Reusable underpads are a very, very common product among people working with incontinence. We have a product called pad secure which holds the reusable underpad down and in place during a night of tossing and turning. A reusable underpad along with a pad secrure device allows the person who is sleeping to not have to worry about leakage. Some of the reusable underpads are quite absorbant, and offer good protection. They can be machine washed, and if you have sensitive skin you can use a laundry soap that won't cause irritation. In that, case you'd want to wash the reusable underpad before the first use.