No they have 2 velcro straps on each side to close them up. Not pull up.

Would these work well for someone who is a heavy bedwetter

Yes, if they are fitted tightly. There are leaks if it’s too loose. They would be great if they were in the form of panties! Overall, a good buy.

Are these good for overnight

Yes. The hold up well and no leakage.

What size if you wear men’s 40-42 underwear?

Look at the sizing chart it will help you find the correct size

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