How Incontinence Pads Contribute to Moisture Associated Skin Damage (and What to Do About It)

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Let’s talk about something people rarely want to admit, let alone discuss: incontinence. Whether it’s a few leaks during a laugh or a chronic struggle, one common “solution” many turn to is wearing absorbent pads.

But here’s the problem: long-term use of incontinence pads can lead to something called Moisture-Associated Skin Damage (MASD)—a painful, sometimes hidden, condition that slowly breaks down your skin’s natural defenses.

We’re not here to shame or scare you. But we are here to give you the full story: the science of what’s happening under those pads, why it’s more than just a rash, and how a game-changing non-invasive device called Elitone might be the solution you didn’t know you needed.

What is Moisture-Associated Skin Damage?

Moisture-Associated Skin Damage (MASD) is exactly what it sounds like: skin breakdown caused by prolonged exposure to moisture. This includes sweat, urine, feces, and even wound drainage.

In the case of incontinence, the damage is primarily from urine. When your skin is exposed to it for long periods—like with pads that aren’t changed frequently or are used around the clock—it creates the perfect storm for irritation, inflammation, and eventual breakdown..

The Science: When Urine Meets Skin, It Gets Ugly (Fast)

Here’s the kicker: urine doesn’t just make your skin wet. It changes the entire pH balance.

Normal skin pH = 4.5–5.5

Urine-soaked skin pH = up to 12

That’s not just a small change—it’s a seismic shift for your skin. Under normal conditions, healthy skin has a pH between 4.5 and 5.5—slightly acidic. This acidity plays a critical role in keeping the skin barrier intact, supporting beneficial bacteria, and fending off irritants and pathogens.

But when skin is soaked in urine, especially over extended periods, this balance is thrown completely off. Urine is alkaline, and as it sits and begins to dry, it reacts with the skin in ways that are deeply damaging. The pH of urine-soaked skin can rise to 12, which is equivalent to household ammonia! That’s a huge blow to the skin’s protective functions.

At this alkaline pH, enzymes in the urine—like urease—become activated. These enzymes start breaking down the lipids (fats) and proteins that make up the skin’s structure. Think of it like stripping the mortar from between bricks; the entire wall weakens and eventually crumbles. This breakdown allows irritants, bacteria, and fungi to penetrate and cause damage.

This is exactly what happens in diaper rash. And for adults wearing incontinence pads or briefs for long periods, the skin reacts in a similar way.

The results?

  • Redness from inflammation and irritation
  • Itching that leads to scratching, which can worsen the damage
  • Burning from the compromised nerve endings in broken skin
  • Painful ulcers that can ooze or become infected
  • Fungal infections, especially in warm, moist areas like the groin and buttocks, where yeast can thrive

If left untreated, these symptoms can escalate quickly, making daily activities miserable and increasing the risk of serious infections. That’s why prevention and addressing the root cause—the incontinence itself—is so crucial.

The Emotional Toll: More Than Skin Deep

Living with incontinence isn’t just about dealing with physical discomfort; it carries a profound emotional toll that affects every facet of life. Picture waking up every day with the underlying anxiety that a leak might occur at any moment—a worry that many who struggle with incontinence know all too well. This constant vigilance can leave you feeling isolated, as if you’re carrying a secret burden that sets you apart from others. The embarrassment surrounding incontinence often forces individuals to shy away from social interactions, leading to loneliness and a sense of disconnect from the world around them.

Now, add the physical impact of raw, painful skin into the equation. Each leak isn’t just a momentary inconvenience—it’s a trigger for a cascade of skin issues. The relentless cycle of irritation from moisture-associated skin damage can cause burning, itching, and even painful ulcers. These visible signs of damage aren’t merely a cosmetic concern; they serve as daily reminders of a condition that seems to define you, further fueling feelings of shame and frustration.

Managing incontinence means more than just coping with leaks. It involves juggling multiple aspects of daily life: enduring sleep disruptions due to discomfort, the constant need for pad changes, and the time-consuming ritual of applying skin creams and ointments. There’s also the nagging fear of unpleasant odors or visible stains that might betray your private struggle in public settings. The relentless routine can be exhausting—mentally and physically—leading to stress, anxiety, and even depression.

