Urinary Incontinence
What Is Urinary Urge Incontinence?
Urinary urge incontinence is the sudden, intense need to urinate — followed by the loss of urine before reaching the bathroom. Many women describe it as “not being able to hold it” once the urge hits.
It’s a common bladder control problem, especially in women, and often linked with overactive bladder (OAB). Although it can feel embarrassing, urge incontinence is treatable and not a normal part of aging.
Symptoms of Urge Incontinence
You may have urinary urge incontinence if you:
- Feel a sudden, strong urge to urinate that’s difficult to delay
- Leak urine on the way to the bathroom
- Urinate more than 8 times in 24 hours
- Wake up more than once at night to urinate (nocturia)
Causes of Urinary Urge Incontinence in Women
Urge incontinence happens when bladder muscles contract at the wrong times. Common causes include:
- Overactive bladder (OAB)
- Pelvic floor weakness (after childbirth or menopause)
- Hormonal changes
- Nerve problems affecting bladder signals
- Bladder irritation (infection, stones, or certain foods and drinks)
- Medical conditions such as diabetes or neurological disorders
How Urge Incontinence Is Diagnosed
A urologist may recommend:
- A detailed symptom history
- A bladder diary (to track urination frequency and leakage)
- Urine tests to rule out infection
- A pelvic exam
- In some cases, urodynamic testing (to check bladder function)
Treatment Options for Urinary Urge Incontinence
Most women see improvement with the right treatment plan. Options include:
1. Lifestyle and Behavioral Strategies
- Bladder training: learning to gradually delay urination
- Timed voiding: scheduled bathroom visits
- Dietary changes: reducing caffeine, alcohol, carbonated drinks, and artificial sweeteners
- Healthy weight management
2. Pelvic Floor Muscle Therapy
- Strengthening pelvic floor muscles through exercises (Kegels) or physical therapy can improve bladder control
3. Medications
- Certain oral or patch medications can relax bladder muscles and reduce urgency
4. Advanced Therapies
If symptoms persist, your urologist may recommend:
- Botox® bladder injections
- Nerve stimulation therapies (neuromodulation, PTNS, eCoin)
Living with Urge Incontinence
Urge incontinence can impact confidence, relationships, and daily life — but you don’t have to suffer in silence. Many women regain bladder control and quality of life once they seek treatment.
When to See a Urologist
You should see a female urology specialist if:
- You experience frequent urgency and leakage
- Your bladder symptoms disrupt sleep or daily activities
- You feel embarrassed, anxious, or limited by your bladder control
Early treatment can make a life-changing difference.
Disclaimer
The information on this website is for educational purposes only and is not medical advice. Use of this site does not create a doctor–patient relationship. If you have a medical concern, please consult a qualified healthcare provider. In case of emergency, call 911 immediately.