TENA vs Depend After Prostate Surgery: Which to Buy for Each Stage | Dr. Meg Cochran, DPT

TENA vs Depend After Prostate Surgery

Both make products for men. The right one depends on the stage you are in. Here is what to buy for each stage, and when to step down.

The short answer

Buy products made for men. Use pull-up underwear for the heavy first weeks and thin guards once the leaking is a few drips with movement. Both TENA and Depend make both. Have all of it in the house before the catheter comes out.

Buy male guards, not women's pads. They are shaped differently and catch leaks where men actually leak.

Stage 1, the heavy first weeks: pull-ups

Leaking is almost guaranteed the day the catheter comes out, and some men leak a lot. Four to eight pads a day is common in weeks three and four.

For this stage, pull-up underwear. Depend Real Fit for Men is the one on Dr. Meg's list. TENA makes pull-ups for men too. Either holds a full leak when you stand up, and both look like underwear under clothes.

Stage 2, leaking with movement: guards

Guards are thin pads that stick inside your underwear. They are right for a few drips when you stand or cough.

TENA Men guards come in two weights: the Maximum Guard for heavier days and the Protective Shield for light leaking. Depend Guards for Men are the same idea. Both are thin enough to wear under normal clothes.

Most men are down to one to three pads a day by weeks nine and ten. That is usually the point to switch from pull-ups to guards.

Stage 3, the last drips: the thinnest shield

The TENA Protective Shield is the thinnest. Use it for the stretch where you are dry most of the day and leak a little with a sneeze or at the end of a long day.

Keep a spare and a plastic bag with you when you go out. Then stop buying them. Many men are pad-free by six months.

The one thing both brands leave out

A waterproof mattress protector for the night. Any brand. Get one that fits snug and does not crinkle.

Everything on this page, with a link to each one: Dr. Meg's product list for men.

As an Amazon Associate, Where You Are Physical Therapy earns from qualifying purchases. Some links on this page pay WYAtherapy a small commission, at no cost to you. Prices change; you see the price on Amazon before you pay.

What speeds the step-down

The muscle does not get stronger by waiting. It gets stronger with training. Learn the pelvic floor muscle, squeeze before you cough or stand, and train it in the positions where you leak. How to Stop Leaking After Prostate Surgery is the method.

Dr. Meg's list What to have in the house Male guards for light leaking, pull-up underwear for the heavy weeks, a waterproof mattress protector, and a cushion for sitting. The products Dr. Meg tells her own patients to buy, with a link to each one. See the men's list →

Keep reading

How to Stop Leaking After Prostate Surgery

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Exercises to Do Before Prostate Surgery

When Can You Exercise After Prostate Surgery? Walking, Lifting, Golf, Running

The First Week After Prostate Surgery: What to Expect

Recovery After Prostate Surgery: A Week-by-Week Guide

Pads for Men After Prostate Surgery: What to Buy and How to Leave the House

Pelvic Floor Physical Therapy After Prostate Surgery: Do You Need It?

The Stages of Incontinence After Prostatectomy

Still Leaking 3 or 6 Months After Prostate Surgery? What to Do Next

Life After Prostate Removal: What to Expect

Kegel Exercises for Men: How to Do Them Right

Your Husband Is Having Prostate Surgery: How to Help

How Long Does It Take to Recover From Prostate Surgery?

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About the author

Dr. Meg Cochran is a licensed Doctor of Physical Therapy specializing in pelvic floor rehabilitation, and treats men after prostate surgery through Where You Are Physical Therapy in Oxford, Mississippi.

This article is educational and is not medical advice, a diagnosis, or a substitute for in-person care. Follow your surgical team's instructions. If you have urgent symptoms including severe pain, fever, unexpected bleeding, or a sudden change in function, contact your healthcare provider.

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