What are the best pull-ups for adults? This is one of the most common questions our Care Specialists receive from active people with mild to moderate incontinence.

Since it can be hard to know which product will best meet your needs, we created this round-up of the best pull-ups for adults. 

What Are Adult Pull-Ups?

Adult pull-ups are disposable incontinence products that look like regular underwear. They have a stretchy waistband and two leg holes and are made from flexible materials that hug the contours of your body. 

Adult pull-ups feature tearaway seams on the sides for easy removal and disposal. They come ready to wear out of the package and don’t have adjustable tabs like diapers. 

Who Are Adult Pull-Ups Made For?

Adult pull-ups are made for people with mild to moderate urinary incontinence. They’re an excellent option if you’re independent and able to toilet on your own. Since they look and feel like regular underwear, they aren’t as noisy as diapers and fit discreetly under your clothes.

If you need protection at work or while running errands, pull-ups are an excellent choice. You can even extend their use with a booster pad.

How We Chose the Products on This List

The pull-ups featured in this list are a mix of our “highest-rated” and “best-selling” adult pull-ups. 

Under each entry, we’ve included real customer or user feedback using the header:  Hear it from a Caregiver/User.

The Best Pull-Ups for Adults

1) Prevail Pull-Up, Daily Underwear, Maximum 

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These adult pull-ups from Prevail provide maximum protection from leaks and odors. They look and feel like everyday underwear and include absorbent technology that turns wetness into a gel. 

Caregiver Tip

These pull-ups are ideal if you have sensitive skin. They’re made with a hypoallergenic fabric fused with aloe, chamomile, and vitamin E designed to moisturize the skin and prevent irritation. 

Key Benefits & Features:

  • Made in the USA

  • Comfortably hug the contours of your body

  • Each pull-up has a back indicator

  • Range in size from Small to XL

Hear it from a caregiver

“It's hard to find an adult diaper that will fit your specific needs and that fits well. These diapers do both. Very satisfied with this diaper and will definitely be using this brand in the future.”

- Diane H. 

2) McKesson Ultra Pull-Up Underwear, Heavy

McKesson Ultra Pull-Up Underwear, Heavy
McKesson Ultra Pull-Up Underwear, Heavy

Price: $10.99 - $49.98

These adult pull-ups from McKesson provide support for both urine and bowel incontinence, but you wouldn’t know it by looking at them. The cloth-like backing is silent and breathable, ensuring you stay dry, clean, and confident.

Users tell us these pull-ups are comfortable and provide an excellent daytime solution for heavy incontinence. The inner and outer leg guards prevent leaks, and the comfortable stretch waist results in a perfect fit.

Key Benefits & Features:

  • Supports urine and bowel incontinence

  • Have a dual-layer core that draws moisture from the skin and locks it away

  • The unisex design supports male and female anatomy

Hear it from a caregiver

“These pull-ups are fantastic. True to fit, they offer me the confidence and protection that I need. They're comfortable and secure. This was my first time trying adult incontinence pull-ups and I feel like I lucked out and don't need to shop around for something better. Also, the price here is great!”

- Jared P.

3) Tranquility Premium Daytime Pull-Up Underwear, Heavy

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These adult pull-ups from Tranquility are some of our most popular incontinence products. Each package has 18 disposable absorbent briefs designed to protect against moderate to heavy incontinence. 

Tranquility DayTime briefs are unique in that they have a full-rise fit and leg guards that help channel liquid to the center. The breathable fabric promotes airflow, and the Peach Mat Core locks in moisture, keeping your skin fresh and dry.

Key Benefits & Features:

  • Breathable technology protects the skin

  • Protects against urine and bowel incontinence

  • Tear-away seams allow for easy, mess-free removal

Hear it from a Caregiver: “Wonderful product for adult incontinence, very soft and comfortable and super absorbent.” -Karen M. 

Hear it from a caregiver

“Happy Camper. This product is the best adult diaper. I have been purchasing products from you [for] over a year, wish I had found you sooner. I never had a problem, and I get my purchase so fast. You can tell they really care about your needs. The staff is so pleasant, I usually purchase my items online but I call them because the staff is so great they make my day.” - Shirley B. 

