Why Men Over 60 Are Quietly Switching to a Different Kind of Underwear After Prostate Surgery
Why pads slip and bunch in the months after the catheter comes out, and what four men at one Tuesday breakfast table ended up wearing instead

"Frank, you're the fourth one at this table. Nobody talks about the pads." Walt, at our Tuesday breakfast, last June
I Thought the Leaking Was the Price of Getting It Out, So I Kept It to Myself
If you have ever stood up from a chair and felt that warm drip before your knees were even straight…
If you have ever checked the front of your trousers in a store window on the way past…
If you have ever carried a spare pad in your coat pocket like it was a secret…
Then read to the end, because a diner booth on a Tuesday morning is where I stopped hiding it.

My name is Frank. I am 68. I ran a lathe for 34 years, and last February they took my prostate out.
The surgery went well. Everybody said so. What nobody said, not in a way that stuck, was what the months after it would feel like.
The catheter came out on day nine. By day ten I understood why the nurse had handed me a bag of adult briefs on the way out the door.
Day Ten, Standing Up From My Own Kitchen Chair

I stood up to refill my coffee and felt it. Not a flood. A squirt, then a drip, then the warm spot spreading.
It happened when I stood up. When I sat down. When I coughed, when I laughed at my grandson, when I stepped down out of the truck.
My wife Carol found me in the bathroom that first week, trousers around my ankles, trying to fit a pad into my boxer briefs.
"Do you want help?" she asked. I said no. I did want help. I just did not want her to see it.
The Pads Were Built for Somebody Else's Underwear

I have worn boxer briefs for forty years. The pads are shaped for tight, old-fashioned briefs. In a boxer brief, they sit in the gap.
One strip of glue holds them to cotton that moves every time you do. By lunch the pad had slid to one side, or folded in half, or crept up toward my belt.
Then there were the adult briefs. They hold a lot. They also crinkle when you sit in a church pew, and they draw a square line under khakis.
So I did what the men in the forums call doubling up. Adult brief, pad inside it, trousers over both. I walked like a man carrying a sandwich in his pants.
I Had Already Spent $412 on Things That Were Never Made for Me

I kept the receipts, because I kept thinking the next box would be the one that worked.
Adult briefs, four bags at $21. That is $84, and I quit them after three weeks because I could not stand the sound.
Pads, about $17 a box, one box every nine days, for four months. Roughly $221, half of it thrown out wet and crooked.
A waterproof mattress protector, $39, after the night I will tell you about. Two pairs of navy trousers, $68, because khaki shows everything.
That is $412. Every one of those was a way of hiding the leak. None of them fit the way I actually live.
The Night I Stopped Telling Myself It Was Almost Over

In May, eleven weeks after the surgery, I thought I was nearly done. Most days I was down to a few drips.
Then I woke up at two in the morning, wet to the waist. The pad had slid off to the side when I rolled over.
Carol helped me strip the bed. Neither of us said much. Afterwards I sat on the edge of the bathtub and counted how many months this could still go on.
I Started Saying No to the Things I Used to Do Without Thinking

I stopped the Saturday hardware store run with my son. I told him it was my back, because a back sounds like a real reason.
At church I stayed seated for the hymns. Standing up was when it happened, and I was not going to find out in front of the whole congregation.
My older brother had the same surgery at 70. He is 79 now, and he still plans every outing around where the restroom is.
I did not want ten years of that. I was tired. Not sleepy tired. Tired of managing it.
Then Walt Said It Out Loud at the Tuesday Breakfast

Six of us have breakfast at the same diner every Tuesday. Retired, mostly from the same plant. We talk about grandkids, trucks and whose knee is worse.
In June, Walt pushed his plate aside and said, "Frank, you're the fourth one at this table. Nobody talks about the pads."
It turned out four of the six of us had had the prostate out in the last three years. Four, at one table. Every one of us buying the same pads and hiding the same wet spots.
Then Walt said the thing I did not expect. He had stopped using pads months ago. So had Gene.
What a Pelvic Floor Expert Told Walt That Nobody Had Told Me

