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Urinary Incontinence in Adults


The Manual's Editorial Staff

Full review/revision Mar 2021 | Modified Sep 2022
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What is urinary incontinence?

Urinary incontinence is urinating (peeing) without meaning to.

  • Incontinence can be a little dribbling or leaking a lot of urine

  • You may have incontinence all the time, only at night, or only when you cough or sneeze

  • Incontinence is more common in older people, especially older women, but it isn't a normal part of aging

When should I see a doctor about incontinence?

See a doctor right away if you have urinary incontinence and these warning signs of spinal cord damage, such as:

  • Weakness in your legs

  • Not being able to feel your legs or around your genitals or anus

If you have urinary incontinence without these warning signs, call your doctor. Your doctor will decide how soon to see you based on your other symptoms.

Some people feel embarrassed talking with their doctor about incontinence or they feel it’s just a normal part of aging. It’s not. You should see a doctor if your incontinence bothers you, stops you from doing daily activities, or causes you to avoid social situations.

What causes urinary incontinence in adults?

Causes of urinary incontinence include:

Drinking a lot of liquid or taking water pills (diuretics) by itself doesn't cause incontinence. But it can worsen incontinence if you've already got the problem.

What will happen at my doctor’s visit?

Doctors will ask about your symptoms and examine you (for women, they'll do a pelvic exam). They'll ask about any medicine you're taking. They may ask you to keep a record of your urination over a day or 2.

Doctors may also do tests such as:

  • Urine or blood test

  • Measuring how much water they can put in your bladder through a small tube before you feel the need to urinate (cystometry)

  • Having you urinate into a special device that measures how fast and how much urine comes out (peak urinary flow rate)

  • Measuring bladder pressures when the bladder is filled with various amounts of water (cystometrography)

How do doctors treat urinary incontinence in adults?

Doctors will treat the specific cause of your incontinence. If a medicine you take causes incontinence, doctors will try switching you to another medicine.

For any cause of incontinence, it may help to:

  • Limit fluids at bedtime and avoid caffeine

  • Train your bladder by following a fixed schedule for urination

  • Do Kegel exercises to strengthen your pelvic muscles (tightly squeeze and relax the muscles that start and stop urination)

Other treatments include:

  • Medicine

  • Estrogen cream for women

  • Electrical stimulation

  • Sometimes surgery, a catheter, or other devices

Drugs Mentioned In This Article

Generic Name Select Brand Names
Cafcit, NoDoz, Stay Awake, Vivarin
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