Abstract: Male incontinence garment structures and methods of use are provided. The garment includes an undergarment defining an interior space and an exterior space. An aperture enables the penis of the wearer to extend through the aperture from the interior space to the exterior space. A flap at least partially covers the aperture and is selectively movable between an open position and a closed position. A pouch is located between the flap in the closed position and the undergarment. In a further example, a pad is configured to be placed within the pouch and confine the penis as it extends from the interior space of the undergarment, through the aperture, and into the pad. A method includes placing the undergarment about the body of the male incontinence garment wearer, placing the penis of the male incontinence garment wearer through the aperture and the hole into the pad.