Sunday, 20 July 2025

Walgreens Certainty Unisex Adult Briefs Review

 *For more information on how I do reviews see Diaper Test Methodology


 

Summary

The Walgreens Certainty Unisex Adult Briefs are a stretch-side style adult diaper with a cloth-like backsheet. These share the same name with a previously reviewed Southeast Asian diaper, the Certainty Adult Diaper, but are a completely different product. I suspect many who were searching for the “Certainty Diaper” and ended up on the blog were in fact looking for this diaper. This diaper is sold by the Walgreens Pharmacy chain in the US under their store brand label. From what I can tell, this product previously had a classic four tab design but more recently has moved to this single tab stretch style design. These are not easy to find outside the US and, on that note, I’d like to give a special thanks for the donation of 6 of these to complete this review. As always, all suggestions and donations are greatly appreciated! 

As you might expect with the smaller sample set to work from, this review is a little less thorough than our typical reviews but I’ve tried my best to capture the key performance metrics. However, in this case it proved pretty easy to get a sense of how these diapers will perform because I found them to be virtually identical to the previously reviewed CVS Health Stretch Fit Adjustable Briefs and I suspect both were produced in the same manufacturing facility. Walgreens seems to have given away the supplier as Attends Healthcare Products, Inc, which is hardly surprising given it’s one of the larger incontinence producers in the US. I did find a slight weakness in these compared with the CVS diaper but it’s hard to tell if that was due to slight differences in product, manufacturing or the condition of the individual units tested. In researching the two, I found that these tend to run cheaper than the CVS diapers, so it’s not unreasonable to think they could be a slightly lower quality. Yet from my testing I don’t think the difference was enough to make the CVS worth the additional cost compared with these. These diapers will comfortably manage a single wetting without leaks both in daily wear or bedwetting, but they will consistently fail beyond that point. They also may not be the best choice for active wear due to certain durability issues. Even so, the very low unit price gives these a pretty strong edge as far as economics are concerned. So if you want something cheap that’s comfortable and can reliability be changed after every wetting then this could be a good choice for you.


Key Features:

  • Cloth-like backsheet
  • Stretchable wings
  • Standing inner leak guards
  • Wetness indicator
  • Repositionable fasteners

Pros:

  • Comfortable/breathable design
  • Consistent performance
  • Decent resistance to surface dampness

Cons:

  • Limited sizing
  • Limited availability
  • Durability issues

 

Product Details

For the purpose of this post I will be reviewing and referring to the small/medium-sized Walgreens Certainty Unisex Adult Briefs. However, other available sizes are listed below:


Packaging

Brand: Certainty
Manufacturer: Attends Healthcare Products, Inc.
Origin: USA
Units Per Bag: 20
Cost Per Unit: $
Dimensions (L x W x H)*: 25 cm (9.8") x 15 cm (5.9") x 30 cm (11.8")
Weight*: 1.6 kg (3.5 lbs)
Available Sizes: S/M,L/XL,2XL/3XL
Advertised Absorbency: Maximum

[1.1 Packaging Pictures Unavailable - TBD - please share if you have these] 

Diaper

Backsheet: Cloth-like (non-woven)
Wetness Indicator: Yes (two yellow lines down middle, blue when wet)
Standing Inner Leak Guards: Yes
Leg Gathers: Yes
Product Style: Stretch Sides Brief
Refastenable Tabs: Yes
Number of Tapes: 1
Repositionable Tabs: Yes
Outer Color: White
Inner Color: White
Front Waistband: No
Rear Waistband: No
Folded Thickness: 2.16 cm (0.85")
Folded Length: 22.5 cm (8.9")
Dry Weight: 83 g (2.9 oz)
Fragrance: No
Diaper Dimensions (L x fW x mW x bW): 81 cm (32") x 53 cm (20.9") x 29 cm (11.4") x 74 cm (29.1")
Wing Shape (Front, Rear): Rectangular, Rectangular
Padding Dimensions (L x fW x mW x bW): 61.5 cm (24.2") x 22.5 cm (8.9") x 18 cm (7.1") x 24 cm (9.5")
Padding Wing Dimensions (fPW x fPH x bPW x bPH): 2.3 cm (0.9") x 13 cm (5.1") x 3 cm (1.2") x 13 cm (5.1")
Padding Wing Shape (Front, Rear): Semicircle, Semicircle
Total Padding Area: 1243 cm2 (193 in2)
Tape Spacing (t1): 5 cm (2")
Tape (W x L): 11 cm (4.3") x 2 cm (0.8")

