How to Put On & Take Off a Pull-Up

Incontinence is incredibly common, affecting over 25 million Americans. Fortunately, modern incontinence products, like adult pull-up diapers (also known as protective underwear), offer discreet and effective solutions. These products are designed to prevent leaks, keep skin dry, and provide an essential layer of protection, helping you or your loved one live more comfortably and confidently.

While we've previously covered How to Put On & Take Off a Brief (adult diaper with tabs), this guide focuses specifically on pull-ups. Below, you'll find easy-to-follow, step-by-step instructions for:

• Putting a pull-up on yourself

• Putting a pull-up on someone else

By the time you’re finished reading, you’ll have a list of necessary supplies and know how to ensure a perfect fit.  

What you'll need

1. Adult pull-up diapers (protective underwear)

This guide focuses on pull-ups, which look and feel more like regular underwear than briefs. They're typically made of soft, breathable cotton or polyester blends and feature an absorbent core that quickly wicks moisture away from the skin. They come in various sizes, absorbency levels, and designs for men, women, and unisex options.

Shop our assortment of pull-up underwear here.

2. A clean towel or sheet

When changing a loved one's pull-up, always lay a clean towel or sheet down first to protect bedding or furniture from any unexpected leaks, though pull-ups are designed to be highly effective.

Carewell tip: For an extra layer of defense during changes, keep a supply of disposable underpads (chux) on hand.

Shop our assortment of underpads here.

3. Gloves

While changing a pull-up can be less messy than a tab-style brief, accidents can still happen. Disposable gloves ensure a hygienic changing environment for both the wearer and the caregiver.

Shop our assortment of gloves here.

4.  Wipes

Thoroughly cleaning the genitals, buttocks, and perineum is essential before putting on a fresh pull-up. Incontinence products can sometimes irritate sensitive skin, so many wipes are infused with soothing ingredients like aloe and vitamin E to protect skin integrity.

Shop our assortment of wipes here.

5. Trash bags 

Like adult briefs, pull-ups are disposable. After use, simply secure the soiled pull-up and discard it in a discreet trash bag.

Shop our assortments of trash cans & waste containers here.

How to put an adult pull-up on yourself

1. Identify Front and Back: Take a clean pull-up from its packaging and unfold it. Adult pull-ups resemble regular underwear. Look for indicators on the waistband to determine the front and back. The back typically has colored threads or a label that says "back." Some brands, however, might label the front instead.

2. Step In Like Underwear: After confirming the front and back, step into the leg holes one at a time, just as you would with regular underwear. If you need additional support, hold onto a sturdy wall or chair while stepping in.

3. Secure and Adjust: Carefully pull the pull-up up into position around your waist. Ensure it sits comfortably and smoothly, then pull your pants back on.

Pro Tip for Fit: A proper fit is crucial! If your pull-up is too tight, it can restrict circulation and cause skin irritation. If it's too loose, it may leak or bunch up uncomfortably under your clothing. Aim for a snug yet comfortable fit.

How to put an adult pull-up on someone else

1. Prepare the Changing Area: Before you begin, lay a clean sheet or towel on the bed or floor. Place a disposable underpad (chux) on top of the sheet for an extra layer of protection against messes.

2. Remove the Used Pull-Up: Have your loved one lie down comfortably on their back. Most pull-ups feature tear-away sides, making removal easy. Simply tear off the used pull-up and discard it immediately into a trash bag. You don't need to roll it down or place a towel between their knees as you might with a tabbed brief.

3. Clean and Protect Skin: Use skin-friendly wet wipes to thoroughly clean any urine or feces from the genitals, buttocks, and perineum. After cleaning, apply a skin barrier cream or ointment to their buttocks and groin area. This helps protect against moisture-associated skin damage, like diaper rash.

4. Put on a New Pull-Up: Take a clean pull-up from its package and unfold it. Gently guide your loved one’s feet into the leg holes one at a time. Carefully pull the pull-up up and secure it around their waist, ensuring it's smooth and comfortable.

Remember the Fit: Just like when changing yourself, the right size is critical for effectiveness. A pull-up that's too tight can irritate skin or cut off circulation, while one that's too loose can lead to leaks or uncomfortable bunching.

How do I choose the right size adult pull-up?

Finding the correct pull-up size isn't like finding your typical pant size. Adult pull-ups rely on specific sizing guides, usually featuring a waist/hip range (e.g., "Waist/Hip - 28-40 inches").

To determine the best fit, you'll need to accurately measure your loved one's waist and hips in inches. Always use the larger of the two measurements when referencing a product's sizing guide to ensure optimal comfort and leak protection.

For a comprehensive guide, check out our article: How to Measure For (and Choose) the Right Incontinence Size: A Step-By-Step Guide.

Need more information on adult pull-ups?

Finding the right adult pull-up for yourself or a loved one can be challenging. With so many brands, materials, and designs, it can take time to know which product will best meet your needs.

Still have questions? Our friendly and supportive care specialists are here to help. Call (800) 696-2273 or send an email to support@carewell.com at any time. We’ll be happy to listen to your situation and make personalized recommendations based on your needs.