The Best Incontinence Underwear Options for Seniors: Comfort and Reliability

According to a study published on PubMed Central, urinary incontinence (UI) affects an estimated 13 million people in the United States. While it affects younger adults, it's more common in the older population, especially among female seniors. For instance, 9% to 39% of women 60+ say they experience it daily, while 2% to 11% of older men report the same thing.
Since UI can be debilitating and impact quality of life, older adults with this condition should explore all urinary incontinence solutions, including using the best incontinence underwear. Absorbent underwear can help minimize leaks, letting seniors stay dry and comfy, whether they're at home or socializing.
In this guide, the caring experts at Addison Place Assisted Living, our assisted living community in New Castle, IN, have shared insights into these senior incontinence products. Read for tips on finding and choosing the best adult diapers.
Understand the Common Types of Incontinence Underwear
There are two primary types of discrete incontinence underwear: pull-on style and belted or tabbed briefs. Incontinence pads, which are absorbent pads worn inside underwear to soak up urine, are also available, but they're not "underwear" per se.
Pull-on style briefs are like regular underwear; users just step into them and pull them up around the waist. Their elasticized bands around the waist and leg holes ensure a snug fit and prevent them from falling.
Belted or tabbed briefs have belts or tabs attached to an absorbent pad and secured by the hips. Users can take them off without removing their outerwear. Thanks to their design, they make for a good option for seniors with mobility issues who may struggle to get into underwear the usual way.
Get the Right Size for Comfort and Function
The best incontinence underwear should be snug around the waist and legs, not overly tight. If it's too tight, it can cut off circulation and cause discomfort or pain.
Moreover, an article published in TheConversation.com reports that tight-fitting clothing, including underwear, may result in higher candida levels in the groin. It can also cause friction and irritate the area around the genitals.
The last thing seniors with UI want is more health concerns, but unfortunately, candida overgrowth can put them at a higher risk of infections. As the U.S. CDC explains, candida is a yeast that, if allowed to go out of control, can cause vaginal candidiasis. Older males can also develop it in the groin area, and a weakened immune system, which aging can lead to, makes seniors more susceptible.
While overly tight incontinence underwear is a no-no, one that's too loose isn't any better. It can create gaps, which may allow urine to leak.
To prevent such problems, older adults should get the right-sized incontinence underwear by:
- Measuring the waist, upper leg area, and hips at the widest point
- Checking the incontinence products' specifications
- Remembering that one brand's definition of small, medium, large, and so on may differ from that of another brand
Mind the Absorption Capacity
The best incontinence underwear for seniors should feature an absorption capacity that aligns with the level of urinary leakage they typically experience. Brands usually use the following terms and specs:
- Slight leakage: Up to 8 ounces or one cup
- Light leakage: Up to 16 ounces or two cups
- Moderate leakage: Up to 24 ounces or three cups
- Heavy leakage: Up to 30 ounces or 3 3/4 cups
Seniors must also consider their daily habits when determining an incontinence underwear's absorption capacity. For example, a product with a moderate to heavy capacity may be better for those who spend much time on senior outdoor activities. On the other hand, one with a slight to light leakage capacity may suffice for days spent chiefly indoors with quick access to the toilet.
While it's crucial to account for absorption capacity and leakage, seniors must never forget that incontinence underwear isn't a complete solution to urinary leakage. Its use should never replace safe bathroom and toileting habits. Relying too much on incontinence products can make the bladder so accustomed to them that the urge to urinate can become more powerful and have shorter intervals between.
Consider Fabric Breathability
Fabric breathability refers to a fabric's ability to let moisture vapor, such as sweat, pass through it. It is crucial in incontinence underwear because the skin it covers for prolonged periods can generate lots of sweat.
Choosing incontinence underwear with breathable fabrics helps sweat evaporate and prevent:
- Skin irritation
- Potential infections
- Discomfort
Ideal breathable fabrics used in incontinence underwear include:
- Cotton: One of the most breathable natural fibers
- Bamboo: A breathable natural fiber with excellent moisture-wicking properties
- Fabrics with mesh panels: Designs that improve airflow and ventilation
Look for Odor Control Features
Some incontinence underwear brands have features that help control odors by:
- Using specialized absorbent materials that trap and neutralize odors
- Having components that help prevent or inhibit bacterial growth
- Incorporating odor-neutralizing compounds
All those extras can help seniors feel more comfortable, especially those who worry about the smell of urine. However, ensuring that the product doesn't have irritation-causing fragrances is just as crucial. Older adults with sensitive skin may be more susceptible to irritation if they use these products.
Also, please remember that while some products have odor-control and super-absorbent features, they still require regular replacement. If used too long, they can leak urine and odor.
Pro Tip: To prevent unwanted side effects, such as skin irritation and infections, seniors should implement elder care hygiene practices between underwear changes. Wash the area with warm water, pat dry, and apply a barrier cream to the skin (to prevent irritation) before wearing fresh underwear.
Stay Dry With the Best Incontinence Underwear
The best incontinence underwear is easy to put on, snug, absorbs well, is breathable, and helps control odor. So, for seniors who wish to try these products, please remember these factors when shopping for your UI underwear.
At Addison Place Assisted Living, our compassionate team is always ready to help residents with continence care, personal hygiene, and more. Our on-site amenities, from our vibrant activities calendar to dining, social, and wellness programs, make residents feel more fulfilled.
So, if all that sounds like something you or an older loved one can benefit from, we encourage you to explore our assisted living community in New Castle, IN. Call us today to schedule your visit, and we'll happily give you a tour!