The best incontinence pants for the elderly

What is incontinence, and what causes this? 

Incontinence is the loss of bladder or bowel control which leads to the unintentional leakage of urine or stool. Urinary incontinence is thought to affect an estimated 1 in 5 people in the UK, while 1 in 10 may be affected by bowel incontinence.

It tends to be more common in older adults due to age-related changes in the body, since bladder and pelvic floor muscles naturally weaken over time, making it more difficult for older people to hold their urine effectively. In women, reduced oestrogen levels as a result of menopause can affect the tissues of the urinary tract system, leading to incontinence. Similarly, older men may suffer from an enlarged prostate which can cause a more frequent need to urinate. Studies suggest that 25-45% of women suffer from incontinence, and it is thought to be more prevalent in women than in men. 

Incontinence can also result from taking certain medications, or from health conditions like diabetes, stroke, dementia, or any other conditions that interfere with nerve signals or mobility relating to bathroom use.

Some of the most common causes of incontinence in older adults include:

• Weakened pelvic floor muscles or overactive bladder muscles
• Urinary tract infections (UTIs)
• Vaginal infections
• Constipation
• Pelvic organ prolapse
• Neurological disorders such as Parkinson’s
• Taking certain medications that cause incontinence as a side effect
• Health conditions such as diabetes or prostate issues
• Mobility issues that make reaching the bathroom difficult
• Cognitive decline (such as dementia)

No matter the reason for incontinence, this can have a negative impact on an older person’s quality of life, and could affect their independence, confidence, mental health, self-esteem and more. Incontinence may also cause them to avoid leaving home for fear of accidents, which can lead to isolation and loneliness in the long run. 

There are several different types of urinary incontinence, such as:

• Stress incontinence (caused by stress)
• Urge incontinence (a sudden urge to urinate)
• Overflow incontinence (an inability to fully empty the bladder, leading to leaks)
• Total incontinence (an inability to hold urine at all, causing constant leaks)
• Nocturia (an urge to get up multiple times at night to urinate)

There are also two types of bowel incontinence:

• Urge bowel incontinence (a sudden urge to have a bowel movement)
• Passive incontinence/passive soiling (the person will experience no sensation before soiling themselves, or may release faecal matter when passing wind)

You can learn more about incontinence diagnosis and treatment in our dedicated guide to the essentials of incontinence care for the elderly.

What key features should I be looking for when choosing incontinence pants? 

Choosing incontinence pants for yourself or an older loved one may take some trial and error to find the size, fit and brand that feels most comfortable. Each option will have different features that allow you to find the right balance between comfort and practicality. 

Some features to look for might include:

• Padding for comfort 
• Adjustable fit for security without tightness
• An elasticated waistband and leg openings to prevent discomfort
• Ease-of-use for older people who perhaps have dexterity issues like arthritis
• Different absorbency levels for varying types of leaks (light, medium or heavy)
• Overnight options that will absorb as the person sleeps 
• Unisex designs 
• Leak guards to ensure cleanliness 
• Quick-dry layers to keep skin dry and avoid irritation 
• Breathability to reduce skin irritation
• Soft, hypoallergenic fabrics for those with skin issues like eczema
• Discreet designs that protect the person’s dignity 
• Eco-friendly designs to minimise environmental impact, such as reusable options
• Manageable ongoing cost 

What are the top brands available in the UK? 

There are many different types of incontinence products available to buy in the UK, but some stand out more than others in terms of their popularity and efficacy. Here are some of the top brands:

Always Discreet Incontinence Pants

A well-known brand in the UK, Always Discreet have a range of products that include period products, incontinence pads, and incontinence underwear designed to soak up any leaks and provide odour protection. The RapidDry™ core is said to provide up to 12 hours of dryness for those who suffer from incontinence. 

One reviewer said, “Protection from incontinence isn’t exactly glamorous, but it’s necessary for many. Always Discreet Maximum Protection Underwear are comfortable, effective, and reassuring. I have no fear of leaks or accidents when I wear them. They are unnoticeable under clothing, too. Definitely worth it when you need them!”

Attends Faecal Pad 

For those with faecal incontinence as well as, or instead of, urinary incontinence, specifically designed pads may be needed to ensure there are no leaks, and to protect from strong odours. Attends has a range of incontinence products, but their Faecal Pads are recommended by Age UK for their custom fluff core, waterproof back sheet, barrier leg cuffs, and close body fit to prevent accidents. 

