Urinary Incontinence
Accidental leaking of urine. It's common, especially in women and older adults, and can usually be improved.
Quick Summary
Leaking urine when coughing, sneezing or exercising (stress), or a sudden urge you can't hold (urge), or both.
Pelvic floor exercises, bladder training, lifestyle changes, medicines and sometimes surgery.
Pregnancy and childbirth, menopause, obesity, older age, prostate problems and some neurological conditions.
Overview
Stress incontinence happens when pelvic floor muscles are weak. Urge incontinence happens when the bladder muscle squeezes too often.
Many people don't seek help out of embarrassment, but treatment is effective.
Symptoms
Leaking with effort
When coughing, laughing or lifting.
Sudden urge
Not reaching the toilet in time.
Frequent urination
Including at night.
Skin irritation
From wetness.
Causes & Risk Factors
Biological Causes
Weak pelvic floor muscles, an overactive bladder, or nerve and prostate problems.
Key Risk Factors
- Childbirth Stretches pelvic floor muscles.
- Menopause Lower oestrogen weakens tissues.
- Weight Increases pressure on the bladder.
Management & Treatment
01. Pelvic floor exercises
Daily exercises strengthen the muscles.
02. Bladder training
Gradually increasing time between toilet visits.
03. Medicines and surgery
For urge incontinence or when other treatments don't help.
Frequently Asked Questions
Is it just part of ageing?
Should I drink less water?
Sources and further reading
Last updated 21 October 2026. For more detail, see these trusted health organisations.
- Urinary Incontinence(opens in a new tab) · MedlinePlus, US National Library of Medicine
- Urinary incontinence(opens in a new tab) · NHS