Urinary Incontinence
Urinary incontinence is the involuntary loss of urine. It is very common and rarely a normal part of aging. Many effective treatments exist.
Table of Contents
Quick Facts
- ICD-10: N39.4, R32
- Affects: Hundreds of millions worldwide
- Treatable: Yes — often well-controlled
Types
- Stress incontinence — leakage with coughing, sneezing, exercise; common after childbirth or in older women
- Urge incontinence — sudden strong urge followed by leakage; often from overactive bladder
- Mixed — both stress and urge
- Overflow incontinence — bladder doesn't empty, causing dribbling; common with prostate enlargement
- Functional incontinence — physical or cognitive limitations prevent reaching the toilet in time
Treatment
- Behavioral — bladder training, scheduled voiding
- Pelvic floor exercises (Kegels)
- Weight management
- Pessaries or urethral inserts
- Medications (anticholinergics, mirabegron, alpha-blockers for men)
- Botox bladder injections
- Sacral nerve stimulation
- Surgery (slings, prostate procedures)
When to See a Doctor
See a doctor about incontinence — it should never be considered an inevitable part of aging. Most people improve substantially with treatment.
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.
References
- American Urological Association. Urinary Incontinence Patient Resources.