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Urinary incontinence

What is urinary incontinence?

Incontinence is the unwanted or accidental leakage of urine from the bladder. Many refer to it as ‘loss of bladder control’, a ‘leaky bladder’ or a ‘weak bladder’. Episodes of incontinence are often referred to as ‘accidents’. Urine leakage can be just a few drops or a dribble, or may be a stream. Some urine leakage can be severe, which is when the entire bladder contents leak.

How common is urinary incontinence?

People often keep the problem to themselves, so urinary incontinence is much more common than most people realize. Incontinence affects more than twice as many women as men, and is often a significant health issue for women as they age. At least 1 in 3 adult women and 1 in 5 men will experience urinary incontinence.

Incontinence can vary from person to person and from day to day, and can occur rarely or frequently. Studies have shown that 2 years after childbirth 1 in 3 women reports drops or small amounts of urine leakage during certain activities such as coughing, laughing, sexual intercourse and high-impact exercises. As women approach menopause the quantity of urine they leak increases, progressing to large amounts and sometimes soaking clothing.

Can urinary incontinence be treated?

Incontinence is not a personal failure, nor is it something that women should expect; it can often be cured. Sadly, most women simply put up with it and do not get the help they need. On average, women wait 3 years before seeking treatment while men wait only 6 months. Women who mention their problem to a doctor or nurse are often told to ‘live with it’. The most common reasons given for not seeking treatment are ‘incontinence is not abnormal’ or ‘treatment is unlikely to help’. It is sad that despite the increase in the number of women and men with incontinence there is still a lack of open discussion about the problem.

To find out more about urinary incontinence, see our related articles on how the bladder works, types and causes of incontinence, what you can do, what your doctor can do, urinary incontinence in men and living with urinary incontinence.

Written by: Diane Newman
Edited by: Diane Newman
Last updated: Wednesday, June 10th 2015


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Comments on this article

Posted by Enrica on 29/11/2017 at 01:08

Hi there, I’m a 37 Y/O Italian woman, I ve never stopped to wet the bed and from when I was 16 I have serious bladder control problem also during the day. Due to a nerve problem I can feel my bladder but I cannot control it, plus my bladder it’s very small and has lots elasticity. I wear diapers 24/7 and let me say that with the right diaper you can manage the incontinence! Keep your moral up, trust me, you can be a sexy woman also if you have to wear diapers!! I took a long time for accept myself, but from when I’m not ashamed anymore to be incontinent and to wear diapers I have a fantastic life even if I’m incontinent.

Posted by Nicky on 23/11/2017 at 11:32

I wet myself most days and I wear TENA panties and my knickers over the top of them but I still soak my panties and my skirt.

Posted by ppatrick on 16/02/2017 at 08:21

I have a terrible problem with urinatioin incontinence. It has gotten worse with age. When I go to the bathroom, after I leave I keep leaking. And the night before last, I woke up all wet. This has now happened many times, wet sheets at 4 am, so wet I cant sleep in them. And then I have been in places where urinatioin just started going on the ground down my leg, so embarrassing. I had been wearing slip on men's diapers sometimes but I have a problem reaching down to slip them through my legs. Today I researched the best diaper which I can put on me standing up, and it appears to be Abeni so I ordered that. My opinion is it is better to wear a diaper than to deal with all these problems so I am moving on.

Posted by Optional on 14/09/2016 at 08:34

HELP I've got to the point that even my husband is wanting me to start wearing some type of protection when we go out. Because there has been too many times that we have been out in public places that I have totally soaked my pants . But I'm refusing to wear diapers because I like to wear tight jeans and skimpy clothes and with a bulky diaper I feel as if I want be able to . Btw I sometimes wake up having wet the bed also !! SOS IM MUCH TO YOUNG TO BE DEALING WITH THIS

Posted by Optional on 26/11/2015 at 10:53

I think I am too young to have this problem

Posted by Optional on 17/11/2015 at 08:41

I go to school and I am ok until about 10 oclock. then I have to pee really bad but the teacher wont let me go to the bathroom. she just says I have to wait but when I wait sometimes I wet my pants. what is wrong with me and do I need to wear a diaper?

Posted by Me on 10/11/2015 at 02:49

I just got my first period a few days ago, I have now just kept wearing pads because I seem to have a very small but fairly constant stream of pee now. Is this physiological considering the pads or something more like this??? Please help me!

