt, find a wealth of advice on choosing the best ones for your individual gentleman.

Is he able to get up, stand up or walk? If yes to any of those questions, then I would recommend getting him up on a regular schedule(every 2 hours) to use the toilet, bedside commode, or urinal. If he's not able to do the above, then perhaps whoever is caring for him can at least hold the urinal for him, so he can go more often in that instead of his diapers. Continually getting soaked in one's own pee, can be very damaging to their skin, and that in itself creates a whole other issue. My husband after having to wear Depends and a men's pad inside that, and still wanting to get up every hour(and I mean every hour) to go to the bathroom to pee, ended up having to get a supra pubic catheter put in. That was really a Godsend, as it allowed us both to be able to get a good night's sleep, and I didn't have to worry about him getting up all the time(as he was a fall risk). Best wishes in getting this figured out.

How often are the depends being changed? Every couple of hours?

Is he being toileted every 2 to 3 hours?

Doing both of these should cut down on the messes getting through the depends and pads.

We use Depend maximum absorbency with a product called Guards (also from Depend). The Guards are like a very thick sanitary napkin with an adhesive backing). I just sick the Guard inside the pull up. On the days my DH takes his diuretic, we have to use both, as his urge to urinate is instantaneous and he literally has no control. I hope this info is helpful

Depends brand "briefs" with tabs (they're actual diapers) with an infant-sized baby diaper cut down and used as a liner in it.
I did this for a care client I had who was totally incontinent.
Baby diapers are made differently then adult ones are. You do try this and his bedding will be dry as a bone even overnight.

Hi Jareynolds24,

I like Maple3044 answer, sticking a guards thick pad in the pullup. I buy Tranquility overnite pullups for my husband. To me the pull ups are easier than having to do the tabs but everyone is different. Depends pullups are good to.

With my mom, we went to diapers and a bigger size. Made the biggest difference. Now, it rarely gets on her clothes. Also we put bed pads under her to protect the furniture.

Also a barrier skin cream for his skin might be a good idea.

large size adult diapers- not pull-ups are best choice. Here is the secret: Northshore booster pads inside. I would stack two or three or more (fold if necessary) as they have no plastic barrier. He will not leak and skin dry all day and night as long as you change them periodically as necessary. They hold a lot of liquid. do not use pads with any plastic barrier as they will overflow. Not hard to change the diaper with the patient lying in bed. North Shore pads come in sizes so experiment and prep and layer them prior to putting them on. This works and will save your sanity.

We tried different briefs too. Our best bet was more frequent trips to get changed. My dad became in continent and wasn’t aware when he was wet or dirty. The best thing we invested in were large washable pads we used on his bed, recliner and wheelchair. They come in various sizes. We got 4’ x 5’ for his bed. Helped tremendously! Yes we had to wash several, but it protected his bedding and he wasn’t feeling bad about having wet the bed again. They’re a tad $$$, but last for a long time and help preserve dignity! Use A &D ointment to protect his bum from any sort of skin breakdown. Thankfully with all the wet and dirty briefs (we called them), he never once got a bedsore. Good luck!

Quickchange incontinence wraps were a godsend for us. They hold more than Depends. Wrap it in thirds around the penis and then put Depends on top for a dry night.
Also, try waterproof sofa bed mattress pads. They don't have the extra fabric for the sides, just elastic. They are bigger, cheaper, and can be laundered daily.

First thing,, make sure you are using diapers for Men so the absorbency is in the right place.

Try doubleing the diapers, wearing two might stop the leakage.

If that doesn't work, tell him he has to wear the vinyl pants over the diapers or he can change his own clothes and sheets and wash them himself.

If he's not able to do that then tell him he will have to be Catherized.

I'am a older male became incontinent several yrs ago.We my wife and I went with diapers and pants over them to keep things dry.The bed we use a mattress protector plus a pad on my side.

Why do people that need care and are receiving care generously from others make it harder. Does he want to look worse walking or sitting around in soiled clothing, Wear the correct diapers or go to a nursing home, sometimes tough love is required.

Costco has some inexpensive puppy training pads. They are very durable and really keep the bed and furniture clean and dry.

With the variety of styles and brands be sure you find what suits the person best. A lot of companies will send a trial sample free.
We started with "chux" disposable pads for bed protection and moved to a washable padded cotton pad that is waterproof. Amazon has many different sizes.
Be sure to use a barrier cream on the skin to protect from rashes. Some good advice below but we use Desitin.

First, buy a bedside commode, along with plastic liners, and have it within a foot of the bed. Also buy several urinals with lids and keep these on the bedside table. 
Use quilted pads with plastic on one side (available at CVS, most drugstores, and Amazon). The largest size should be put on sideways right beneath the patient's hips and be UNDER the bottom sheet, hanging down over the side of the mattress about six inches to protect both the top and side of the mattress. Another one should be under the patient's hips but on TOP of the bottom sheet. If one or both get wet, it's fairly easy to take them off and wash them, but you'll need at least four pads so there's always a new one ready.

