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Conditions

Urinary health · Urology

Urinary incontinence

Find words for urine leakage, understand different patterns and prepare for an assessment without embarrassment.

Editorial publication · Medical review pending.

Understand

Urinary incontinence means an involuntary loss of urine. It is common and deserves assessment: it is not an inevitable part of ageing.

Possible symptoms

Leakage may occur with physical effort or a sudden urge; both patterns can coexist. Incomplete emptying can also cause repeated leaks.

Causes and associated factors

Pelvic floor, bladder or nerve function may be involved. Childbirth, pelvic surgery, obstruction and certain medicines are possible contributing factors.

Diagnosis

Assessment explores when leakage occurs, your history and medicines. A diary of drinks, urination and leaks helps clarify the pattern.

Tests

Depending on symptoms, your doctor may propose an examination, a urine test or a measurement of urine left after emptying. Specialist tests are not always needed.

Course of the condition

Some causes are temporary, others long-lasting. Treating an identifiable cause may improve leakage; the course depends on the individual situation.

Care options

Initial options may include tailored pelvic floor training, bladder training and changes to habits. Medicines or surgery are discussed according to the type of incontinence and response to initial measures.

When to consult

Tell your doctor about leakage, even if it feels embarrassing. Explain its impact on going out, activity and everyday life.

Urgent help

Inability to urinate, blood in the urine or painful urination require prompt medical advice; do not wait for a routine appointment about leakage.

Questions for your doctor

  • Which type of leakage explains my situation?
  • Should we look for a reversible cause?
  • What training would suit me?
  • How will we measure improvement?
  • What alternatives can we discuss if the first approach is insufficient?

Continue reading

A procedure linked to a condition does not establish an indication for your individual situation.

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