One reviewer said, “My husband said they are just what he needed, he feels secure when he goes out.”

TENA ProSkin Pants

TENA ProSkin Pants are one of the best rated incontinence pants available on Amazon, with 4.7 stars from over 3,800 reviews. They are designed to feel discreet like regular underwear while pulling any urine leaks into the core and away from the skin. There are different absorbency levels depending on your needs. 

One reviewer said, “I got these for my elderly mum after she came out of hospital. She uses these everyday now – they are more of a security blanket and reassurance for her than anything else. The quality is noticeably better than cheaper supermarket brands and when bought in bulk the premium is not that much… they do not seem to lose shape or fit as easily as the cheaper ones. Any accidents seem to be effectively absorbed…” 

Vivactive Shaped Pads

For a pad option rather than full underwear, Vivactive Shaped Pads are one of Age UK’s bestselling pad options, and supposedly absorb liquid 25% faster than some other shaped pads to ensure wearers always feel fresh and comfortable. One thing to note about this product is that many reviewers mention they are bulky, while others mention that they are small, so you may need to try them to see if they work for your needs. 

One reviewer said they offered, “Total confidence for overnight comfort and safety.”

In addition, TENA also makes TENA Slip Maxi, which is one of the products recommended by incontinence.co.uk for its secure fit tabs and breathable material. This may be another option for those who prefer pads that can be inserted into their existing underwear.

SureDry Pants

SureDry Pants are designed to offer support for both urinary and faecal incontinence. They are made to feel like regular underwear, but with elastic cuffs and a built-in absorbent pad. While there are no customer reviews available online for SureDry Pants, the brand’s range is one that’s recommended and sold through Bladder & Bowel UK’s online shop.

If you are unsure what kind of incontinence products are right for you or your loved one, the NHS recommends using the Continence Product Advisor service to find out more and get personalised advice. 

How do I choose the right size and fit? 

As well as the design and level of absorbency, equally as important are the size and fit of the incontinence pants you choose, as this will be essential for comfort as well as the effectiveness of the protection. Ill-fitting incontinence pants may mean urine leaks out easily, rendering them useless. Having properly fitting pants that remain in place when you move and continue to feel comfortable throughout the day without chafing, means you can reduce the risk of accidents, skin irritation, and hygiene-related health conditions developing. 

It is usually simple to find the right size and fit, but it may involve some trial and error. Many brands will have sizing charts on their packaging that specify what waist or hip measurements the product is appropriate for, so it helps to take measurements before you commit to a brand. Use a soft tape measure to take measurements of your older loved one’s waist and hips (and legs, if needed), and use these measurements to determine what size is best based on the size chart. If you are looking for incontinence pants for yourself, you may wish to ask a caregiver or a loved one to help you with these measurements to ensure safety. Remember, pants that are too tight will cause discomfort and restrict movement, while pants that are too loose may move around during wear, causing leaks. 

Once you find the right size and brand for you or your loved one, you can usually continue to use this option over and over again. However, pay attention to any weight fluctuations, or health conditions that cause bloating or swelling, as these can alter the fit of pants. Take updated measurements regularly to ensure the size is always correct. 

How much do incontinence products cost? 

Many UK supermarkets, pharmacies, and specialist suppliers will offer a wide selection of incontinence products at different price points, but the cost will often vary depending on the type you need, how frequently you use them, and the brand you decide to go with. However, price is certainly worth taking into consideration, as those who use them every day may end up paying a considerable amount for their incontinence products over time. 

As an example, Always Discreet disposable pants may be around £36 on Amazon for a pack of 48, which means around £0.75 per pair. Alternatively, some of the recommended reusable incontinence pants on Age UK range from £13.99 to £20.99 for one pair, but as these are reusable, you may find the initial investment is bigger but the long-term savings could be greater.  

You can also access these products through the NHS, who may be able to offer free supplies depending on your circumstances. If you have a medical need for incontinence pants, you can discuss this with your doctor and find out if you may be able to get a basic supply of these for free via the NHS. 

Lastly, it is important to note that incontinence pants are eligible for VAT relief in the UK when they are bought for personal use, which can help to reduce the cost further if you are paying for them yourself. You can find out more about VAT exemption for incontinence products at Age UK. 