1.2 Walgreens Certainty Unisex Adult Diaper


Laboratory Absorbency Tests

Total Absorption Volume (after press out): 750 ml (24.4 oz)
Total Absorption Volume (before press out): 775 ml (23.5 oz)
Time to Absorb Wettings (first to last): (43 s, 52 s, 58 s)
Wet Folded Thickness: 4 cm (1.6")
Used to Total Padding Ratio: 74%
Total Padding to Absorbency Ratio: 0.54 ml / cm2 (0.12 oz / in2)
Press Out Volume: 25 ml (0.9 oz)

Surface Dampness Rating: 5

The Walgreens Certainty diaper build is almost identical to the CVS diaper. However, there was a little more surface dampness present after the first wetting in comparison during the lab test. It wasn’t a huge amount, but enough to be noticeable. That said, in real world wear this diaper felt nearly the same as the CVS one even when wet and dampness was less noticeable as a consequence of the otherwise very breathable design.


2.1 Wet vs Dry Diaper After Capacity Test


2.2 Used vs Unused Padding After Capacity Test


"Real World" Absorbency Tests

Posture Tests


Standing-Sitting

Total Absorbed Volume: 692 ml (24.4 oz)
Total Wettings: (1 standing, 1 sitting)
Leaked After Sitting: No
Used to Total Padding Ratio: 88%
Padding to Absorbency Score: 0.56 ml / cm2 (0.13 oz / in2)

Standing-Sitting Rating: 6

The Walgreens Certainty diaper had a respectable performance when tested while standing and sitting. The first wetting while standing was readily absorbed with no signs of leakage. Initially there was a lot of pooling in the mid-section but it easily spread through the padding. At this point only the mid-padding was wet and there was still a significant amount of dry padding at the front and rear. I felt the surface dampness initially but it wasn’t particularly noticeable over time. I believe the breathability of the diaper went a ways to mitigating it. The second wetting was clearly going to leak based on tests with previous similar diapers. Moisture quickly pushed up the front of the diaper and spilled into the sides, producing a rather large leak, particularly on the right side. The front padding was completely saturated, but the rear padding still has a section of dry padding. Generally this diaper should be fine for a single wetting when worn for daily wear but I wouldn’t trust it to manage two or more wettings.

 

Lying Down

Total Absorbed Volume: 817 ml (28.8 oz)
Total Wettings: 2
Used to Total Padding Ratio: 93%
Padding to Absorbency Score: 0.58 ml / cm2 (0.13 oz / in2)

Lying Down Rating: 6

The Walgreens Certainty diaper performed fairly well when tested while lying down. The first wetting was fully absorbed without any signs of leakage. Moisture quickly pooled down to the midsection and the diaper felt quite damp. The surface dampness never fully went away but the breathability somewhat mitigated it and I noticed it less after a few minutes. The front padding was still dry at this point and there was a bit of dry rear padding as well. The second wetting resulted in a substantial leak through the rear leg gathers. Initially there was again significant pooling in the midsection while some of the front padding remained dry. I feel the relatively loose fit means not as much moisture will hit the front and this diaper isn’t particularly strong at wicking. It managed a relatively large amount of absorption for a store-bought diaper. I suspect you’ll generally manage a single wetting with this diaper when used for bedwetting but I wouldn’t count on it beyond that.