4) Abena Abri-Flex Premium Pull-Up Underwear, 3 Ultra Heavy

Abena Pants Pull-Up Underwear, Level 3s
Abena Pants Pull-Up Underwear, Level 3s

Price: $24.41 - $145.95

These adult pull-ups from Abena are a customer favorite. They have extra elastic threads in the waistband, so they stay in place, even during exercise.

Each pull-up has a built-in wetness indicator that lets you know when it’s time to change and an odor guard system that traps even the most powerful scents. 

Key Benefits & Features:

  • The underwear features a tape tab on the back, making it easy to cleanly and conveniently dispose

  • The top layer is super soft and protects against leakage

  • Breathable to the core

  • Extra elastics for a more comfortable and secure fit

Hear it from a caregiver

“The best you can get. I shopped over 80 types and brands of adult underwear, and the Abri-Flex Pull-up Underwear Level 3's are the BEST ones I tried. I have complete confidence while wearing these. They're a little bulky, but the small amount of extra bulk is far outweighed by the products' reliability. I recommend these in a heartbeat to anyone who asks my opinion about these products. I've done my homework.” - William M.

5) Prevail Pull-Up Underwear, Extra

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Rounding out our list of best adult pull-ups is Prevail’s ‘extra’ line. These unisex pull-ups are designed to support moderate incontinence.

They have QUICKWICK with MaxSoft technology, which turns voids into a gel. And the advanced odor guard and aloe-infused fabric keep the wearer’s skin healthy and dry.

Key Benefits & Features:

  • Hypoallergenic

  • Contains aloe, chamomile, and vitamin E

  • Elastic leg gathers

  • Soft, clothlike backing ensures the product is quiet and discreet

Hear it from a caregiver

“Thank you so much for providing this service. My daughter, who is disabled, was recently denied diaper service due to local pharmacies ending the mail-order service. I was relieved to find your website so that my daughter could continue wearing these briefs which are very difficult to find in youth size. The prevail youth size is perfect for petite adults such as my daughter. The absorbency is excellent for overnight. I love them! Thank you again.” - La Rosa G.

How to Choose Adult Pull-Ups

Before you buy adult pull-ups for yourself or a loved one, think about:

  • Absorbency - How often do you have voids? If you only experience leaks every once in a while, a product with mild absorbency should work. On the other hand, if you have regular leaks or an overactive bladder, extra protection may be necessary. 

  • Odor protection - Will you be wearing your pull-ups at work or while running errands? If so, odor protection is a must. Thankfully, most pull-ups have built-in technology that helps trap smells. 

  • Incontinence type - Most adult pull-ups support mild to moderate urinary incontinence, but there are products that support bowel incontinence, including Abena Abri-Flex and Tranquility Premium.

  • Skin sensitivity - Many people who wear incontinence products also have sensitive skin. If you’re worried about diaper rash or other similar problems, choose pull-ups labeled hypoallergenic. 

Commonly Asked Questions

1) How much liquid can an adult pull-up hold?

It depends on the pull-up! Each listing on our website features a table with specific information, including absorbency levels and incontinence types supported. 

If you can’t find the information you’re looking for, call us at (855) 855-1666. Our Caregiving Specialists are available 24 hours a day, seven days a week. 

2) How do I find the right size of an adult pull-up?

To determine the right size of an adult pull-up, you need to take two measurements.

  • First, measure the width of your or your loved one’s waist (just below the bellybutton)

  • Then, measure the width of your or your loved one’s hip (in inches)

Write those two numbers down and compare them to the “size chart” on the product listing. All of the sizing charts on our website have “brackets” featuring waist/hip measurements. 

3) Are adult pull-ups reusable?

Adult pull-ups aren’t reusable, but some provide up to eight hours of incontinence support.

Most of the pull-ups that we carry have built-in wetness indicators. These indicators change color when your pull-up is full and needs to be disposed of. 


If you’re an active person with mild to moderate urinary or bowel incontinence, adult pull-ups can prevent leaks, protect your skin, and keep you feeling confident. 

This guide should help point you in the right direction, but if you still have questions, don’t hesitate to reach out. Our friendly Care Specialists speak English and Spanish and can make personalized product recommendations. Send an email to support@carewell.com or call (800) 696-CARE today.

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Chad Birt
Chad Birt

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.