“Where the world meets for education and information about incontinence and comes for support!”

Incontinence Support and Resource Center Header Banner

You can buy this product by clicking one of the banners below!

click here to visit our sponsor XP Medical
click here to visit our sponsor Northshore Care Supply



The Attends Extended Wear Diaper comes in two sizes:

  1. Medium 32” to 44” waist or hip

  2. Large 44” to 58” waist or hip

The fit of the Attends Extended Wear Brief gets a “good” rating due to the fact that they are RIGHT at what the manufacturer says without any additional room.  If you fasten the hook and loop tabs on the medium, for example, at the largest waist size of 44”, the tabs will be RIGHT AT the edge of the front wing of the product, with a very snug fit.  They do fit well though and the tabs hold quite well, even with a snug fit.  the “Comfort Flex Tabs”, as they are called, do not stretch like they do on the Abena Premium Air Plus, rather they are a stiff tab that is able to twist and flex so they stay attached to the cloth backing as you move.


The Extended Wear has a white backing on the medium size and a “salmon” colored (to me looks pink) cloth like outer covering on the large size with a VERY faint water soluble ink wetness indicator that disappears when the diaper gets wet.  There are two dual very large hook and loop tabs on each side that will fasten anywhere you want to put them on the brief.  These briefs do not have standing inner leak barriers, but the leg elastics are quite effective at containing any kind of leakage.  There is no elastic waistband.  The side wings of this diaper are totally breathable and may allow wetness to pass through if the padding does not catch it.

Cloth-Like Backing

The cloth backing on these briefs is very strong.  It does not stretch like other brands leading to diaper sag.  It also does not tear when you fasten the diaper very tight.  The plastic under the cloth backing that all “cloth-like” diapers have (see our Paper or Plastic? article) does make some noise under everyday clothing.  This noise can be reduced or eliminated by either wearing heavy pants (like jeans) or wearing a pair of underwear over them.  Overall though, the noise is totally unnoticeable in average everyday situations.  The other great thing about these is they DO NOT suffer from the damp or clammy feeling on the outside when they are saturated like many other cloth like backed products do! 

Elastic Waist and Leg Bands

As noted above, this product does not have an elastic waistband.  The elastic at the leg openings is VERY effective at giving a comfortable and snug fit around the legs and in the leg creases without binding or cutting into the skin.  If the lower tape is fastened comfortably snug, the elastic will flex as you move, keeping the diaper snug against your skin without allowing leakage.

Standing Inner Leak Barriers

This product does not have standing inner leak barriers.

Padding Size, Shape and Thickness

The padding shape on this diaper is a little bigger than the the “figure 8” shape we’re all used to with padding out toward the wings a bit farther in the back and front than any other diaper with the “figure 8” padding shape.  I would presume this is to protect side sleepers, as this product was originally (and on some sites, still is) marketed for overnight use.  While the padding does not wrap all the way around the sides, it comes far enough out toward the sides in the front and back to catch any wetness that may run around to the side while sleeping on your side or sitting.  The padding that extends out toward the wings in the front is about 1” narrower than it is in the back.  This allows a good fit but still gives enough padding to make this a very protective product.

The padding on this product is not all that bulky for it's absorbency. The padding is just a little thinner than that on the Molicare Super Plus Brief. The padding tends to “fluff up” the longer the diaper is out of the bag, as PaperPak (the manufacturer) uses a “compressed packaging” which compresses the padding while in the bag.  Under everyday clothing, this product would not be obvious, other than MAYBE an occasional plastic crinkle that could be muffled with a pair of underwear or heavy pants over them. The padding seems to absorb very quickly and wick pretty well.  The only downsides to the padding on these is that there is SO much super absorbent polymer in them compared to padding that they don’t wick as well as I would like.  You rarely can ever utilize all of the padded area before a leak, but the absorbency is still excellent.  The other downside is the padding can tend to come apart and clump up, which we’ll cover under Quality.  This diaper is a pretty good pick for overnight use for those who prefer cloth like products and tend to sleep on their sides.  For extremely heavy night wetters, it’s probably a better bet to stick with a product such as the Abena X-Plus.  The Attends Extended Wear is a fine product to wear during the day as well.