2.3 Pattern of Used vs Unused Padding Test Stand/Sit (right) Lying Down (left)


Daily Wear and Bedwetting

The Walgreens Certainty Unisex Adult Brief would have been a more interesting diaper to review had I not previously reviewed the CVS Adjustable diaper. It was much harder to develop a distinct opinion on this diaper when the two were nearly identical down to the same manufacturing flaw (triangular bits of backsheet surplus cutting falling off). With only 6 diapers to test, this was also more of a compact review as it was a relatively small sample size to get a feel for daily wear and bedwetting after performing my routine tests. In any case, I was able to form a bit of an opinion. Unsurprisingly, it felt exactly the same as the CVS diaper. I didn’t have any skin irritation when testing it, even after wearing it for a long duration. It also felt quite well suited for warm weather wear and I didn’t notice much sweat or clamminess when wearing this diaper. When worn around the house, I noticed more of a crinkling noise from this diaper than I would have expected for one with a cloth-like backsheet. Of particular note was that the layers in this diaper seem to separate with the backsheet, padding and topsheet detaching and moving independent of one another, which I feel is the primary reason for the noise tendency. That also made the padding more susceptible to tearing. Although, even with deteriorated padding, the core structure was fairly resilient and sufficient to handle wettings in the deteriorated state. In terms of performance I found this diaper was reliably able to handle a single large wetting both in daily wear and bedwetting. It also proved sufficient at resisting leaks when sitting after a wetting, which is critical for usefulness in daily wear. In fact, I found it impressive that at its very low unit price, not far off the price of many incontinence pads, this diaper was consistently able to manage a full wetting without leaking in both daily wear and for bedwetting. I did notice a few factors that could indicate slightly lower quality than the CVS diaper, including a little more surface dampness and padding deterioration. It was tough to say if those were due to actual differences in material makeup or a result of testing on diapers that weren’t recently compacted from being in the bag. The deterioration factor will make these less useful for active wear, though they do a decent job at distributing heat. They also feature a wetness indicator and may be helpful in less active environments like care facilities where the low unit cost is prioritized and frequent changes are necessary.


Suitability for Bowel Incontinence: 4

The Walgreens Certainty diaper can manage bowel incontinence, but it’s far from the best in this regard. It has some beneficial features like inner leak guards. Though it lacks waistbands and is cloth-backed so unlikely to retain odors well. Once again, you can expect the same results from this diaper as you’d get from the nearly identical CVS diaper.

 

Wear & Tear Tests


Fitting

The Walgreens Certainty diaper has a design and fit that’s nearly identical to the CVS diaper. This diaper is cloth-backed with stretchy sides and a single hook & loop fastener per side. The backsheet on this diaper has a very high rise, but the padding rise is pretty typical. The waistband gives it a snug fit around the hips, but the waistline material is quite wide, giving it a loose fit. The sizing on this is nearly the same as the CVS. The medium fit me just fine, which is typical for a medium, but the tapes were quite close to crossing so there wasn’t much more room. So I would say sizing is slightly on the large side. More generally the sizing of these leans toward the larger end with the smallest sizing starting at a 31” waist (S/M) going up to a 100” waist at 2XL/3XL.

3.1 Walgreens Certainty Unisex Adult Briefs Fastener
 

Ease-of-Use Rating: 7

I’m rating the Walgreens Certainty diaper the same as the CVS diaper because it’s nearly the same product. If you look at the dimensions these two are almost identical and the material makeup is the same. These diapers are generally pretty user friendly. They have stretchable sides that can easily be repositioned or refastened multiple times. They also feature a wetness indicator to assist carers with knowing when the diaper is wet. The fastener folding pattern means they can take a little while to apply because you’ll need to unfold several folds to get it to the proper length for fastening. The fasteners can wear out the backsheet a little over time and after multiple refastenings. Most should find this diaper to be quite user friendly.

3.2 Walgreens Certainty Unisex Adult Briefs Fit

Comfort


Comfort Rating (dry): 7

The Walgreens Certainty diaper is highly breathable and I found it to be quite comfortable in its dry state. These have a light /airy feeling that’s pretty much identical to the CVS Adjustable diapers. The cloth-like material and padding is quite soft and easy on the skin. This design also makes them a bit prone to shifts that can detract from the comfort a bit. Moreover, while the hook & loop fasteners are generally pretty strong, they can shift with wear as well and potentially cause friction with the wearer’s legs. The padding wasn’t super prone to clumping or tearing but it did noticeably deteriorate. Once again, with these being virtually identical to the CVS Adjustable diapers I can’t justify a different rating.


Comfort Rating (wet): 7

I rate the Walgreens Certainty diaper about the same as the CVS Health diaper when it comes to wet comfort. Both diapers are similarly designed with similar absorbencies. There’s a tendency for surface dampness in both cases but the impact on the wearer is mitigated by the very breathable nature of the product. I never felt this diaper being particularly clammy and the padding held up just fine when wet, without awkward clumping or tearing. By its nature this diaper will be slightly prone to sagging when wet, but the tapes shouldn’t have issues keeping it fastened around the hips at its expected absorbance range.

