Written by Chad Birt on Thu Jun 19 2025.
Managing heavy incontinence can be challenging, but choosing the right products can make a significant difference in comfort, confidence, and daily life. Whether you’re caring for yourself or a loved one, finding dependable, highly absorbent solutions designed specifically for heavy bladder or bowel leakage is essential. In this guide, we’ll explore the best heavy incontinence products available, including adult diapers, protective underwear, bed pads, and more, to help you stay dry, comfortable, and worry-free.
The products featured below are some of our top-rated and best-selling products for managing heavy incontinence. When possible, we’ve included real customer feedback under the heading “hear it from a caregiver/user.”
This disposable pull on underwear is meant for heavy urinary incontinence and/or overnight symptoms. Each pair absorbs up to 4.5 cups of liquid, which is approximately two overnight voids. An extra-wide core and innovative fluid absorption layer quickly draws liquid away, preventing leaks and maintaining skin health. Specially designed anti-sagging threads prevent the underwear from sagging, offering a snug and secure fit.
Key Benefits & Features
Made in Italy
Heavily absorbent and extra-wide core traps liquids and prevents leaks
Secure and snug anti-sagging elastics offer a gap-free fit
Odor control technology protects against smells for up to 8 hours
Customer Review: Finally found a pull-up that actually works. No leaks and comfortable, and huge capacity. Far less odor and less laundering of bed sheets. - Richard M
These TENA overnight incontinence pads are designed for women. They’re made of breathable, ProSkin technology that protects the sensitive skin of the genitals and perineum. The top layer features 3D technology that wicks away moisture, reducing wetness, odor, and leaks. Customers tell us these pads are perfect for post-pregnancy recovery, but they can also be used to support any woman who experiences urinary voids at night.
Key Benefits & Features
Super absorbent core ideal for heavy bladder leakage
Enriched with a SkinComfort formula to help protect intimate skin
Provide triple protection from urinary leaks, odors, and wetness
Customer Review: “The Tena overnight incontinence pads [are] so much better than any of the other pads I’ve tried. They’re soft, comfortable, VERY absorbent, and minimize odor.” - Patricia B.
These Prevail incontinence pads are designed for male anatomy. They fit comfortably inside briefs or boxers and have a strong adhesive that holds them in place. Each pad contains an Omni Odor Guard which neutralizes the pH of urine and minimizes odors. Even better? They’re made of cotton-enhanced Dri-Fit technology that feels cool and comfortable on the skin.
Key Benefits & Features
Each guard contains MaxSorb technology that turns urine into a gel
Odor guard technology eliminates unpleasant smells, ensuring your loved one feels fresh and clean
Designed for men with urinary incontinence
Customer Review: “After using Depends pads for years I needed a more absorbent product. I found Prevail Daily Mens Guards gave me the peace of mind I needed. The polymer core adds extra absorbency.” - Howe A.
Seni Shaped Night Pads are an excellent solution for both active and immobile individuals, offering exceptional discretion and ease of change. These pads are designed to provide reliable protection and comfort, especially during extended periods.
Key Benefits & Features
Extra Dry System (EDS) non-woven layer for quick and effective absorption.
Hydrophobic standing side gathers for better protection.
Fully breathable outer layer allows humidity to evaporate to promote a skin-friendly microclimate.
Wear with supporting pants or normal underwear to ensure a perfect fit.
Customer Review: "I had purchased these pads from another website & then they became unavailable. I am delighted to find them on Carewell website & at a fantastic price. I will be purchasing them again & thank you Carewell." - Marjorie
Consider a disposable underpad if you need broader leak protection. For example, if you’re trying to protect your loved one’s mattress, favorite chair, or car seat. Simply open the package, unfold the pad, and spread it out on whatever surface you want to keep dry. The soft, quiltlike design wicks away moisture from the skin and makes it easier to clean up accidents no matter where they occur.
Key Benefits & Features
Provides heavy absorbency for urinary and/or bowel incontinence
Ideal for overnight use. The extra-strong construction resists stretching and tearing even when wet
Top sheet is soft and comfortable, similar to a sheet or blanket
Customer Review: “My mom loves these pads. [They’re] wide and strong and keep wetness away from the bed. [And] they’re really soft on her skin.” - Brenda M.
Price: $19.35 - $83.00
Tranquility Premium is our best-selling overnight pull-up underwear. It’s designed for heavy incontinence and provides up to 8 hours of leak protection. Each pull-up is made from soft, premium fabric that’s breathable and comfortable. The Peach Mat Core keeps skin dry, reduces odors, and prevents bacterial growth. These support both urinary and bowel incontinence, so you and your loved one can sleep soundly through the night.
Key Benefits & Features
Inner leg cuffs prevent leaks
Built-in odor reduction technology
Latex-free and hypoallergenic - perfect for people with sensitive skin
Customer Review: "I have been wearing these diapers day and night for many years. Best protection of any I’ve ever tried." - Debbie A.
