i use pull ups only. i go to work daily with fecal and urinary incontinence being the problem. the train ride and walk is hour or so and both problems are quite significant in my opinion but the pullups do hold everything until i can change. pullups work for me even with my hip, knee and foot issues. i do lose my balance at times but havn’t fallen over. it is a messy job but i can change on my own. then i use thin booster pads for the urinary portion of my problems during the day. these can be changed periodically without having to change the pullup which ususally can last all day. where i work there is a nice stall in the men’s room so whenever fecal is a problem cleanup and changing is fairly “ok”. i’d never attempt this with anything other than a pullup. i know it would drive me crazy. maybe my problems are not as bad as others though since they use briefs/diapers with tapes and insist that pullups are no good. i do try to clean up/change as soon as possible and not wait. at work, having to rush is the biggest danger so i just have to put myself in a slow down state of mind and be very careful. i don’t think there is an easy way to change with fecal incontinence. great care is necessary every step of the way.