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There are a number of factors that can contribute to incontinence, an inability to control the flow of urine. For instance, a recent medical procedure can temporarily affect bladder control or some people lose tone in the muscles that control urination as they age. But there are medical treatments available for the condition as well as products designed to address the symptoms.

One of these products is an incontinence bed pad, a disposable or reusable barrier that absorbs urine before it can soak into a mattress, wheelchair or furniture. One of the best disposable incontinence pads on the market is the REMEDIES Disposable Underpad, an affordably priced multipack that can hold eight times its weight in urine and fits on a number of surfaces, from wheelchairs to mattresses to car seats.

What to know before you buy an incontinence bed pad

Disposable or reusable incontinence bed pads?

Incontinence bed pads fall into two broad categories: disposable or reusable. Each has its pros and cons, and the decision often comes down to convenience. Disposable incontinence pads can be thrown away after every use, but they are also more expensive in the long term. Reusable incontinence bed pads may cost more upfront, but many users find them to be more comfortable. A combination of reusable incontinence pads for bedding and disposable pads for temporary use also makes sense.

One common criticism of many disposable incontinence pad brands is noise. The plastic backing of the bottom layer can generate a noticeable and unpleasant crinkling sound during use, and can also tend to slide around a bit. Reusable cloth-based incontinence pads do address the noise and security issues better.

Incontinence bed pad sizing

The overall size of an incontinence bed pad, particularly a disposable brand, plays a factor in protection and coverage. The least expensive disposable incontinence pads can be too small to offer much absorption before an overflow occurs. Brands with dimensions such as 23 inches by 36 inches offer much more protection, and reusable incontinence pads approximately the height and width of bath sheets offer the most protection of all.

Incontinence bed pad construction and performance

Most disposable incontinence pads feature three or four layers of protection, although some brands are noticeably thicker than others. The top layer is usually a soft fiber with a quilted design for additional comfort. This layer wicks away fluid from the skin and protects against bed sores and rashes. The next layer traps the liquid in a super-absorbent gel. The bottom layer is constructed from waterproof plastic or vinyl and prevents any excess urine from penetrating the pad.

A reusable incontinence bed pad often replaces the liquid-absorbing gel with a thicker layer of wicking material. The bottom layer is not always an impermeable plastic or vinyl barrier, but it is dense enough to greatly reduce or even eliminate leakage. These pads are usually machine washable and dryable.

Incontinence bed pad features

Packaging options for incontinence pads

Whether disposable or reusable, incontinence bed pads often require frequent replacement for maximum sanitation. This is why buying in bulk whenever possible makes good economic sense. Disposable incontinence bed pads can be ordered in packs of 50 or more, while reusable pads are often sold in packages or four. Having multiple reusable incontinence pads can help ensure that at least one clean and dry pad is available for rotation.

Odor-controlling incontinence pads

A number of disposable incontinence bed pad brands also incorporate odor control into their construction. Many users and caregivers appreciate this feature because it addresses an uncomfortable issue quietly and effectively.

Incontinence pad colors and designs

While many disposable incontinence bed pads do arrive in a standard blue or white, there are actually a few color options available with certain brands. Reusable incontinence bed pads are closer to regular bedding, which means the manufacturers can offer a range of colors and graphics for a more personalized appearance. This is an especially popular option for younger users and parents dealing with bedwetting issues. Adult users may also want to minimize the appearance of an incontinence pad by matching it to other bedding.

Incontinence bed pad cost

A small reusable incontinence bed pad can cost as little as $5, but expect to pay at least $20 for a brand that provides maximum protection. Disposable incontinence bed pads start at $10 a pack, with bulk packages in larger sizes retailing at $30 or more.

Incontinence bed pad FAQ

My patient does not like the crinkling noise an incontinence bed pad makes. Is there a way to address this issue?

A. Some brands of disposable incontinence bed pads have a waterproof layer made from plastic. This is the source of the crinkling noise. You can look for other brands that use a polyester-backed vinyl bottom layer instead of plastic. This should reduce the noise considerably.

I have to change my mother’s incontinence bed pads four times a day. Is there a way to make this process easier for me?

A. If you are using disposable incontinence bed pads, you can try layering all four pads in the morning and removing the top pad as necessary throughout the day. The waterproof layer should prevent the lower pads from becoming soaked before use.

Which incontinence bed pad should I get?

Best of the best incontinence bed pad

REMEDIES Disposable Underpad, 23 x 36 Inches: available at Amazon

Our take: For users who prefer disposable pads over reusable pads, this brand is ideal for temporary pad placement throughout the day.

What we like: Suitable for multiple surfaces (wheelchairs, car seats, changing stations). Sealed on all sides for maximum leakage protection. Very absorbent for its size. Polyvinyl backing is quiet, so there’s minimal crinkling.

What we dislike: May not provide all-night protection. Some concerns about a low package count.

Best bang for your buck incontinence bed pad

Royal Care Incontinence Bed Pads, 4-Pack, 18 x 24 inches: available at Amazon

Our take: These pads feature a smooth, quilted feel, crinkle-free construction thanks to a cotton/polyester blend and are machine washable for over 300 uses.

What we like: Very appealing price point for reusable pads. Available in multiple sizes and colors. Durable, safe for machine washing. Four pieces per pack, easy to swap out. Absorbs up to 7 ounces of fluid.

What we dislike: Dimensions are on the small side. Material is not slip-resistant.

Honorable mention incontinence bed pad

EPICA Premium Quality Bed Pad, 34 x 52 inches: available at Amazon

Our take: The EPICA reusable bed pad has a soft quilted top layer that users with sensitive skin will appreciate.

What we like: Generous proportions for better mattress coverage. Vinyl backing is quiet, works with different sheet materials. Three-layer design wicks away moisture from skin. Machine washable and dryable. Inner core layer traps liquids.

What we dislike: Does not stay in place during use. Some leak-throughs reported over time.

Michael Pollick is a writer for BestReviews. BestReviews is a product review company with a singular mission: to help simplify your purchasing decisions and save you time and money.

BestReviews spends thousands of hours researching, analyzing and testing products to recommend the best picks for most consumers. BestReviews and its newspaper partners may earn a commission if you purchase a product through one of our links.

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