Posted by Optional on 20/09/2015 at 04:22

I have wet the bed since about 10 years old. My mother put me back in diapers at night and while I wasn't happy, it let me sleep throughout the night and saved washing sheets daily. When I got married, my wife didn't want me to wear them, so for the first year it was back to doctors and wet sheets with little sleep. Finally she spoke with one Dr. who gave her peace of mind that it was ok to have me wear them. Been in diapers now for 28 years of marriage and it is no big deal for either of us.

Posted by Optional on 29/08/2015 at 11:53

I do get wet feelings,nd when i check my pants,its always wet as though i pee in it.,or as if am it some kind of infection?

Posted by Optional on 14/07/2015 at 03:52

I'm 17 and I am freaking out. Today at night I have been for the first time ever peeing in my bed. It's a small trickle but it wakes me up. I have woken up at least 5 times or so this night finding a small pool of pee on my underwear. I have arrived to the Netherlands today from the usa so I do not know if stress of the trip could be the problem. I thought "maybe I'm just to hot because of the bed covers" so I put them up but it keeps happening. Right now I was not even fully asleep and it happened I'm really Imbarised I do not know what to do!! Can someone help me?

Posted by Tia on 11/05/2015 at 09:05

Has anyone tried Murphywear? I ordered some for my husband and they do keep that spot off of his pants when those last few drops come down.

Posted by Mr. Bhatti on 08/05/2015 at 12:34

I am facing a problem from almost last 3 years that after urination some drops of Urine comes after a while and they keep coming even if i spend an half an hour in the washroom. Whenever i take a bath i experience the same thing that dropskeep coming out unless i dry my penis and then i feel relax till the time i go to the washroom to pass out the urine again and then again i feel the drops inside and then i started rubbing my foreskin of the penis to release the urine drops, but i get failed to do most of the times and i observed another thing that my left testicle hangs higher then the right one so kindly advise me the best possible way to get rid out of this problem, i never consult a doctor before so my best hopes are with you and let me know what the major reasons behind this issue. Thank you

Posted by Marsha on 23/02/2015 at 03:41

Do to diabetes I have a leaking bladder problem. I have taken different meds, but they do not help. Some times it feels like my bladder just burst, almost like my water braking having a baby. I hate to go anywhere. I never know what my bladder is going to do. It is so embarrassing and depressing.

Posted by Optional on 10/01/2015 at 05:44

I always seem to have a little bit of pee in my underwear it is very embarrassing because I don't want to wear a liner all of the time but it has a very strong odour

Posted by Optional on 05/12/2014 at 07:18

I'm to scared to see a doctor exactly what my problems are. Me and my mum go to see a incontinence nurse in Redcar, north east England, to see if she can help me but I can't tell her the whole truth I'm to scared

Posted by Optional on 30/11/2014 at 06:18

I'm 13 and when I was younger I couldn't control myself when I went to sleep but then a few years ago it stopped but I sometimes wet the bed. It's so embarrassing and lately i can't control my bladder. I go to the toilet more often then is old usually do and I have to run to make sure all of it doesn't come out. My mum doesn't know about it and I'm to embarrassed to tell.

Posted by Optional on 28/11/2014 at 07:49

I'm 18 and I've lost some control over my bladder it may be just very minimal urine but it feels as if my bladder is always full regardless of the situation. It's so embarrassing im always doing the "pee pee walk" in school and it's not cute I look like my knees are paralyzed.

Posted by Optional on 26/11/2014 at 03:29

Whenever I go to the restroom, or take my underwear off, there is a pee stain there. This has always happened but when I was younger we just thought it was because of my age, but now that I am a teenager we have realized this shouldn't be happening. Is this urinary incontinence?

Posted by Optional on 25/11/2014 at 05:47

Iv bin dealing with this problem for over a year now. It's hard to describe what happens basically more often than not I feel tiny drops of urine coming out I'm not sure what triggers this, but it's made me very anxious and uncomfortable. Iv bin to the doctors a few times without getting real treatment i don't know what to do it seems to be controlling me life!!