Incontinence isn’t just a physical challenge; it’s a multifaceted burden that touches every part of life. The emotional strain, compounded by the physical effects on the skin, transforms a manageable condition into a quality-of-life crisis. Recognizing this holistic impact is key to seeking effective, compassionate treatment and reclaiming both your health and your confidence.

Pads: A Temporary Solution with Long-Term Consequences

Incontinence pads are helpful in the short term. But here’s why they’re problematic in the long term:

  1. Occlusion – Pads trap moisture and heat, creating a breeding ground for bacteria and yeast.
  2. Friction – Every movement rubs the wet pad against the skin.
  3. Chemical Exposure – Many pads contain superabsorbent polymers, adhesives, and perfumes that can irritate sensitive skin.
  4. pH disruption – As mentioned, urine shifts skin pH dramatically.

Wearing pads every day is like having your skin sit in a wet sauna made of ammonia.

Elitone can help reduce those bladder leaks in just a few weeks!

Prevention: How to Protect Your Skin

If you’re using incontinence pads daily, protecting your skin isn’t optional—it’s essential. Moisture-Associated Skin Damage (MASD) can quickly escalate from mild irritation to painful sores, and prevention is far easier than treatment once the damage is done.

Barrier creams: Your skin’s personal bodyguard

The first and most important layer of defense is barrier creams. These products form a physical shield between your skin and urine, helping to lock moisture out and preserve the integrity of your skin barrier.

Here are the top options:

  • Zinc oxide – A thick, white cream often used in diaper rash ointments. It’s incredibly effective at soothing irritated skin and forming a durable barrier.
  • Petrolatum (like Vaseline) – An occlusive that locks in skin moisture and blocks out irritants.
  • Dimethicone-based creams – A lightweight silicone-based barrier that’s often less greasy and easier to apply than zinc or petrolatum, while still offering solid protection.

Apply these creams after gently cleansing and drying the skin during each pad change to help minimize irritation and reduce the risk of breakdown.

Hygiene matters

It’s not just what you put on your skin—it’s how you treat it daily.

  • Use pH-balanced cleansers: Regular soap can be too harsh and alkaline, which worsens the pH imbalance already caused by urine. Use specially formulated no-rinse cleansers designed for sensitive skin.
  • Pat, don’t rub: Rubbing can worsen irritation and cause micro-tears. Always pat the area dry with a soft towel or cloth.
  • Air it out: Whenever possible, allow your skin to breathe. Even a few minutes a day without a pad can make a difference.
  • Skip powders and perfumes: Talcum powders and fragrant sprays may seem like a good idea, but they can clog pores, disrupt the skin barrier, and cause allergic reactions.

But here’s the truth: It’s not just about the skin

Even the best creams, softest wipes, and most meticulous hygiene routine can only go so far if you’re still dealing with daily leaks. The real solution isn’t more ointments—it’s tackling the root cause: incontinence.

That’s why prevention should also include strategies to restore bladder control—which brings us to Elitone, a non-invasive treatment designed to strengthen pelvic floor muscles and address leaks at their source. Because when leaks stop, the skin can finally heal for good.

Elitone: Finally, a Solution That Treats the Root Problem

Imagine skipping the pads altogether. Imagine tackling the leaks, not just the symptoms.

That’s where Elitone comes in.

What is Elitone?

Elitone is a wearable device that uses gentle stimulation to strengthen your pelvic floor muscles—the very muscles that control your bladder. It’s like doing 100 Kegels without even trying. You wear it under your clothes, and in just 20 minutes a day, it begins to restore control.

  • Non-invasive
  • FDA-cleared
  • Discreet and silent
  • Pain-free

Elitone is not a band-aid. It’s a fix.

Rather than masking the issue with pads, Elitone actually trains your pelvic muscles to hold urine again. That means:

  • Fewer leaks
  • Fewer pads
  • Fewer rashes
  • Your confidence back

Real Talk: Can Elitone Actually Work?

Short answer? Yes. And not just in theory—Elitone has already helped thousands of people regain control of their bladders and their lives. If you’ve been living with leaks, relying on incontinence pads, and battling irritated skin, this could be the breakthrough you’ve been waiting for.

