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Disposable vs. Reusable Incontinence Underpads: Which is Right for You?

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December 10, 2025
Woman setting up incontinence underpads

Incontinence is the inability to control bladder or bowel functions. The most common condition is urinary incontinence, which has different degrees of severity and often becomes a problem as we age. Whether you are a caregiver for someone with incontinence, or you are dealing with it yourself, managing incontinence requires choosing the right supplies and having them available every day. In addition to adult pads, diapers and briefs, underpads can be an important part of incontinence care. Underpads protect beds, chairs, wheelchairs, and other surfaces from damage, and they come in a variety of sizes and absorbencies. Honest Medical offers a complete range of incontinence products, and in this article, we will discuss both disposable and reusable incontinence underpads and give you tips on choosing the right type for your needs.

Incontinence Underpads

Incontinence underpads are absorbent coverings that provide protection in a variety of settings. You can use them on any surface the patient is on for protection, either alone or with adult diapers and briefs. When you use them as mattress underpads, you can place them above or under the sheets.They also provide excellent protection for couch cushions, chairs, car seats and wheelchairs.

Types of Underpads

Incontinence underpads come in a range of absorbencies and sizes, and they are typically multilayered with a top sheet that wicks away moisture to protect the skin and a waterproof bottom layer that protects the surface they are on. The multilayer design typically has a core consisting of superabsorbent polymers or fabric with a waterproof backing that prevents moisture from leaking onto the surface. They come in both disposable and reusable types per the following:

  • Disposable Underpads:  These come in sizes ranging from small (typically 18” by 24”) for a chair or wheelchair, to extra-large (40” X 60” or 36” by 77”) which is big enough to cover a twin size bed. These sizes come in absorbencies ranging from light to heavy. When disposable underpads need changing, you simply fold them and throw them away.
  • Reusable Underpads: Manufacturers typically make this type of underpad from resilient materials like cotton or polyester, allowing you to machine wash and use them multiple times. They also come in various sizes and thicknesses, and people consider them a more environmentally compatible and cost-effective choice.

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💡 Which Type of Incontinence Underpad is Right for You?

 Choosing the underpad you need, whether disposable or reusable, includes considering the size of the surface being protected, the size of the patient, and how much the patient may move around on that surface. The following includes the pros and cons when choosing either disposable or reusable underpads with key points for each type to help you find the solution that fits your needs. 

Disposable Underpads

Disposable incontinence underpads

✅ Reasons to Choose Disposable Underpads

  • Disposable  underpads are convenient:  You simply fold and discard after each use. They are a good choice when laundry facilities are not available, when traveling, or for a short-term need such as after surgery.
  • Maximum hygiene is assured: Disposing of the underpads immediately offers the most hygienic option. This factor and their convenience explain why institutions such as hospitals and nursing homes typically use them.
  • They offer super absorbency: With a variety of sizes and absorbencies available – including for overnight use – disposable underpads can accommodate a wide range of needs. They also offer odor control and their multilayered design wicks away moisture at the top layer to keep the skin dry.

⚠️ Why Disposable Underpads May Not Be the Best Choice for You

  • The cost can add up: Using the disposable version of any product can increase cost over time. If budgetary issues are important, disposable underpads may not be the best choice for you.
  •  There are environmental factors: If you are concerned about the environmental impact that non-reusable items cause – disposable underpads may not be right for you.

Reusable (Washable) Underpads

Reusable Incontinence Underpads

Reasons to Choose Reusable Underpads:

  • Reusable underpads are comfortable: These underpads are made with soft cloth materials and they lie flatter because they are sturdier. This means the underpad stays in place for users that move around more.
  • Easier on the skin: The soft materials used in washable underpads may cause less skin irritation for some people.
  • Better for the environment: If reducing waste is especially important to you, reusable underpads would be a good choice.
  • More cost-effective: The ability to reuse any item provides cost savings, which can be especially significant when you are dealing with a long-term incontinence condition.

⚠️ Why Reusable Underpads May Not Be the Best Choice for You:

  • They require frequent laundering: To maximize hygiene and comfort for the user, washable underpads need to be laundered on a regular basis.
  • Take a longer time to dry: Because they are not using disposable materials, they are thicker and take longer to dry than ordinary garments. This is particularly true of the heavy absorbency versions.

Incontinence Underpads Comparison Chart

Honest Medical Has the Incontinence Supplies You Need

Whatever type of underpad you’re looking for, Honest Medical has a comprehensive selection of incontinence supplies, including both disposable and reusable underpads that are ideal for caregivers, institutions, hospitals and at-home use. With our affordable pricing and speedy, efficient delivery, you can depend on Honest Medical for all your incontinence supply needs. If you have any questions about our incontinence products, please contact an HonestMed Care Specialist at (833) 933-2323. We can provide you with product knowledge, support, and expertise to ensure that you get the right incontinence products for your unique needs and budget.

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