Posted by Optional on 15/11/2014 at 12:17

Hello: I have not had any urinary incontinence issues until last night. I awoke at approx. 0630am, with a sensation of warmth in my underwear. And I am not referring to anything indecent. Upon investigation, I realized that my bladder had emptied moments before I am assuming as I wasn't cold. I had no sensation of memory/dream that would suggest that I was sitting on a toilet etc.,; I am in shock, really. Please advise, CM RN

Posted by Optional on 11/11/2014 at 11:14

I have never been to this site before, and this article makes me think this is a female - oriented site, but I found this page when looking up my problem so I thought I would share. I am a very obese man, usually around 340 pounds. I was about 130 pounds lighter for a couple of years, but I'm the last couple I put it all back on and then an extra 10. I don't know if it the weight, or just the extra few years, but at 32 (last year) I started noticing that no matter how long I wait after urination, no matter how much I shake or try to relax, with nothibg else coming out o lr feeling like it is going to, as soon as I am done and either let go (when standing to just urinate) or stand up after doing both, I suddenly shoot out one last little bit. A bit more than just a drop or two, enough to actually feel hit my legs. It happens about 80% of the time as descibed above, but it never happens any other time. I'm not sure what to do, other than continue to try to lose weight. Also, I must be more woman than man, since it has been over a year and I would still never tell my doctor or anyone other than here on a private forum.

Posted by Optional on 11/11/2014 at 11:05

To the last commenter: I'm not going to lecture you about talking to your doctor, but you should at least talk to your parents. Hiding soiled underwear as an older child is a classic red flag for sexual abuse. Obviously you have a medical reason, and I'm not for a second making any accusations, but I'd worry about your parents noticing and thinking you are hiding molestation. Best of luck to you, young lady.

Posted by sam on 09/11/2014 at 08:49

Hello happy to find your site and I can my problem. After I finish my urine there is few drop urine for 30 minute one hour and maybe for all day briefly I have Unwanted urine dorp problem can you please advise me .

Posted by Optional on 27/10/2014 at 03:00

Night time I keep going bathroom like 15 time. This is killing me. I'm tried of it. When I going walking park somewhere I have go bathroom two time. Feel not fair. Is there any other way stop this??

Posted by Steve on 17/10/2014 at 02:58

I am incontinent and have been for a while now. I went to see my Doctor when my slight dribbling became more of a noticeable problem and I started to wet the bed again (I was a chronic bedwetter throughout my childhood and teenage years) I was refered to a urologist and then the continence nurse. My diagnosis was that I have some nerve damage due to my diabetes plus an enlarged prostate and an unstable bladder which I have probably always had to some degree and is most likely why I was a late bedwetter and never had strong bladder control. I have no come to terms with my incontinence and wear pads and pants all the time and with the support from my wife no longer worry about my incontinence. At first it was very embarrasing but now I just get on with life and refuse to let incontinence and bedwetting get in the way.

Posted by Optional on 10/10/2014 at 08:41

Apartment incontinence! Oh my god I have the same issue! But it's not just when I get to my front door, it's also on my way home or walking to the bathroom inside my house, or when I'm on the train and can't get to a bathroom. I especially get the uncontrollable urge to pee when the bathroom is unavailable. Once I peed myself in a train station. It was terrible. I don't know if this is a psychological induced issue or if I actually have a weak bladder. All I know is that I need this to stop!

Posted by Sherril83 on 26/09/2014 at 09:09

I used to put off going until the last minute but I outgrew that. Now, when I get the urge the bathroom has to be very nearby or I will have an accident. Did my early habit of putting it off have anything to do with my present inability to hold.

Posted by Optional on 22/07/2014 at 02:40

This happens to me and I'm 12... It's really embarrassing. I have had bladder problems since age 3 and wet the bed every night but it finally cleared up a few years ago. Every underwear I put on and then take off has a little bit of pee in it. I'm so glad when I'm on my period so I have an excuse to use a pad. I'd never tell my doctor, I just hate her. When I sort my laundry I always do the first load and put ALL my underwear with it so no one in my family sees.

Posted by Optional on 11/10/2013 at 12:07

i was struck by a car when ten years old.i have been night wetting ever since.this caused problems finding a partner. i eventually stopped looking.let the right people know or spend a lot of your life lonely and alone.i hope my problem is not happening to you.speak out.