Take control of severe bladder leakage with Carewell Overnight Underwear, Leak Resistant, specifically engineered for heavy incontinence and extended wear. Designed to hold up to four cups of liquid, this underwear provides up to 12 hours of dependable protection, ensuring you stay dry all night. The innovative body-forming core and quick-absorption channels rapidly lock moisture away, preventing leaks and offering essential odor protection. Featuring soft, secure leg cuffs and breathable fabrics, this maximum-capacity option gives you the confidence and comfort you need for managing heavy incontinence effectively.
Key Benefits & Features:
Pull on style absorbs up to 4 cups of liquid (Small absorbs 3 cups)
Innovative larger body-forming core with rapid-absorption channels
Available in sizes Small through XXL
Made in the USA with U.S. and imported materials
Customer Review of Carewell Overnight Incontinence Pull-Up Underwear, Leak Resistant: “ Great new product! My husband used another brand name overnight pull-up day and night for the past 2 years, which worked well but very expensive. The new Carewell overnight underwear is just as absorbent, but seems easier to put on and gives a more comfortable fit - very soft. You also can't beat the price! Well done Carewell!" - Vern R.
This reusable underpad isn’t as large as the one above, but it provides a similar level of incontinence protection. It features a quilted cotton top sheet for comfort and a waterproof backing that prevents moisture from seeping onto furniture and bedding. Whenever an accident or leakage occurs, toss it in the washing machine. Caregivers tell us they’re able to use these time and time again, getting good value for their money.
Key Benefits & Features
This reusable underpad is extra durable and sturdy
The cotton top sheet is soft and gentle on the skin
Can be used to make wound care and enteral feeding tube changes less messy
Customer Review: “Very nice quality and very absorbent. I have washed them a few times and the fabric is [still] intact.” - Wilhelmy P.
Baza Skin Protectant Cream is a skin protectant and moisture-barrier cream that effectively treats and prevents skin irritation due to incontinence or diaper rash. The cream contains zinc oxide and dimethicone, which create a barrier to seal out wetness and protect the skin. Additionally, the cream includes conditioners such as lanolin oil and cod liver oil to keep the skin healthy and supple.
Key Benefits & Features
Effectively treats and prevents skin irritation due to incontinence or diaper rash
12% zinc oxide and 1% dimethicone
Compatible with CHG products for safe use in a healthcare setting
Customer Review: "I really like the smooth, creamy consistency and I just have to use maybe a pea size and it goes a long way. Non greasy to me, but others might think it is greasy. It does work very well on preventing moisture on the skin." - Delores M.
To browse even more products for managing heavy incontinence click here. Our website has an entire section dedicated to incontinence and toileting. It features wipes, catheters, disposable absorbent underwear, and more.
While the products featured above are excellent for handling heavy incontinence, they don’t guarantee accident-free nights. Fortunately, a few simple lifestyle adjustments can go a long way in boosting comfort and minimizing disruptions. Here are some expert-backed tips to help manage incontinence more effectively:
Reducing evening fluid consumption can significantly cut down on nighttime accidents. According to the Urology Care Foundation, it's best to avoid drinking anything at least two hours before going to bed. While this may vary depending on individual hydration needs, it's a helpful guideline to follow.
Caffeinated and alcoholic drinks act as diuretics, increasing the urge to urinate. Encourage consuming these beverages earlier in the day to avoid nighttime leakage. Cutting back doesn’t mean eliminating them entirely—timing just makes a difference.
Even high-absorbency overnight diapers and pull-ups can leak if worn too long. To ensure better skin health and prevent accidents, change incontinence products regularly. Doing so reduces odor, keeps skin clean and dry, and lowers the risk of irritation or diaper rash.
Being prepared is key to managing incontinence with confidence. Keep a small bag stocked with essentials like adult diapers, cleansing wipes, barrier cream, and clean clothing. Whether at home or on the go, having backup supplies ensures you're ready to handle leaks quickly and discreetly.
These simple strategies, when paired with high-quality incontinence products, can make managing heavy incontinence much more manageable and less stressful.
With so many choices available, finding the right solution can feel overwhelming. That’s where we come in—our Care Team is ready to guide you through the process. For personalized support, call us at (800) 696-CARE or email support@carewell.com.
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Diaper rash cream is an essential supply if you have a baby or care for a loved one who wears incontinence products. With high-quality diaper rash cream, you can keep the skin healthy and reduce the risk of common problems like diaper rash, yeast infections, and contact dermatitis.
Read More >Chad Birt is a freelance medical writer who resides in Astoria, Oregon. When he isn't behind a keyboard, you can find him hiking, camping, or birdwatching with his wife Ella and their two dogs, Diane and Thoreau.