3.3 Walgreens Certainty Unisex Adult Briefs Topsheet and Backsheet

Durability

Dry Padding Deterioration Proportion: 16.7% (topsheet), 12.7% (backsheet)
Shake Deterioration Test: 2 shakes to deterioration


Durability Rating (dry): 5 

For whatever reason the Walgreens Certainty diaper actually performed a bit worse in the dry durability than the CVS diaper. It may have been because these weren’t fresh out of the package and had “fluffed” up in a way that made them more susceptible to deterioration as opposed to the more compacted padding you’d get out of the package. In any case this is one area where I’m giving it a lower rating than the CVS diaper, given substantial enough disparity and the absence of information indicating otherwise. That said, most of the padding deterioration was still at the edges with only a little overlapping with the core padding area. Other than that, the fasteners actually held up reasonably well during testing. Though it also had the same issues as the CVS diaper with padding easily separating from the backsheet and small triangular bits of backsheet falling off (a manufacturing side-effect as a result of cutting excess material that didn’t actually impact performance). Based on these findings, I wouldn’t recommend these for active wear. 


Durability Rating (wet): 5

There wasn’t a substantial difference between the wet and dry states for the Walgreens Certainty diaper in terms of durability, so I’m ranking them the same in this regard. The fasteners were fine holding the weight of the diaper and it seemed quite resistant to perspiration through the backsheet (a common problem for cloth-backed diapers).

3.4 Walgreens Certainty Unisex Adult Briefs Dry Test Deterioration


Discretion Tests


Profile

Front Rise Above Waistline (Jeans, Sweatpants): 7 cm (2.8"), 6 cm (2.4")
Back Rise Above Waistline (Jeans, Sweatpants): 7.5 cm (3"), 4 cm (1.6")
Side Rise Above Waistline (Jeans, Sweatpants): 4 cm (1.6"), 6 cm (2.4")

Profile Discretion Rating: 8

This is basically the same diaper as the CVS diaper so I’m rating it the same in terms of profile discretion. Once again, the rise above the waist is quite high and can produce a slight bulge at the front and rear. However, the padding is pretty thin and although it can fluff up a bit it’s also easy to conceal under meshpants or underwear. 

4.1 Walgreens Certainty Unisex Adult Briefs Jeans Profile (left) vs Normal Underwear (right)

4.2 Walgreens Certainty Unisex Adult Briefs Sweats Profile (left) vs Normal Underwear (right) 


Noise

Noise Rating: 6

This diaper also earns the same noise discretion rating as the CVS Adjustable diaper. Both produce a muffled crinking noise during movement. It’s not the level you’d get with some thin plastic-backed diapers, but still enough that it may be noticed if not careful. You’ll want to choose appropriate outerwear to cover up the noise from these.

4.3 Walgreens Certainty Unisex Adult Briefs Noise Profile

Odor Reduction

Odor Reduction Rating: 7

Though my testing was fairly limited I wouldn’t say I noticed much in the way of odors. Even though surface dampness appeared slightly worse, I couldn’t see a compelling reason to rank this diaper any different from the nearly identical CVS one in this regard.


Tuesday, 1 July 2025

Oto Adult Diapers Premium Review

 *For more information on how I do reviews see Diaper Test Methodology


 

Summary

The Oto Adult Diapers Premium are a cloth-backed Indonesian diaper with a hybrid fastener design produced by PT Arkstarindo Artha Makmur. Like other Indonesian diapers tested so far, this diaper features two disconnected landing zones. Unlike most cloth-backed diapers, the landing zones are a plastic material and the fasteners are adhesive tapes rather than hook & loop fasteners (hence the “hybrid” qualifier). The company that produces these also appears to produce a number of absorbent/non-absorbent sanitary products. They also produce another, presumably plastic-backed version of these, simply referred to as Oto Adult Diapers Open. Interestingly these have some Japanese looking branding and the SAP (super absorbent polymer) appears to be labelled “product of Japan”, though the diaper itself is made in Indonesia. These diapers are also uniquely notable for containing information about recommended urine concentrations in the landing zone designs.

These diapers are relatively thin and struggle to absorb a full wetting without leaks. However, they are also highly breathable, comfortable and reasonably durable. For some that trade-off might be worthwhile, but you’re only going to get at most one wetting from these before leaking and they would best be used with a booster pad for extra absorbency. They run at an exceptionally low unit cost, so the booster pad economics make a lot more sense if you decide to go with these.