Posted by Optional on 10/09/2013 at 02:06

When ever I feel the urge to pee I end up wetting myself. I am 52 years old and feel very embarrass by it. Am always running to the bathroom and the I'll pee a little. What should I do? Tks

Posted by Optional on 14/03/2013 at 10:39

My kid is 7years old and she had problems with leaking a little pee and frequent wet patches. Not due to movement or sneezing or laughing it would just happen. Also she suddenly have urge and even if she run to bathroom there is big wet puddle and she soaked. This happens a lot. She always getting up to wee too at night

Posted by Optional on 09/03/2013 at 05:05

This is a more common thing then people think but i think men are more stuborn about it i was. A combination of diabetes and prostate issues left me with some nerve dammage and as a result i had some nighttime wetting. I went for a long time without anyone knowing it was easy i live with a wife and two teenage daughters so there were tons of pads in my house and i tried them all. I could use them and throw them away after all there were always pads in the trash nobody thought much about it but after a time pads didnt cut it anymore and i was exhausted from not sleeping much at nite and then i had a pretty large accident one nite and my wife got up and kinda caught me with wet underwear and sheet and i had to fess up and she was really understanding she thought i was an idiot for using pads for a problem that they wernt designed for so the next day we went to the store and looked at some better protection. I told her i really couldnt see myself wearing a diaper shes like were not gonna put it on the news and really it would only be at night and if wearing a diaper to sleep in would get me some sleep then thats a small price. she was right. she said she would help me change it if i needed that i thought that was too much so i got the pullup kind and they were plenty good enough and i thought if i wake up dry i could reuse it but for the most part i was wet in the morning and so far my issues have not gotten any worse except now i do wear a ultra thin pad in my underwear during the day now its like a little protection from that dribble that happens to guys another suggestion of my wifes and it was a good one a couple times after i zipped up i could feel the little squirt that happens i prayed it wouldnt show on my pants so my wife said one day , you know we have some pads that you cant even feel your wearing the girls use them you should try them and i did and i was amazed she was right i guess the bottom line regaurdless if you wear a diaper at night or not your still the same guy it really took my family to teach me that i mean think about it take a look the next time you go to the store they wouldnt make all those products if nobody used them

Posted by on 15/02/2013 at 03:01

To james 29/01/2013 - for more information, please see our section on UI in men:

Posted by james on 29/01/2013 at 12:45

Ui for 18 months Yes this article is biased to women The answer to most questions on this page is See your doctor, they have heard it before and there is no shame

Posted by Kaz on 13/01/2013 at 12:51

I have a almost 16 year old sister & she wets herself all the time, she wets her pants up to 1-5 times a day. She wets the bed almost every night... & I'm out of ideas, she has to be diapered 24/7 to save the carpet, couches & bedding... But she wets through them sometimes...sometimes she ..poos herself but that's only like three times a year. I think it's nerve damage since she was drug abused by her mother & was almost killed. She has little feeling in her right arm & parts of her back so I'm wondering if that could be the reason for her accidents?!

Posted by Optional on 10/11/2012 at 10:33

every morning wake up walking to bathroom i leave a trail pee pee whats up

Posted by weeme on 04/10/2012 at 10:36

I have for years had problems with leaking a little pee and would have frequent wet patches. Not due to movement or sneezing or laughing it would just happen. But recently I will find I suddenly have urge and if I don't run to bathroom there is big wet puddle and I am soaked. This happens a lot. I am always getting up to wee too at night

Posted by Optional on 25/05/2012 at 09:49

I have to where a pad all the time cuz of this and they make me itch what can I do

Posted by Optional on 15/05/2012 at 10:07

Hey I have a serve problem with having urinary tract infections frequently I have herd the cause is caffiene but there are many cases where wether i drink caffiene or not i still have issues

Posted by After Sex on 04/04/2012 at 05:46

After sex I have to urinate so bad that It starts to leak out so I have to run to the bathroom.I have 2 children(6 years and 4 months) both by c-section so I don't believe it's because of childbirth.I've been having numbing in my fingers and toes doc is running blood test on me just wainting on the results. This just started happening to me,and it only happens after sex. Has this happened to anyone else?