Walt's wife had sent him to a pelvic floor expert, a physical therapist who works mostly with men after this exact surgery. She has been doing it for 22 years.
The first thing she asked him was what underwear he wore. Then she held one of his pads up next to his boxer briefs, and laughed.
"You are not leaking because you are doing something wrong," she told him. "Part of what used to help you hold it is gone. What is left has to learn to do the whole job, and that takes months. For some men, longer."
"Until then, the leaks come at the moments your belly pushes down. Standing up, sitting down, coughing, lifting, climbing out of the car."
The Problem Has a Name: the Stand-Up Leak

The stand-up leak is the small, sudden spurt that comes when you change position. Not a flood. A second or two of it, several times a day, right when you move.
Adult briefs are sized for a flood, so they are bulky and loud for a problem that comes in drips. Pads are shaped for tight briefs, so in a boxer brief they slide the moment you stand up, which is exactly when the leak comes.
So the fix is not a bigger pad. It is protection that cannot move, because it is part of the underwear itself.
The exercises she gave Walt are what help the leaks get smaller over time. The underwear only keeps you dry and unworried while that happens. She was very clear about that difference.
What Walt Had Been Wearing Under His Jeans for Four Months

Walt was wearing plain black cotton boxer briefs. From the outside they looked like the ones in my drawer. The difference was sewn inside the front.
It is called the Norvane Dry Boxer Brief, and a six-pack is $119.95, which comes to $19.99 a pair. Carol thought that was a lot for "underwear". We will come back to it.
There is an absorbent panel built into the front, right where the stand-up leak lands. A soft cotton layer against the skin, an absorbent layer under it, and a thin leak-resistant layer on the outside, so nothing reaches your trousers.

It is made for the drips and spurts of the months after surgery. It is not made for the first days after the catheter comes out, when you need full protection. Walt was clear about that, and so is the company.
- Sewn in, not glued: the panel is part of the underwear, so it stays where the leak lands when you stand up
- No bulge, no crinkle: it looks like a regular boxer brief under khakis or jeans
- Machine washable, worn again and again, instead of a box of pads every nine days
- A regular fly and a regular waistband, so a public restroom works the way it always did
- A plain package, with nothing on the box that says what is inside
I ordered a six-pack that night and told nobody. Not even Carol, at first.
See the Norvane Dry Boxer BriefDay One, a Church Pew, and Nobody Knew

Day 1. I wore them to church. I stood up to sing for the first time since February. I felt the drip on the second hymn. Nothing on my trousers. Nothing moved.
Day 3. My grandson's baseball game. Two hours on metal bleachers, up and down every inning, a coffee in my hand. I did not look for the restroom once.
Week 2. I carried the last box of pads out to the garage.
Week 6. The leaks were smaller by then, because I was doing the exercises every morning. That was the exercises, not the underwear. But the underwear is why I kept going out while they did their work.
Then came the one day I did not wear them. Our niece's wedding in July. Dress trousers, my old boxer briefs, a pad "just for a few hours".
During the toast, I stood up with everybody else and felt it slide. I spent the whole dinner with a napkin over my lap. That was all the proof I needed.
Check Your SizeHere Is What It Does, Without the Story

It catches the stand-up leak where it lands, in the front, with a panel that is sewn in and cannot slide.
It keeps the outside dry, with a leak-resistant layer between the panel and your trousers.
It looks like underwear, because it is underwear: cotton, a waistband, a fly, no square line under your khakis.
It goes in the wash with the rest of your laundry, and comes back ready for another day.
It does not cure anything. The exercises and your care team do that part. This is what you wear while they do.
$19.99 a Pair for "Underwear"

