Is the spillage happening during their use, or when you're removing them? With female patients and urinating, have the patients separate their thighs a little. If they don't the urine pools between their legs, runs along the crack formed by where their thighs come together and ends up where ever gravity takes it. When you remove the pan push down on the handle end gently as you remove it so the urine flows toward the deep end. I used to sprinkle a little baby power on the flat edge of the pan so it slid out and away from the patient's skin easier. You can also sprinkle the baby powder on the sheet of the bed under the fracture pan as well to help it slide out