Posted by Optional on 07/03/2012 at 03:00

i have this strange problem, when i'm at home or a place that i know and i can go to the toilet when i want, i can hold my pee for a very long time, even if my bladder is very full, but when i'm in a public place or at work i have to go to the toilet every 2 hours or else i make small amount of pee on myself every few minutes, even if i'm not full, also about 6 months ago i woke up while i was actually making pee on myself but i managed to stop it and go quickly to the toilet, but i did it again this week, first time i woke up and i had made a very large amount on myself before i could stop it and run to the toilets again and the other time i hadn't done it in my bed but i woke up and i didn't even think, i made a very big amount of pee like i can't even control my legs or musles and it did not stop till it was all out not like the first time i don't know why, i always make pee in the toilet before i sleep and it doesnot hurt or anything, i only get some tickling a day or two before my period, i have IBS but when i was still in school i made poo on myself a few times but not much, and i never did it again, and the only time i made pee on myself after school was when i was 19, it never happened again until 6 months ago.

Posted by blonzoid on 23/12/2011 at 07:45

The article is good but very skewed towards womens incontinence. A bit more about men would encourage males who sometimes have to cope with society accepting women will quite often need protection but don't understand that some men do too. Isn't it sexist that you have to buy "unisex" pull up pants from a supermarket aisle la labelled Feminine Hygeine?

Posted by Apartment Incontinence's Best Friend on 23/11/2011 at 06:03

Apartment incontinence! Oh my god I have the same issue! But it's not just when I get to my front door, it's also on my way home or walking to the bathroom inside my house, or when I'm on the train and can't get to a bathroom. I especially get the uncontrollable urge to pee when the bathroom is unavailable. Once I peed myself in a train station. It was terrible. I don't know if this is a psychological induced issue or if I actually have a weak bladder. All I know is that I need this to stop!

Posted by Apartment incontinence on 30/10/2011 at 11:24

I have a problem where I leak urine, usually just a little bit. The thing is, it ONLY happens when I'm trying to enter my apartment! My key usually sticks and then I HAVE TO GO and by the time I can open my door and make it to my bathroom, the urge is mostly gone and I only go a little bit. I don't know why I get these uncontrollable urges only at my front door! Has anyone else experienced something similar?

Posted by JuddHoly on 27/10/2011 at 09:05

I would always hold my come in order to please my gf and after a couple of months I developed incontinence. I went to all sorts of doctors, herbal and all that to find no difference, I had all labs done, all clear. I would urinate frequently at first, then it moved on to dribbling after urination and then I started seeing a wet patch on my boxers like a few drops of urine every morning followed by a spell of dehydration. I got checked for chlamydia with my gf and we were tested negative and then I went to see a sexologist who send me back without any medication saying part of it was my anxiety and a large part of it had to do with holding semen in my balls in order to defer the gratification of cumming. I was asked to relax, go for a holiday and get more sentimental about the act of sex and not be so pressurised to please on the bed which I always am cuz my gf is too hot and it makes me nervous. It has been two months now, we gave break to sex for a month and invested time in doing leisurely activities and yes I feel it was largely psychological cuz I am almost cured now. Also add in the fact that I was trippin on LSD many times and well I was a chronic hash smoker. P.S: I am drug abuse free and anyone who has experienced this should take it from me to RELAX! thats what worked for me.

Posted by Optional on 07/09/2011 at 02:55

having urinary incontinence ie urin dripsw while sneezing .lifting etc.what to wear while going out to avoid the clothes getting urine drips and smell

Posted by Zoe on 17/03/2011 at 09:09

I'm not sure what I have, I wet my bed till I was about 15, and then sometimes even now I have the odd slight accident never huge but tiny, I have also had dreams where I think I'm on the toilet which I think subsequently resulted in me having accidents, It's embarrassing and horrible because when i'm bursting to go I feel I have no control and feel my bladder just won't hold on for a long period of time. Is there anything that can be done? When I was young I tried different things like- alarms so it would go if I had an accident in bed but never worked. Thanks

Posted by PATSY on 28/09/2010 at 01:05

Hello the doctor said it was shingle,at one side of my body my ribs,it's not itchy at all it's lots painful,can i by wiping myself to my genital area,afect myself there..if so how can I prevent to spread to my vagina..Thanks in so afraid also of this shingle..he's it normal to be afraid like this,,help!!!!!

Posted by Mike on 27/09/2010 at 11:12

i m also victim urinary incontinence. i also wets the bed while sleeping as if were in bathroom.. i noticed i usually do this at 6 Am morning.So i sets alarms for 5 am morning and gets fresh.. Try this for few it work 4 u..

