Urinary incontinence is the involuntary loss of urine from the bladder. This is a problem for approximately 10 million people in the United States. About 5 to 15 percent of adults over age 65 living in the community have a problem with this. Up to 50 percent of older adults living in nursing homes have urinary incontinence. The loss of urine can happen when you are asleep or awake. The amount of urine lost can vary from a few drops to a complete emptying of the bladder. Sometimes sneezing, laughing, or coughing can bring on the incontinence. You should not assume that urinary incontinence is just a part of normal aging. Consult with your primary healthcare provider to discuss possible causes and treatments.

Urinary incontinence can result from bladder stones or tumors, urinary tract infections, and reaction to medications, as well as other causes. Weakness of the pelvic floor muscle or weakness of the urethral sphincter can cause urinary incontinence.

The treatment for incontinence varies, depending on the cause. Medications or minor surgical procedures get rid of the problem for many older adults. There are also steps that can be taken that will help you control or avoid urinary incontinence. Don't wait until the last minute to urinate. Go to the bathroom as soon as any pressure is felt. Some older adults benefit from a schedule, such as urinating every two hours. Avoid alcohol and caffeine, especially in social situations. Undergarments, such as Depends, are designed for adults with urinary incontinence.

Many people benefit from exercises known as Kegel exercises. To do these, start by sitting on the toilet. Begin to urinate but then try to stop the urine midstream. Then stop and start again. Repeat this as many times as you are able. You can learn to flex these muscles without urinating. Practice them when sitting down. Don't let embarrassment keep you from getting treatment for urinary incontinence. In many cases, this is a treatable condition.

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