Carol said it out loud when I told her the price, and it is the first thing most people say.
Then I showed her the receipts. $412 in four months, on things that slid, crinkled and went in the trash.
A box of pads lasted me nine days. A pair of these goes in the wash and comes back.
Most men in this position have already spent the money. They spent it in pieces, one box at a time, without ever adding it up.
Three pairs are $69.95. Six pairs are $119.95, $19.99 a pair, which is what most men pick, so there is always a clean pair in the drawer while the others dry. Nine pairs are $149.95.
Why I Would Not Wait for the Leaks to Stop on Their Own

For a lot of men the leaks get smaller over the months. For some it takes a good deal longer. Nobody can tell you in advance which one you will be.
The months you spend waiting are the months you skip the ballgame, sit through the hymns and turn down the fishing trip.
The package usually leaves the warehouse within two business days and usually arrives within five to nine business days.
This summer does not come with a second version. The only version of it you get is the one you are living now.
Get the Six-Pack for $119.95Thirty Days, and the Risk Sits With Them

You get 30 days. Wear them, wash them, take them to church, to the ballgame, on the drive to your daughter's.
If they do not keep you dry and comfortable, you get your money back. The full purchase price.
No forms to fill in. One email with your order number, and we send you the return instructions.
Wrong size? The same 30-day return covers it.
The only thing you are risking is one more week of pads, which you were going to buy anyway.
Carol's verdict was not "they work". It was that I stood up and sang again. That is the only test that means anything.
The Questions Every Man Asks Before He Orders

When can I start wearing them
Once the catheter is out and the first days of heavy leaking are behind you. In those first days most men need full protection, and that is what the hospital sends you home with. These are for the drips and spurts that come after.
Will they hold a heavy leak or a whole night
They are made for light to moderate leaks, the stand-up leak. If your nights are still heavy, keep a heavier product for the night and wear these in the day. Walt did exactly that for his first month.
Can anyone tell I am wearing them
From the outside they look like ordinary black boxer briefs. No crinkle when you sit, no square line under khakis or jeans.
How do I wash them
Machine wash with your other clothes, hang to dry. Skip the fabric softener, because it coats the panel and makes it absorb less.
What about odor
Change into a fresh pair when the panel is wet, the same way you would change a pad. Washed normally, they come out clean.
What size should I order
Your usual underwear size. If you are between two sizes, go up. If the fit is wrong, the 30-day return covers it.
Is this a medical device
No. It is underwear with an absorbent panel. It does not treat leaks or make them stop. For that, talk to your care team about pelvic floor exercises.
What if they do not work for me
You have 30 days from delivery. Send one email with your order number, return the pairs, and you get a refund of the purchase price.
Your Two Choices

Choice One is what I did for four months. A pad glued to a boxer brief, a spare in your coat pocket, sitting through the hymns and checking your trousers in every store window. It is the easy choice, because you already know how it goes.
Choice Two is to stop fitting a pad into underwear it was never shaped for. Wear the protection as part of the underwear, sewn in where the leak lands, and let the exercises do their slow work in the background.
Carol and I walk the pier on Sunday evenings again. I still do my exercises every morning. I have not bought a box of pads since June. Carol ordered the next six-pack herself.
Try the Norvane Six-PackWhat Men Wrote in a Prostate Surgery Recovery Forum

These are not our customers. They are things men wrote in a public support forum for prostate surgery, and they say the same thing the expert told Walt.
"Pads do not work in boxer shorts...they will fall out, especially when they begin getting heavier."
"I still have my accidents... doing every day little things like standing up, or sitting down (especially in my car)."
"There's no bulge in your pants that would tip anyone off."
"The out of nowhere wake up at 2 in the morning soaking wet... I wanted to scream."
"Buy the blue ones, anything but white."
None of those men were wrong. They were just using things built for another problem.
P.S. If you do one thing today, count what you spent on pads last month. Most men have never added it up.
P.P.S. The size is the part men get wrong. Between two sizes, go up. The 30-day return covers it.

Stand Up Without Checking Your Trousers
Cotton boxer briefs with the protection sewn in, 30 days to decide, and a return if they are not right for you.
Order the Six-Pack for $119.95