Many people experience bladder leakage, often called urinary incontinence (UI). If that has happened to you, you’re not alone. Bladder control problems are common in older adults, regardless of gender¹. It might feel awkward to discuss, but it’s one of the most common concerns providers hear —and one they can often help improve.

What causes bladder leaks?

While UI is common, it is not just a normal part of aging. It can happen for many reasons, for example, if you’re a smoker, if you’ve gone through childbirth or menopause, or if you have other health conditions like diabetes, obesity, Parkinson’s Disease, or prostate complications. ²

Some people leak when pressure is placed on the bladder, such as during coughing or movement. Others experience a sudden urge to urinate and may leak before reaching the toilet.³ No matter the cause, help may be available.

There are many ways to manage UI

There are many ways to control or manage bladder leaks. Simple approaches like bladder training, pelvic floor (Kegel) exercises, and scheduling bathroom trips can help improve bladder control. Lifestyle habits like drinking enough water, maintaining a healthy weight, and avoiding certain foods or drinks that irritate the bladder can also make a difference.⁴

For some people, medications, medical devices, or procedures may be appropriate.⁵ The right treatment depends on your specific situation. A healthcare provider can walk you through these options and help you find what works best for you.

Why it’s important to speak up

If you feel embarrassed to talk about UI, don't be. Healthcare providers are used to talking about bladder control issues with their patients. Helping people manage them is a routine part of care. When you speak up, you give your provider the chance to help.

Start the conversation

If you’ve had urine leakage in the past six months, it’s worth discussing with your primary care provider. There are many ways to manage it, and a simple conversation can help you take the next step.

You don’t need to have all the answers. You can start with something simple, like: 
“I’ve noticed some bladder leakage—are there ways I can manage this?”

From there, your provider can help you explore options like exercises, medications, or other treatments.