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MedQ Incontinence
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Fit & Leakage Β· 4 min read Β· Last reviewed August 2026

How to Measure for an Adult Brief or Pull-Up

Measure both waist and hip circumference in centimetres. Use the larger of the two measurements to select the size. Do not guess based on clothing size.

Direct Answer

Measure both waist and hip circumference in centimetres. Use the larger of the two measurements to select the size. Do not guess based on clothing size β€” underwear sizing and brief sizing use different cuts. A proper fit means the leg elastic sits snugly against the inner thigh without cutting in, and the waistband sits at the natural waistline.

Step-by-Step Measurement

  1. Waist: Measure around the narrowest part of the torso, usually just above the belly button
  2. Hips: Measure around the widest part of the hips and buttocks
  3. Use the larger measurement against the size chart
  4. If between sizes, consider body shape: choose the larger size for broader hips, the smaller size for a narrower hip-to-waist ratio if leg sealing is the priority

Checking the Fit

  • Leg elastic should create a gentle seal β€” you should be able to slip one finger under the elastic
  • The absorbent core should cover from the lower abdomen to the upper buttocks
  • Standing leak guards should stand upright inside the leg cuff, not folded flat
  • Tabs should fasten within the designated landing zone without stretching to the limit
  • No gap should be visible at the lower back when the wearer is lying down

Common Fitting Mistakes

  • Wearing too low: The core misses the urethra entirely
  • Wearing too high: The lower buttocks are exposed
  • Leg guards tucked in: Urine flows directly out the leg opening
  • Tabs too tight: Causes skin damage and tab tearing
  • Tabs too loose: Gaps form at the waist and hips
  • Wrong size for body shape: A size Large for a tall, narrow person fits differently from a size Large for a shorter, broader person

Size Chart Reference

SizeWaist (cm)Hip (cm)
Small60–8565–90
Medium80–12090–125
Large100–150110–160
XL130–170140–180
2XL150–190160–200
3XL170–210180–220

Always check the manufacturer's specific size chart as measurements vary between brands.

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