Urinary incontinence
When you enter a store or restaurant, are you often looking to find the establishments bathroom? If you're having trouble holding in your urine, or if you often leak urine, you probably have what's called urinary incontinence. Normally, the bladder begins to fill with urine from the kidneys. The bladder stretches to allow more and more urine. You should feel the first urge to urinate when there is about 200 mL, just under 1 cup of urine stored in your bladder. A healthy nervous system will respond to this stretching sensation by letting you know that you have to urinate. But, at the same time, the bladder should keep filling. But the system doesn't work correctly in people with urinary incontinence. Some people with urinary incontinence leak urine during activities like coughing, sneezing, laughing, or exercise. This is called stress incontinence. When you have a sudden, strong need to urinate, but can't make it to the bathroom before you do urinate, it's called urge incontinence. Other people have what's called overflow incontinence, when the bladder cannot empty and they dribble. Urinary incontinence can have many causes, and it's most common in older adults. Women are more likely than men to have it. For some people the bladder muscle is overactive. For others, the muscles holding the urine in are weak. And for others, the problem is sensing when the bladder is full. They might have brain or nerve problems, dementia or other health problems that make it hard to feel and respond to the urge to urinate, or problems with the urinary system itself. To treat urinary incontinence, your doctor can help you form a treatment plan. Most likely, exercises to strengthen the muscles of your pelvic floor will be part of that plan. Bladder training exercises can also be effective. And depending on the cause of incontinence, oral medications, or topical estrogen may be helpful. If you have overflow incontinence and cannot empty your bladder completely, you may need to use a catheter. Your doctor can recommend the best catheter for you. For urine leaks, you might wear absorbent pads or undergarments. Whatever else you try, lifestyle changes may help. Aim for an ideal weight. Losing excess weight and increasing exercise both often improve incontinence, especially in women. Also, some specific beverages and foods might increase leaking in some people. For instance, you might try eliminating alcohol, caffeine, carbonated beverages, even decaf coffee. Drink plenty of water, but do NOT drink anything 2 to 4 hours before going to bed. Be sure to empty your bladder before going to bed to help prevent urine leakage at night. Throughout the day, urinate at set times, even if you do not feel the urge. Schedule yourself every 3 to 4 hours. Urinary incontinence is very common, but many people never talk to their doctor about it. Don't let that be you. See your doctor and bring it up at your next doctor's visit.
Urinary incontinence
Review Date: 7/1/2023
Reviewed By: Kelly L. Stratton, MD, FACS, Associate Professor, Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Animations
Browse All
- Allergies
- Alzheimer disease
- Ankle ligament injury
- Arrhythmias
- Atherosclerosis
- Athetosis resulting from basal...
- Balloon angioplasty - short se...
- Bladder function - neurologica...
- Blinking
- Blood clotting
- Blood flow
- Blood pressure
- Bone fracture repair
- Brain components
- Breast lift
- Breathing
- Bunion
- Cancer of the throat or larynx...
- Cardiac conduction system
- Cardiomyopathy
- Cardiovascular system
- Cataract
- Cell division
- Cerebral aneurysm
- Cesarean section
- Components of skin
- Conception - general
- Conception - pregnancy
- Conception of identical twins...
- Concussion
- Corneal injury
- Coronary artery bypass graft (...
- Coronary artery disease
- Cosmetic surgery of the face
- Coughing
- Diabetes - retinal conditions...
- Digestion
- Directional coronary atherecto...
- Early labor
- Egg cell production
- Egg production
- Endocrine glands
- Enlarged prostate gland
- Epinephrine and exercise
- Exercise
- Feeling pain
- Fetal ear development
- Formation of twins
- Gas exchange
- Glaucoma
- Gout
- Hearing
- Hearing and the cochlea
- Heart bypass surgery
- Heart formation
- Heartbeat
- Heartburn
- Herniated nucleus pulposus (sl...
- Homeostasis
- Human face formation
- Hypertension - overview
- Immune response
- Intracytoplasmic sperm injecti...
- Kidney stones
- Kids - How big is the baby?
- Kids - How does the baby come ...
- Kids - Is it a girl or boy?
- Kids - Umbilical cord
- Kids - Where do babies come fr...
- Liposuction
- Lymph nodes
- Lymphatics and the breast
- Macular degeneration
- Muscle types
- Nerve conduction
- Nervous system formation
- Nutrient exchange
- Osteoarthritis
- Osteoporosis
- Ovulation
- Parkinson disease
- Percutaneous transluminal coro...
- Peristalsis
- Phagocytosis
- Pituitary gland
- Placenta delivery
- Placenta formation
- Preeclampsia
- Pregnancy
- Red blood cell production
- Reflex response
- Retina
- Retinal detachment
- Rupturing membranes
- Seeing
- Sexual differentiation
- Shoulder joint dislocation
- Skeletal formation
- Skeletal muscle
- Skeletal system components
- Skin conditions
- Smelling
- Smoking
- Snoring
- Sperm production
- Sperm release pathway
- Stomach ulcer
- Stomach ulcer
- Stroke
- Stroke - secondary to cardioge...
- Sun's effect on skin
- Swallowing
- Sweating
- Tachycardia
- Tasting
- The role of amniotic fluid
- Tobacco use - effects on arter...
