TENA Stretch Plus Briefs - Large/X-Large (41-64 inch waist) - Moderate Absorbency

Most tabbed incontinence briefs present a binary care model: they either require full tab-change application by a caregiver, or they are pull-on underwear the user manages independently. The TENA Stretch Plus Brief bridges this divide with a genuinely multifunctional design — the full-length Sure Stay hook fastening system allows traditional tab-change application for caregiver-assisted care, but the stretch side panels are compliant enough that the brief can also be pulled up and down like protective underwear during restorative care programs where building or maintaining toileting independence is a goal. This dual-use capability makes the Stretch Plus the right choice for users in transitional care phases, rehabilitation settings, and any situation where care needs vary across shifts or change over the course of recovery. The InstaDri Skin-Caring System target absorption zone wicks moisture away from the skin rapidly on contact, the dual-core absorbs and locks it away with superabsorbent polymers, and the fully breathable stretch side panels promote skin health throughout the wear period. Three sizes cover waist/hip measurements from 33 to 70 inches.

Who This Is For

• Rehabilitation and restorative care patients working toward toileting independence who need a brief that supports the pull-up/pull-down motion of a toileting program while also allowing full caregiver tab-change application when needed — without switching products between care approaches
• Users with moderate to heavy urinary incontinence or mild bowel incontinence who need a tab-closure brief with meaningful absorbency but want the option of more independent management during high-function periods of the day
• Care facilities managing residents across a spectrum of functional ability whose nursing staff need a brief that works for both fully assisted and partially independent toileting without requiring different products for different residents or different times of day
• Home caregivers whose loved one has variable daily function — more independent on good days, requiring full caregiver assistance on difficult days — and need a single product that works appropriately in both scenarios
• Anyone who has found standard pull-on underwear leaks under moderate to heavy incontinence volumes but wants to preserve some degree of independent management that a fully caregiver-dependent tab brief does not allow

Key Features

• Multifunctional Design — Tab Change or Pull Up/Down: The defining feature of the TENA Stretch Plus is its dual-use capability. The full-length Sure Stay hook fastening system runs along both sides of the brief — allowing the tabs to be opened, the brief removed, and a new brief applied in the conventional caregiver-assisted manner. But the stretch side panels are designed to accommodate a pull-up and pull-down motion as well — the user or caregiver can lower the brief for toileting and raise it back into position without unfastening the tabs, exactly as with protective underwear. For restorative care programs focused on maintaining or rebuilding toileting routines, this means the brief supports the physical mechanics of the toileting sequence — walking to the bathroom, lowering clothing and the brief, sitting, and reversing the sequence — without requiring tab manipulation at each step. For care facilities, this eliminates the need to stock separate tab briefs and pull-on underwear for residents at different functional levels.
• Sure Stay Wide Hook Fastening System — Refastenable Anywhere on the Brief: TENA's Sure Stay hook system uses a wide hook closure that fastens securely to any point on the brief's front panel — not just a small landing zone. This unlimited fastening area means the tabs can be repositioned to achieve a precise, individualized fit rather than being forced into one of two or three fixed positions. For users whose body shape makes standard tab positioning uncomfortable or leak-prone, the Sure Stay system allows the fit to be customized at the waist and hip simultaneously. The tabs refasten reliably through multiple openings and closings — supporting checks, partial changes, and fit adjustments without the adhesive degrading.
• Stretch Side Panels — Individualized Fit and Full Breathability: The side panels are constructed from fully breathable stretch material rather than the non-stretch poly or cloth-like film used on standard briefs. The stretch allows the panels to conform to the user's body contour at the hip and waist rather than holding a fixed shape — reducing the gapping and sagging that occurs when a non-stretch panel cannot accommodate variation in hip and waist geometry. The stretch also enables the pull-up/pull-down motion described above. Full breathability through the side panels allows heat and moisture vapor to escape continuously during wear, reducing the temperature and humidity elevation that accelerates skin breakdown during extended use.
• InstaDri Skin-Caring System — Rapid Surface Moisture Removal: The InstaDri system uses a target absorption zone positioned at the point of maximum fluid contact — directing fluid away from the skin surface rapidly on contact rather than allowing it to pool or spread. The target zone's fast-wicking action minimizes the duration of skin-to-moisture contact at each void, which is the primary mechanism through which incontinence products protect skin integrity. Faster wicking means less time with moisture against the skin between changes, regardless of how frequently changes occur.
• Dual-Core Absorption with Superabsorbent Polymers — Locks Moisture Under Pressure: Below the InstaDri surface, the dual-core absorbs fluid in two stages. The first core layer accepts and distributes incoming fluid; the second core layer, fortified with superabsorbent polymers, converts absorbed fluid to a gel state that cannot be re-released under the pressure of sitting or body weight. This two-stage lockout mechanism maintains surface dryness even during extended sitting and prevents the rewetting that occurs with single-core or polymer-light construction when body weight compresses saturated material back toward the skin.
• Odor Control Technology — Locks Away Liquid to Reduce Odor: The superabsorbent polymer system that locks fluid into gel form also seals it away from the air contact and bacterial breakdown processes that generate ammonia and odor compounds. By converting fluid to a sealed gel state, the system removes the liquid-to-air interface where odor develops — providing odor control as a mechanical property of absorption rather than through added fragrances or odor-masking chemistry.
• Elastic Leg Gathers — Secure Seal at the Leg Opening: The leg openings use elastic gathers that conform to the inner thigh throughout the full range of daily movement — sitting, standing, walking, and repositioning. Elastic gathers maintain their seal during the body position changes that cause fixed-geometry leg openings to gap, which is the most common cause of side and leg leakage in tabbed briefs. The gather construction is comfortable against the inner thigh during extended wear without leaving pressure marks.
• Breathable Poly Backing — Skin Health and Quiet Wear: The outer backing is breathable poly — allowing air exchange through the entire brief surface, not just the stretch side panels. Full-garment breathability maintains a cooler microclimate against the skin and reduces the heat accumulation that is the primary driver of perineal skin irritation during extended wear. The poly backing is also quieter than film-backed alternatives during movement.
• Polymer Topsheet — Soft Skin Contact Surface: The skin-facing topsheet uses a polymer nonwoven material that is softer against the skin than standard nonwoven topsheets — reducing friction against perineal skin that is already susceptible to irritation from repeated moisture exposure. The polymer topsheet works with the InstaDri zone beneath it to move fluid through the surface quickly while maintaining a soft, dry feel against the skin.

TENA Stretch Plus vs. Stretch Super vs. Stretch Ultra — Absorbency Comparison

Size Guide

Measure the widest point between the waist and hips. Note that the Medium and Large/XL ranges overlap — users in the 41–52 inch range may fit either; when between sizes, size up to ensure the elastic leg gathers maintain their seal. The Large/XL is a single size covering a wide range — TENA's stretch panel design accommodates this range without requiring separate Large and XL SKUs.

Technical Specifications