Elitone is an FDA-cleared device that strengthens your pelvic floor using gentle muscle stimulation. Think of it as doing targeted Kegels—without having to actually do the work. The treatment is non-invasive, discreet, and worn under your clothes for just 20 minutes a day. You don’t need to insert anything, lie down, or interrupt your routine. Just put it on, go about your day, and let Elitone do the work.

Clinical studies have shown that Elitone users experience up to 75% fewer leaks, with most seeing improvements in 6–12 weeks. Many users reduce their pad usage dramatically, and some eliminate the need for pads altogether. That’s not just a change in laundry or budget—it’s a massive shift in quality of life.

And when the leaks stop, your skin starts to heal. No more urine-soaked skin. No more pH spikes to 12. No more enzymes eating away at your protective barrier. Users often report a reversal of moisture-associated skin damage after they stop relying on pads 24/7. The redness, itching, and painful chafing fade, and healthy skin returns.

Other common benefits include:

  • Better sleep, because you’re no longer waking up to change pads or deal with discomfort
  • Improved mobility, since you can walk, move, and exercise without worrying about leaks
  • Greater confidence, knowing you’re in control of your body again
  • Freedom from creams, powders, and backup underwear

And perhaps the most meaningful impact? Peace of mind. Elitone gives you more than just a stronger pelvic floor. It gives you back your independence, comfort, and dignity.

So yes, Elitone can work—and for many, it already has. If you’re tired of managing incontinence with endless pads and creams, maybe it’s time to stop treating the symptoms and start fixing the cause. Your skin—and your sanity—deserve it.

Final Thoughts: It’s Time to Get Your Life (and Skin) Back

If you’re dealing with urinary incontinence, you deserve real answers—not just absorbent products and endless creams.

You deserve:

  • Healthy, intact skin
  • Comfortable movement
  • No fear of odors or rashes
  • Real freedom from leaks

Moisture-Associated Skin Damage (v1300, SD 35) is real—and it can be prevented, reversed, and avoided entirely when you treat the actual issue.

Pads should be a backup—not a life sentence.

 

References:

  1. https://elitone.com/?srsltid=AfmBOor3mwGQGfWOLtVvfx3QqPqXM3GdMeY4lmi67Vn2p-EpmnbMk5jl
  2. Dissemond J, Assenheimer B, Gerber V, Hintner M, Puntigam MJ, Kolbig N, Koller S, Kurz P, Läuchli S, Probst S, Protz K, Steiniger A, Strohal R, Traber J, Kottner J. Moisture-associated skin damage (MASD): A best practice recommendation from Wund-D.A.CH. J Dtsch Dermatol Ges. 2021 Jun;19(6):815-825. doi: 10.1111/ddg.14388. Epub 2021 May 4. PMID: 33942514. https://pubmed.ncbi.nlm.nih.gov/33942514/
  3. Gray M, Black JM, Baharestani MM, Bliss DZ, Colwell JC, Goldberg M, Kennedy-Evans KL, Logan S, Ratliff CR. Moisture-associated skin damage: overview and pathophysiology. J Wound Ostomy Continence Nurs. 2011 May-Jun;38(3):233-41. doi: 10.1097/WON.0b013e318215f798. PMID: 21490547. https://pubmed.ncbi.nlm.nih.gov/21490547/
  4. Parnham A, Copson D, Loban T. Moisture-associated skin damage: causes and an overview of assessment, classification and management. Br J Nurs. 2020 Jun 25;29(12):S30-S37. doi: 10.12968/bjon.2020.29.12.S30. PMID: 32579457. https://pubmed.ncbi.nlm.nih.gov/32579457/
  5. Voegeli D, Hillery S. Prevention and management of moisture-associated skin damage. Br J Nurs. 2021 Aug 12;30(15):S40-S46. doi: 10.12968/bjon.2021.30.15.S40. PMID: 34379461. https://pubmed.ncbi.nlm.nih.gov/34379461/
  6. Collier M, Simon D. Protecting vulnerable skin from moisture-associated skin damage. Br J Nurs. 2016 Nov 10;25(20 Suppl):S26-S32. doi: 10.12968/bjon.2016.25.20.S26. PMID: 27834525. https://pubmed.ncbi.nlm.nih.gov/27834525/

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