- Twin-to-twin transfusion syndr...
- Ultrasound
- Urination
- Vaccines
- Vaginal delivery
- Vasectomy
Videos
Browse All
- Diabetes
- Abdominal aortic aneurysm
- Abdominal pain
- ACL injury
- Acne
- Adenoid removal
- Adolescent depression
- After your child's ear tube su...
- After your child's inguinal he...
- After your child's tonsil or a...
- After your child's umbilical h...
- Alcoholic liver disease
- Allergic rhinitis
- Allergies
- Allergy testing
- Allergy to mold - animal dande...
- Alzheimer disease
- Anemia
- Ankylosing spondylitis
- Anterior shoulder stretch
- Anti-reflux surgery
- Appendectomy
- Appendicitis
- Arm reach
- Arthritis
- Asperger syndrome
- Asthma
- Asthma - children
- Atopic dermatitis
- Atrial fibrillation
- Attention deficit hyperactivit...
- Autism spectrum disorders
- Basal cell carcinoma
- Before a child's tonsil or ade...
- Bipolar disorder
- Breast cancer
- Breast engorgement
- Breast self-exam
- Breastfeeding
- Bronchitis
- Bronchoscopy
- Cardiac catheterization
- Carpal tunnel syndrome
- Cataracts
- Cerebral palsy
- Cervical cancer
- Chest pain
- Childhood obesity
- Cholesterol and triglyceride t...
- Chronic obstructive pulmonary ...
- Cluster headache
- Cold treatments for kids
- Colon cancer
- Colon cancer screening
- Colorectal polyps
- Common cold
- Concussion
- Crohn disease
- C-section
- Cystic fibrosis
- Cystic fibrosis - nutritional ...
- Depression
- Dialysis
- Diarrhea
- Ear infection - acute
- Ear infection - chronic
- Ear tube insertion
- Earache
- Electrocardiogram
- Endometriosis
- Enlarged adenoids
- Enlarged prostate
- Epilepsy
- Erection problems
- Essential hypertension
- External rotation with band
- Fibromyalgia
- Flu
- Food poisoning
- Foot pain
- Gallstones
- Gastroesophageal reflux diseas...
- Gastroesophageal reflux in inf...
- Getting rid of lice in the hom...
- Glaucoma
- Hardening of arteries
- HbA1c
- Head injury
- Head lice
- Healthy Guide to Fast Food
- Hearing loss
- Heart attack
- Heart failure
- Heel pain
- Hepatitis A
- Hepatitis B
- Hepatitis C
- Hernia
- Herniated disk
- Hip joint replacement
- Hodgkin lymphoma
- How do ear tubes come out?
- How to remove a splinter
- How to stop bedwetting
- How to treat a nosebleed
- How to treat a sunburn
- How to use a peak flow meter
- How to use a pill cutter
- How to use eye drops
- How to use nasal sprays
- Hypertension
- Hyperthyroidism
- Hypothyroidism
- Hysterectomy
- Infant formulas
- Inguinal hernia repair
- Inhaler with no spacer - adult...
- Inhaler with no spacer - child...
- Inhaler with spacer - adults
- Inhaler with spacer - child
- Insomnia
- Internal rotation with band
- Iron deficiency anemia
- Irritable bowel syndrome
- Isometric
- Kidney stones
- Knee joint replacement
- Let's talk about pink eye
- Lung cancer
- Lyme disease
- Melanoma
- Menopause
- Migraine
- Multiple sclerosis
- Nasal congestion
- Neck pain
- Newborn jaundice
- NICU consultants and support s...
- Nuclear stress test
- Obstructive sleep apnea
- Osteoarthritis
- Osteoporosis
- Pap smear
- Pendulum exercise
- Peptic ulcer
- Pharyngitis
- Plantar fasciitis
- Pneumonia
- Pregnancy care
- Prepare for your child's ear t...
- Prepare for your child's herni...
- Prostate cancer
- Psoriasis
- Rheumatoid arthritis
- Rotator cuff problems
- Sciatica
- Scoliosis
- Seizures
- Shingles
- Shoulder blade retraction
- Shoulder blade retraction with...
- Shoulder pain
- Sinusitis
- Sleep disorders
- Smoking tips to quit
- Spinal stenosis
- Stent
- Storing breast milk
- Strep throat
- Stretching back of your should...
- Stroke
- Systemic lupus erythematosus
- Tension headache
- The difference between a cold ...
- Tips on buying cold and flu me...
- Tips on removing ear wax
- Tonsillectomy
- Tonsillitis
- Tracking your blood pressure a...
- Treating congestion in babies...
- Treating eyelid bumps
- Type 1 diabetes
- Type 2 diabetes
- Ulcerative colitis
- Understanding cholesterol resu...
- Up the back stretch
- Urinary incontinence
- Urinary tract infection - adul...
- Uterine fibroids
- Vacation health care
- Varicose veins
- Venous insufficiency
- Wall push-up
- Wall stretch
- Warts
- What are hives?
- What are night terrors?
- What causes wheezing?
- What in the world is a neti po...
- What is tennis elbow?
- What makes your heart beat?
- What to do when kids put thing...
- What to do when kids put thing...
- What to do when something gets...