If you're suffering from urinary incontinence  bladder leakage or loss of bladder control  

then sometimes you might find yourself  needing some protection like a pad or  

a depends. But unfortunately, if  you're not wearing the right one  

it can make for some really embarrassing  accidents. I previously made a video on  

reusable underwears that you can use for urinary  incontinence which I'm a huge fan of but sometimes  

they just don't hold enough for people who have  really severe incontinence. I'm Dr. Rena Malik,  

urologist and pelvic surgeon, welcome to  my channel here we talk about all things  

urology that includes urinary dysfunction sexual  dysfunction kidney stones prostate issues you name  

it we cover it so if you're new here welcome and  if you enjoy what you see make sure you subscribe.

so in this video we're going to review  a few different types of absorbent  

products available for incontinence and  specifically some products that you may not know  

are available to you if you are finding yourself  struggling with urinary incontinence you might be  

the one in four women about 25 of women who suffer  from urinary incontinence or men who suffer from  

urinary incontinence after having prostate surgery  or having neurologic problems or a number of other  

issues that can cause accidents in men as well if  you're suffering from this type of leakage there's  

lots of products available to you there's pads  and absorbent diapers there's also bed and chair  

protection that you can use to cover these areas  so you don't get urine leakage onto your furniture  

or your bed sheets there are external urinary  collection devices like condom catheters or  

this thing called purewick which helps wick away  urine from women that can help with collecting  

urine and there's also specifically adapted  clothing like we talked about before in our  

video and certain types of swimwear today like  i said we're going to focus on pads and diapers  

how these products work is they are exactly  like babies diapers they have a hydrophilic  

layer inside of them that will attract all the  urine and soak it up and keep it away from the  

skin to keep your skin dry to prevent any skin  breakdown and there's different types of products  

you can buy typically if you have moderate  incontinence which means that you're having  

more than about an ounce of urine loss or you're  leaking usually more than a few drops with every  

accident then you want to use a pad and if you're  having severe incontinence where you're having a  

flood or definitely more than a few drops you  may want to consider adult diapers and the  

reason being is these tend to fit more snuggly  and can hold more volume of urine did you know  

however that not everyone uses the right type of  pad in fact one in four women are using sanitary  

napkins or pads that are used for menstruation for  urinary incontinence and that is not a good idea  

also 17 percent of women who use incontinence  products are using things like tissue paper or  

menstrual pads for urinary incontinence is because  they're not designed to hold that amount of fluid  

they won't hold as much which means you'll have  more accidents and more urine leaking all on your  

clothes and on your skin and also these other  types of things like tissue papers and towels  

again they're not gonna wick away that urine  away from your skin and help keep your skin clean  

and dry you may notice if you're suffering from  incontinence that sometimes your skin gets kind  

of red and irritated what i recommend for people  is using like baby butt cream seriously go to the  

store and get the big thing of destin that they  use for babies bottoms it works great to prevent  

urine from getting onto your skin and causing  irritation you can also use vaseline and you can  

buy more fancy types of creams but these are super  cheap and available everywhere also you may hate  

the smell of urine and you might get so sick  of smelling that every time you change your pad  

the one thing that people find that they do  when they're suffering from leakage is they  

don't drink enough because they're worried about  having more leakage but this makes your urine  

more concentrated more dark yellow and then  it also makes it have a really strong odor  

so trying to avoid drinking too little is  actually going to help prevent that odor so  

the first company we're going to talk about today  as far as absorbent products is attends a tens is  

a company that's completely online based and so  they offer incontinence products you purchase them  

online they mail them to you and they do have a  variety of different options when you go on their  

website you can look at pads based on how severe  your incontinence is what your mobility is like  

what your gender is this is the attends discrete  bladder control pad and you can see that they have  

a number of absorbencies ranging from one to  six every product that i review here today  

has some sort of proprietary technology that  guards against odor and wicks away the urine to  

keep you completely dry so i'm not going to go  into the specific details about that but we're  

going to test their most absorbent product to  make sure that it really holds up to the test  

so they had again they have women's products and  they also have male guards these are actually  

shaped differently because obviously male anatomy  is different and you're gonna leak at a different  

area in your underwear than women would leak and  so these are specifically for men so i strongly  

encourage men to use products specifically  designed for them you can get these products  

online and if you go on their website and put  in your zip code you can find out where you can  

get it near your home as well they are also  typically available in medical supply stores  

today we're going to review the attend shaped  pad super which is the heavy absorbency  

and we'll test this shortly it says that it  holds about 38 ounces this is the attends super  

pad and you can see they have these little um leak  guards it's quite big actually it's a very big pad  

so that it can collect lots of urine  leakage and we'll start with a cup of fluid  

so here you can see that we have a cup of fluid  so here we've got a cup of yellow colored fluid