Then follow the advice of some people who have already commented and experiment with various adult diapers, etc. to find the best combination. I found diapers to be far better than pull-ups because they hold more. This is especially important at night.

If the patient is always in bed, it might be wise to dispense with pajama bottoms and let him only wear the diapers. Fewer layers mean less to wash, assuming that he's still warm enough with only the bed covers.

Have him checked for a urinary infection (extremely common among older people). Remind him to try to use the urinal every hour or so. Limit all fluids several hours before bedtime so you'll be changing bed linens less often at night.

This, too, shall pass. Incontinence presents one of the more difficult aspects of caregiving. I used to do at least six loads of laundry every single day for months on end. It completely wore out the washing machine, which finally broke about two weeks after my loved one died. But just do the best you can.

The Kirkland brand pads with the puppies on the box say they can be used for human incontinence to protect beds and furniture. Sometimes they will barely stick to the skin but there is no residue left on the body and hasn’t caused any irritation.

Consider putting him on a toileting schedule - every 3 hours to void and defecate. Also make sure his annual physical includes a digital prostate exam to catch enlarged prostate. There are medications to help prostate enlargement that may lead to problems with urination. Others have mentioned male adult diapers and pads as well as plastic mattress cover.

I used 3x5 size bed pads, one side is vinyl and the other is cloth quilted. It's pretty large and place it under him. But, it means more laundry.

Has your husband consulted a urologist? It’s possible your husband would benefit from using a condom catheter.

Jareynolds24, it is so good that you are really trying to give the best care. Right now, I am using one overnight Depends pullup for men and one women's Options long and max absorbent pad. His prostate procedure is scheduled. 🤞Question, tho. Several have mentioned baby diaper cut down. Is this a disposable diaper? Concerned about plastic. The added pad has sticky back but no plastic. Thanks and wishing you positive outcomes.

Sorry, all above is for husband with dementia.

jareynolds24: Suggestions as follows:
- Trip to urologist
- Bedside commode
- Specialty store for his needs

My husband, with Parkinsons and dementia, has the same issue. To reduce laundry needs I put a thick pad between bottom sheet and mattress cover; another on top of the bottom sheet, and a disposable pad (about 3 ft x 2 ft) on top of that one. I can usually get away with just disposing of the top pad. Got mine from Amazon. I also use a thick pad on top of any chair he sits in, as well as the car seat. I put a pad inside his daytime pull-up but check it several times a day - sometimes only the pad needs a changeout. I also encourage him to get up and go to the bathroom during the day (he sometimes can tell when he has to go but has little control of it by that time).

One concern with all this wetting is keeping the skin from getting a rash, so I slather him with Butt Paste or Barrier Cream (basically vaseline). I've purchased the condom catheter but have not used it yet. I've heard it's tough to remove (adhesive sticks to hair).

For nighttime I dress him in a heavy wrap around diaper (thicker than the Depends pullup) and add a pair of stretch boxers to keep it in place. It reduces the number of times I have to get up at night, sometimes he gets through the night without a change. All the best to you, with a challenging task.

abri forms.. heaviest diaper they have.

as for pads... as much as it takes.

calmoseptin ointment, A @ D ointment

Abriform diapers the heaviest most absorbant ones.

pads... most like the washabale ones plus disposable ones.

chucks...

]ask social services, hopsital, nursing homes, etc.

I recently found out you can get UTI test strips at your rite aid or cvs stores.

call and ask about them and if they are accurate or not.

I am with you, my husband has dementia, finally after fighting with him for two weeks. He agreed to wear pull ups. I told him I did not have clean underwears. So he had no choice. He developed a sore in his behind and rash all around. That easied me doing laundry daily as well. We dialing with their disease, their ego and etc.. He doesn't realized that he is seating in a wet underwear and he won't go to the bathroom. Its very hard. Good luck!

Hi - wanted to check, are you using liners specifically made for wearing inside a pullup / incontinence brief (i.e., one that has no plastic backing)? If you use one that is meant to be worn inside regular underwear (like a Poise pad), the plastic backing keeps the brief from absorbing the extra urine.

I also wanted to recommend for the bed, I bought these for my mom. She actually uses two at a time (side by side) so that the pads hang over and protects the sides of the (twin) mattress. She said she was impressed with how much it holds. She said they were soft enough to put over her sheets, which means they catch the urine and keep her sheets dry. And they are supposed to be washable up to 400 times. Good luck to you. https://www.amazon.com/gp/product/B01JAAVHUC/ref=ppx_yo_dt_b_asin_title_o00_s00?ie=UTF8&psc=1

ETA: Totally in agreement with the bedside commode recommendations.