Key Features:

  • Cloth-like backsheet
  • Dual plastic landing zone 
  • Standing inner leak guards
  • Repositionable fasteners

Pros:

  • Highly breathable/comfortable
  • Snug fitting with decent fasteners
  • Very low unit cost

Cons:

  • Low absorbency
  • Poor protection against surface dampness

 

Product Details

For the purpose of this post I will be reviewing and referring to the medium-sized Oto Adult Diapers Premium. However, other available sizes are listed below:


Packaging

Brand: Oto
Manufacturer: PT. Rejeki Putra Putri Eliman
Origin: Indonesia
Units Per Bag: 8
Cost Per Unit: $
Dimensions (L x W x H): 17 cm (6.7") x 17 cm (6.7") x 23 cm (9.1")
Weight: 0.8 kg (1.8 lbs)
Available Sizes: S,M,L,XL
Advertised Absorbency: High

1.1 Oto Adult Diapers Premium Packaging

Diaper

Backsheet: Cloth-like (non-woven)
Wetness Indicator: Yes (bluish-green double line dashes/text, fades when wet)
Standing Inner Leak Guards: Yes
Leg Gathers: Yes
Product Style: Tab-Style Brief
Refastenable Tabs: Yes
Number of Tapes: 2
Repositionable Tabs: Yes
Outer Color: White (yellow/orange patterned landing zone + blue fan/diaper icons down middle)
Inner Color: White
Front Waistband: No
Rear Waistband: No
Folded Thickness: 2.33 cm (0.92")
Folded Length: 24 cm (9.5")
Dry Weight: 100 g (3.5 oz)
Fragrance: No
Diaper Dimensions (L x fW x mW x bW): 75.5 cm (29.7") x 61 cm (24") x 30 cm (11.8") x 59 cm (23.2")
Wing Shape (Front, Rear): Rectangular, Rectangular
Padding Dimensions (L x fW x mW x bW): 63 cm (24.8") x 26 cm (10.2") x 18 cm (7.1") x 36 cm (14.2")
Padding Wing Dimensions (fPW x fPH x bPW x bPH): 4 cm (1.6") x 12 cm (4.7") x 9 cm (3.5") x 16 cm (6.3")
Padding Wing Shape (Front, Rear): Semicircle, Semicircle
Total Padding Area: 1518 cm2 (235 in2)
Tape Spacing (t1 x t2): 7 cm (2.8") x 13.5 cm (5.3")
Tape (W x L): 2.5 cm (1") x 4 cm (1.6")

1.2 Oto Adult Diapers Premium


Laboratory Absorbency Tests

Total Absorption Volume (after press out): 670 ml (23.6 oz)
Total Absorption Volume (before press out): 675 ml (23.8 oz)
Time to Absorb Wettings (first to last): (63 s, 89 s, 93 s)
Wet Folded Thickness: 3.5 cm (1.4")
Used to Total Padding Ratio: 83%
Total Padding to Absorbency Ratio: 0.44 ml / cm2 (0.10 oz / in2)
Press Out Volume: 5 ml (0.18 oz)

Surface Dampness Rating: 3

The Oto Premium performed poorly when tested for surface dampness. There was substantial dampness from the very first wetting during the lab paper towel test. This was validated during the real world testing where I found just a single wetting was enough to produce significant surface dampness and the surface dampness tended to linger rather than being locked away in the padding eventually.



2.1 Wet vs Dry Diaper After Capacity Test


2.2 Used vs Unused Padding After Capacity Test


"Real World" Absorbency Tests

Posture Tests


Standing-Sitting

Total Absorbed Volume: 700 ml (24.7 oz)
Total Wettings: (1 standing, 1 sitting)
Leaked After Sitting: No
Used to Total Padding Ratio: 85%
Padding to Absorbency Score: 0.46 ml / cm2 (0.10 oz / in2)

Standing-Sitting Rating: 4
The Oto Premium diaper performed reasonably when tested while standing and sitting. The first wetting while standing was fully absorbed without any signs of leaks. Initially there was a fair amount of pooling with all the moisture ending up around the mid padding and the front and rear remained dry. Upon sitting there wasn’t an obvious leak, though there may have been a tiny leak. It was hard to tell whether it actually leaked and there was clearly still lots of dry padding left so I continued the test from there. On the second wetting moisture pushed up the front of the diaper and toward the sides but the leak guards managed to contain it within the front padding and I didn’t notice any obvious leaks through the sides. However, there was significant pooling below the crotch and a moderate leak through the left rear leg gather. The padding felt quite damp and squishy at this point. At the end of the test the front padding was completely saturated but there was still a bit of dry rear padding. I suspect this diaper will manage up to one wetting without leaking during daily wear but I wouldn’t push it past that.