all right that's quite a bit  of fluid let's give it a second

okay so it's been about 30 seconds to a minute  it's starting to dry up actually quite a bit  

nothing leaked through and the back side is  so it's only leaking because i got it outside  

of the leak guard here but nothing leaked through  so it held that pretty well but it is quite heavy  

and quite big and you can see the  color on the back here turned blue  

to let you know that it's uh it's damp if  you were not sure like if you had a caretaker  

they could tell that it needs to be changed  the other great thing about attends is they do  

have a donation project where they donate to adult  seniors who have incontinence needs and throughout  

the covid pandemic they have donated nearly  200 000 products to seniors in need the next  

product i'm actually really excited about  because i had not heard of them before  

they are made completely in the united states  and they are carbon neutral using post-consumer  

recycled packaging so they're also trying to  do well by the environment they have a number  

of different options available for you to use and  the greatest part about it is you get your first  

box for free as a trial and then after that you  can join a subscription model which is really  

great and the pricing is pretty reasonable as  well check out the link below if you want to  

check it out make sure if you're you mention any  of the products i talk about today check out the  

links in the description so because market has a  number of different products and here you can see  

they have different types of absorbencies and  you can see right here that tells you how much  

this particular pad can hold this can hold about  one cup and on the back of this it actually tells  

you the ingredients which is great because i see  a lot of these products on the market don't tell  

you what's in them so this one says it's made of  polypropylene and polyethylene as the back sheet  

and there is polyacrylate and cellulose ecf fluff  and these are completely latex free and there's no  

optical brightener there's no perfumes no lotions  and it's made completely without any latex as i  

mentioned before and it also tells you your shelf  life so overall i really like that so here's the  

moderate the maximum has a two cup absorbency  and the overnight has a three cup absorbency  

and so they also have their bladder control  underwear which you can see right here and these  

tend to pull on and off just like underwear and  they have these tearaway side panels which many  

of them do their sizing is based on your waist  size and they come in obviously beige coloring and  

very interesting this says it's a hundred percent  recyclable the maximum holds up to four cups  

here and the overnight holds up to six cups  right there so we'll test out the overnight one  

this is the because overnight plus bladder  control underwear this is actually very soft here

very elastic as it should be and so we're  going to flip it inside out to do our test here  

so this has these again these elastic  things to keep the urine from coming out  

so I've got about two cups of urine here  or fluid I've got two cups of fluid here

so to let you know most people if you look  here two cups is about 500 ml of fluid most  

people's bladder capacity is somewhere between  300 and 600 ml and so yes someone, in theory,  

could lose quite a bit of volume  if they're leaking all night long  

and so this is an overnight diaper,  okay and so it's actually quite dry  

already and only the wetness is just  on the edges this is shockingly dry

and nothing has leaked through but it is again  quite heavy but i have to say i'm pretty impressed  

with the product after two cups i mean that's a  ton of leakage and it's holding up quite nicely  

the other really thing here you can see it says  i'm green and that's because it's made from  

polyethylene that's actually produced from sugar  cane and polyethylene is the material that's used  

to help prevent the urine from leaking out of the  diaper on the back side and also sometimes on top  

to allow the urine to soak through to get into  that absorbent core and this is actually produced  

in their company using raw sugar canes they're  not using fossil fuels to make the polyethylene  

which allows them to have this carbon neutral  or use less carbon to produce their product  

the next product that we're going to discuss is  prevail incontinence products this company has  

been doing incontinence for a long time they have  a lot of dedicated support their website is very  

informative on a lot of the technology that goes  into these products they have products for men  

as well like here and in on the products there's  no latex and on the back here they have a phone  

number for 24 hours seven day a week nurse that  can help you with any questions you might have so  

they come in multiple different absorbencies again  a male guard so they have these women's daily  

pads as well and they again have their absorbency  noted right on the packaging and lastly they have  

daily underwear for both women and men and they  have their little sizing chart here and if you  

go on their website you can also get some free  samples which is always great so i would recommend  

to anybody who's looking for incontinence products  please look for free samples see what you need go  

on their website and make sure that you're getting  the product that's right for you okay this is the  

prevail daily underwear for men and so again soft  up here this one's not an overnight so it's not  

going to hold quite as much as the last one we  tested but again very stretchy and nice feels a  

little bit more plasticky i would say than the  because market ones but let's test it out all  

right for this one i'm gonna do a cup and a half  so for this one i'm gonna do a cup and a half

okay that's a lot of incontinence  let's give it a second to soak it up

getting dry

so this blue part is definitely very very dry  and this white part is taking some time to dry  

up and then there's nothing leaking or going  through and yeah very very dry on the outside  

as well I hope you all found this helpful  please comment below if there are specific  

topics that you want to learn about so I can  make videos just for you I'm Dr. Rena Malik,  

as always remember to take care of  yourself because you're worth it