Dual Layer Refastenable Tape Tabs

As noted above, these diapers have two relatively large “Flex Fit” hook and loop tabs on each side that are VERY effective and hold EXTREMELY Well, yet are easy to fasten and unfasten.  For those with arthritis or reduced hand dexterity, these tabs are GREAT!  They have a very large grasping area at the ends that makes them easy to grasp and unfasten.  These tabs do not stretch out lengthwise, so getting a good fit is not a problem.  Even though they are made of a stiff plastic material, they twist and flex as you move, which allows them to stay fastened to the diaper even when you are very active.  This leads to a very comfortable and secure fit.


Overall, the quality of the Attends Extended Wear diaper is pretty good, with no stray padding pieces outside of the padded area, hook and loop tabs that hold very well and great absorbency.  This product does suffer from variances in their quality from case to case though.  I have had some cases where EVERYTHING was perfect, and then other cases where absorbent polymer is clumped in areas and not in others, padding is not as heavy at times and other times where the polymer is right against the plastic backing and you can feel it moving around like grains of sand.  These quality issues seem to be hit and miss, like sometimes their machines are out of adjustment and other times they’re perfectly adjusted. 

The other quality issue that happens from time to time is that the padding in the front can tend to tear apart, clump up and fall down into the crotch of the diaper if you are a very active person.  I have have it happen on occasion when walking and then sometimes it doesn’t happen.  When using my wheelchair the whole time I’m wearing the product, I never have the issue.  So, padding strength and integrity is something they could work on yet.  They are still an pretty good product and when figuring defect rate, you have to remember the company runs millions of the product per year.


OK, downside time (for me as a guy, anyway).  As noted above, the large size of this product has a “salmon” colored outer covering, which may have been meant to blend in with the skin color, as it is not neon or anything but it is definitely salmon colored.  The medium size is white.  I would have just made both white, but that’s just me.  As noted above, the wetness indicator is a very faint water soluble ink that would never stick out visually even under the thinnest white pants.  The “salmon” color may even blend in well and be invisible under thin white pants.  The medium diaper, which is white, would look like underwear under pants.


These diapers fit pretty well. if you are on the outer edge of the size though, you may find them a little snug due to the fit issue mentioned above. Other than that, they are indeed very comfortable without too much bulk in bad places. Once wet, they remain very well fitting without sagging. If you are a very physically active person (walking, running, etc..) you may notice the padding does come apart in the front and sag down into the crotch of the diaper...especially if saturated.  Under everyday “normal” activity or if you are a wheelchair user or confined to bed, this is not an issue.  Skin dryness is actually pretty good, although a little, the skin may feel a little moist depending on the variances in polymer/padding mentioned above.  Most times, it’s almost impossible to tell the diaper is even wet against your skin.  The odor control for the most part, is decent.  It is better than cheap products but since the side wings are breathable, odor can sometimes be an issue.  Again, this comes down to how dilute your urine is.  If you’re not drinking much odor may be a problem.  As would be obvious, these are not going to hold in the odor from a bowel movement.  Another nice thing, as noted under the backing section, is that these do NOT feel damp or clammy on the outside when they are saturated like other cloth like backed diapers do!  While that means these probably do not circulate air as well as some others do, this is still nice!     Overall comfort is good.


Considering the average cost of these diapers can vary from $1.50 to $2.10 depending on where you buy them, I find the cost to be a tad high, as they are not quite the premium product that others in this price range are.  They KEY is to shop around and look for deals on this product!  When it comes to skin dryness and capacity, these are pretty good and worth the lower end of the price scale, although, a little closer to a dollar would be preferable.  If you have complete incontinence with large volumes, you should be able to feel secure in your protection while out and about in this diaper! 

Attends Extended Wear Briefs at a Glance

Fit                                                 Very Good        Good        Average        Poor

Ease of Putting it on                  Very Good        Good       Average        Poor

Comfort while dry                      Very Good        Good        Average        Poor

Absorbency                                Very Good        Good        Average        Poor

Rewet Absorbency                    Very Good        Good        Average        Poor

Comfort While wet                     Very Good        Good        Average        Poor

Keeps skin dry                           Very Good        Good        Average        Poor

Ease of Removal                        Very Good        Good        Average        Poor

Cloth backing strength              Very Good        Good        Average        Poor

picture of an Attends Extended Wear Adult Diaper
picture of a bag of attends extended wear adult diapers