How can caregivers ensure dignity when helping older people with incontinence? 

Incontinence issues can have a huge impact on someone’s confidence and self-esteem, so it is vital to ensure their dignity is protected as much as possible. If you are looking after someone who struggles with incontinence, remember that this requires sensitivity and discreetness to ensure they feel as little embarrassment as possible during accidental leaks or changing their incontinence pants. Here are some steps you could take:

• Establish a regular changing routine to help minimise accidents and stress around urgent changes
• Offer privacy if you can, and allow them to change themselves independently if they are able 
• Give the person agency over decisions about their care to maintain their sense of independence
• Maintain good hygiene practices to ensure they do not end up with worse health issues (for example, use gentle cleansing wipes to keep skin clean and prevent irritation)
• Use odour-control disposal bags or bins designed for human waste products to ensure used items are disposed of discreetly and hygienically
• Help them to find incontinence pants that look and feel as close to regular underwear as possible, if this makes them feel secure 
• Help them change into comfortable, non-restrictive clothing when needed 
• Provide emotional support to avoid embarrassment ormental health issueslike anxiety  
• Help them to apply for a ‘Just Can’t Wait’ Card so they can use the bathroom without worry while they are outside of their home – older adults in the UK can request their card through Bladder and Bowel UK

Remember, many older people will naturally find it difficult to discuss their incontinence issues, leading to anxiety, isolation and loneliness. Always make sure you are creating a safe, patient and compassionate atmosphere so they know that incontinence is a common problem for their age group, and they can discuss it at any time without shame. 

Are there any additional resources for older adults with incontinence issues? 

Incontinence can lead to both physical and mental health issues for older adults, so making use of the available resources in the UK is important to ensure they feel fully supported. As well as incontinence pants, you may wish to use:

• NHS continence clinics (sometimes known as The Bladder and Bowel Service) offer knowledgeable nurses who can provide support and personalised assessments, advise on pelvic floor exercises, and treat incontinence issues – speak to your GP about accessing your local continence clinic 
• The charity Bladder & Bowel UK offers a range of educational materials, a way to apply for a ‘Just Can’t Wait’ Card, and a confidential helpline that you can reach at 0161 214 4591 to discuss any issues you have
• Age UK offers additional information, equipment, and can point you towards your local support services
• Your local council can help you find out about any community support schemes to access helpful resources, information, and meet others with similar needs
• Other incontinence products may be useful, such as bed sheets, mattress protectors, chair protectors, skin barrier creams, cleansing wipes, and more
• Visits from professionals who can provide specialist care 
• Peer-support groups could provide emotional support and practical tips from the perspective of others who suffer with the same conditions 

Other than what is available online, it is usually best to begin with a conversation with your GP to find out what NHS services and local support is available to you or your loved one.

How can home care help to manage incontinence issues? 

Having home care to assist with incontinence issues may be essential for some older adults who live with dexterity or mobility issues making it challenging for them to manage these issues on their own. While independence should be encouraged where possible, often things like performing regular changes, dealing with leaks when outside of the home, and managing skin care after incontinence requires additional help to ensure it is done correctly and with dignity.

A home carer might be able to help with things like:

• Maintaining a regular bathroom routine to prevent accidents and ensure hygiene
• Performing changes and cleaning if accidents occur
• Ensuring skin is clean to avoid irritation
• Supplying and managing incontinence products like pants or pads
• Providing encouragement and reminders to do pelvic floor exercises or bladder training if required 
• Supporting a healthy diet and fluid intake, which may help them to manage symptoms of incontinence 
• Providing emotional support during times when they feel embarrassed or anxious 
• Promoting dignity while managing incontinence issues, by ensuring the person’s comfort and confidence at all times 

Our patient, compassionate Care Professionals are trained to help manage incontinence issues with respect, privacy and dignity, particularly when the person experiencing it is sensitive or embarrassed by this. We understand that certain health conditions can cause incontinence issues, so we can help to manage these too, with a view of minimising incidents of incontinence where possible.

We’re an award-winning home care services provider and part of a worldwide organisation devoted to providing the highest-quality relationship-led care for older people in their own homes. Arranging care for yourself or your loved one shouldn’t be stressful, so whatever questions you would like answered, feel free to reach out to the Home Instead team to discuss your needs.