Lying Down

Total Absorbed Volume: 610 ml (21.5 oz)
Total Wettings: 1
Used to Total Padding Ratio: 72%
Padding to Absorbency Score: 0.40 ml / cm2 (0.09 oz / in2)

Lying Down Rating: 3

The Oto Premium diaper failed earlier than expected when tested while lying down. It leaked on the first wetting, albeit a very small leak for the amount absorbed. Initially there was considerable pooling at and below the crotch, which took at least a minute to fully absorb. I suspect the small leak through the rear leg gathers happened at that point. There was still significant dry padding at the front and even a little dry padding at the rear after the leak, so the theoretical capacity for this diaper was certainly higher. After the wetting, the padding continued to feel damp, yet the breathability somewhat mitigated that. It was a large wetting and small leak so this diaper certainly should be able to manage most single wettings while lying down without leaks, but it would be best used with a booster pad for heavier wetters and is unlikely to exceed a single wetting before leaks occur.

2.3 Pattern of Used vs Unused Padding Test Stand/Sit (right) Lying Down (left)


Daily Wear and Bedwetting

This Oto Adult Diapers Premium review is somewhat limited due to the smaller package quantity available, but I still feel I was still able to get a good sense of performance. When tested for bedwetting I found these diapers susceptible to leaks and possibly even some perspiration through the cloth-like backsheet when wet. Generally I don’t think they will be that useful for bedwetting unless worn with a booster and/or additional protection like a diaper cover (plastic pants). In daily wear they may hold up a bit better, though I still feel like perspiration through the backsheet and minor pressout leaks could be a problem. I didn’t have them leak on me while standing, but they could leak more easily if wet while seated, perhaps even on the first wetting. When dry, these diapers are incredibly breathable and comfortable to the point I barely noticed them, which is rare for a diaper with this level of padding coverage. I also found them to be quite durable and easy to conceal under clothing. Although they have a pretty wide area of padding coverage, they didn’t feel bulky at all. However, the downside is that, when wet, they were quite susceptible to surface dampness and pressout moisture. During testing I found they would continue to feel wet well after a wetting. In testing, I was never able to manage more than a single wetting in the Oto Premium before it would start to leak. There seems to be a hard absorbency limit in the range of 500~600 ml (16.9~20.3 oz). Like other Indonesian diapers these come at an impressively low unit price; in fact these were the cheapest diapers of any I’ve tested so far (slightly below even the Popoku diapers or Pampers 8 youth diapers for comparison).


Suitability for Bowel Incontinence: 7

The Oto Premium is reasonably well suited for bowel incontinence. It has an extensive area of rear padding and decent standing inner leak guards. The downside of course is that it’s cloth-backed and doesn’t have waistbands so it can be a bit susceptible to releasing odors. Moreover, its susceptibility to surface dampness could also contribute to odors and discomfort. I’ll say it’s a bit above average but not quite a top performer in this regard.

 

Wear & Tear Tests


Fitting

The Oto Premium features an interesting “hybrid” design with a cloth-like backsheet and two disconnected landing zones at either side of the wings. This double landing zone is similar to other Indonesian diapers like the Confidence Classic Night or Popoku. The tapes on this diaper are of a decent quality and should be easy to refasten/reposition anywhere on the landing zone after first application. The sizing is about average for a medium and I found it fit me comfortably even with my sizing being on the lower end of the suggested waist range.

3.1 Oto Adult Diapers Premium Fastener

Ease-of-Use Rating: 10

The Oto Premium diaper seems to be designed for easy care-giver usage. It has longer dual landing zones than the Confidence Classic Night or Popoku, giving it a greater range of fastening options. Even being at the lower end of the recommended waist range I still had plenty of room at the edges for fastening. The landing zone is patterned in a way that serves a dual purpose in that its different colorations correlate with urine saturation and instruct the user on what to watch for. This ranges from “Not Dehydrated” to “Extremely Dehydrated”. These diapers have a relatively large range of available sizing from small (minimum waist size 25”) to extra large (maximum waist size 62”). The adhesive fasteners are easy to detach and can easily be repositioned if you get an incorrect fit the first time. These don’t have waistbands, but I found it quite easy to get a snug fit. They also have a wetness indicator and extensive package information to assist in a caregiver environment. Absorbency is somewhat limited, but I couldn’t find any real fault in terms of ease-of-use for this diaper and thus the top score.

3.2 Oto Adult Diapers Premium Fit

Comfort


Comfort Rating (dry): 10

The Oto Premium diaper scores top marks when it comes to dry comfort. This diaper is incredibly breathable and I hardly noticed it during wear. The material makeup is also soft and there will be little-to-no resistance from the topsheet or backsheet during wear. The tape/landing zone combination holds up strongly and I didn’t have any issues with tapes loosening or sagging during wear. It was quite easy to achieve and maintain a snug/comfortable fit with this diaper. Meanwhile, the padding, while not the most durable, proved quite resistant to clumping or tearing and I didn’t notice any decrease in comfort due to padding state after extended wear.


Comfort Rating (wet): 7

The Oto Premium diaper was modestly comfortable when wet. From a breathability perspective it remained top-notch and that went some way to mitigating the surface dampness issues. However, this diaper is highly susceptible to surface dampness and pressout. When the padding is wet the surface dampness never really goes away though it can disperse somewhat if there’s remaining dry padding. Aside from that it generally doesn’t sag when wet and the tapes hold up well. Nor does the padding clump up when wet. So it’s really just the surface dampness issues that keep this diaper from ranking higher in this regard.

3.3 Oto Adult Diaper Premium Topsheet and Backsheet

Durability

Dry Padding Deterioration Proportion: 9.5% (topsheet), 12% (backsheet)
Shake Deterioration Test: 6 shakes to deterioration


Durability Rating (dry): 7
The Oto Premium was reasonably durable in its dry state. During the dry durability test I only noticed peripheral padding deterioration with the core padding remaining full intact. The padding is relatively thin and light so it doesn’t have a lot of weight against it but I don’t consider that a factor for this test. This diaper should hold up reasonably well during active wear. I didn’t have any issues with sagging or the tapes coming loose after more extended wear. That said, the padding came a little detached from the backsheet even if it didn't clump or tear and this was still far from a top performance for dry durability so I rank it a little above average.


Durability Rating (wet): 6

I rank the Oto Premium slightly lower for wet durability compared with dry durability. It did relatively well on the wet shake test, but I’ve found that is often the case for thinner diapers that absorb less. I didn’t notice a considerable difference in padding deterioration with the core padding holding up and only some deterioration along the edges, where it matters less. The tapes also had no issue holding up the weight of the wet diaper and didn’t slip at all, any sagging was minor. My primary additional concern for these when wet was that I found them slightly susceptible to perspiration through the backsheet.

3.4 Oto Adult Diapers Premium Dry Test Deterioration


Discretion Tests


Profile

Front Rise Above Waistline (Jeans, Sweatpants): 3 cm (1.2"), 4 cm (1.6")
Back Rise Above Waistline (Jeans, Sweatpants): 4.5 cm (1.8"), 5 cm (2")
Side Rise Above Waistline (Jeans, Sweatpants): 6 cm (2.4"), 3 cm (1.2")

Profile Discretion Rating: 7

The Oto Premium isn’t the most discreet diaper on the market but the profile is a little more discreet than it may initially appear. I found the padding to be relatively thin and flexible in this diaper so it pretty easily compresses and would be difficult to notice if worn under regular underwear or meshpants. The fit is pretty snug naturally and doesn’t easily give to sagging, so I rate this diaper relatively high in terms of profile discretion in spite of signs of rear bulkiness.

4.1 Oto Adult Diapers Premium Jeans Profile (left) vs Normal Underwear (right)

4.2 Oto Adult Diapers Premium Sweats Profile (left) vs Normal Underwear (right) 


Noise

Noise Rating: 9

In terms of noise discretion the Oto Premium diaper ranks fairly well. If not for the plastic landing zones on the front it would be indistinguishable from regular underwear. The plastic landing zones will produce a slight crinkling when standing-sitting and walking. I didn’t find it particularly noticeable but it clearly wasn’t as quiet as the most discreet diapers on the market so I can’t quite rank it at the top.

4.3 Oto Adult Diapers Premium Noise Profile

Odor Reduction

Odor Reduction Rating: 5

I can’t say I found odors particularly noticeable from the Oto Premium diaper, but my testing was relatively limited and it has some aspects that make it particularly susceptible to odors. The breathable design, while good for comfort, also detracts from odor containment and this diaper notably lacks waistbands. The other big issue is the weak performance against surface dampness. The inability to contain surface dampness will make this diaper more prone to odor formation.