Posted by Phumlile on 03/09/2010 at 05:56

I didn't get what i was expecting,iam looking for answers base to me,to what i asked .if how do i get rid of peeing or weting my bed during the night?

Posted by xy on 09/06/2010 at 10:30

I've a problem with urinary incontinence for past 2 to 3 years. so, i would like to know how could I overcome with this problem.Can you please advice or is there any medication to cure it then kindly suggest me. thanx

Posted by Optional on 01/06/2010 at 04:12

63 year old diabetic starting to wet bed at night

Posted by Optional on 16/04/2010 at 08:03

I was involved in the habit of mastubating since about 2 years ago...i would go for many weeks without doing it and sometimes i would mastubate a few times a day. However ive realised that i might have a urine dripping problem because after a pass urine and squeeze my penis a few drops of urine come out...This had never happened about two or three years ago. I would like to know 'Is it possible that my masturbation and looking at porn has caused this urine problem?' Secondly i would like to know how can i resolve the problem...

Posted by emma on 12/04/2010 at 12:01

hi i am the young girl with oab and ic taking part in the show,after the show i went to see the consultant for the sacrel nerve implant but due to the state off my bladder and scarring i was told my only option would be to have my bladder removed and end up with a urostomy bag but also may havto have an hysterectomy depending what happens during surgery,so i could never have that chance to being a mommy,i always says there are always people worse off, i appeared on the show beacause people alway think incontinance effects older people or people that have had children,and that isnt always the case, so if ur worried please go and get it looked at dnt be embarrised there are people that will help, and if ive helped just one person by telling my story threw my suffering then im happy,thanku for listining to my story emmm

Posted by Sarah on 10/04/2010 at 02:39

I have had uninary incontinence since having my first baby 7 years ago. Despite physio, and enough pelvic floor exercises to supply electricity to a whole town I still have it. I had an operation in Dec to insert a 'band' which hasn't worked. I've just been told I may have an overactive bladder but unlike the girl in this article I don't have cistitus. What's betting they have it wrong...again!

Posted by Optional on 15/03/2010 at 05:49

i wet my bed most nights & im ashamed as my kids know but what can i do

Posted by Optional on 11/03/2010 at 02:08

would ms cause bladder incontenece

Posted by Anonymous on 04/12/2009 at 02:04

i have to rinse after passing urine as if i dont i get extreme discomfort but not sore.i have recurinr vaginal discomfort as well and when really bad icannot shut legs or sit comfotably.Any help please

Posted by Paul on 11/10/2009 at 10:50

Yet another article that ignores male incontinence.

Posted by Elizabeth S. on 28/08/2009 at 06:33

Sometimes when my body goes through some sort of spasm, like if I sneeze too hard or if I am hit with something, my sphincters seem to be forced open momentarily and I end up wetting my underwear. This used to be easy to conceal, but recently a huge, heavy gym mat fell on top of me in Gym class and it happened then too and I was really lucky that my shorts were black, but what if it happens again? I can't tell my mom about this, I'd die of embarrassment. Will it go away?

Posted by Anonymous on 28/07/2009 at 11:53

I have a red/ itchy penis, I can't stop weeing and my wee is clear?what could this be

Posted by simone on 02/04/2009 at 10:56

I used to get cystitis when i used to be in school and not had it in years. I woke up a week ago with it and still have it, I went to my doctors on monday and he tested my urine and said it was fine! So why have I still got it? Please help

Posted by Seaside on 29/12/2008 at 10:19

I am about to give up and just try to live with urinary incontinence. I suddenly developed this problem after having abdominal surgery to open a blocked abdominal aorta. It has been two years now and I have been under the care of a urologist for the past year. I have had every test, scan, etc. known to man. Nothing. None of the prescription medications have been effective. Now my urogogist wants me to see a Dr. in another town about the possibility of having electrical stimulation of the nerves that control the bladder. Has anyone tried this?? Did it work??


View what people have said about urinary incontinence

Fascinating facts

Of every 10 women, 4 have suffered from incontinence at some time in their adult life

Incontinence costs the UK National Health Service about £242 million/year

In the USA, 20 million people have incontinence of urine. The annual cost is about $12.4 billion for women and $3.8 billion for men

In the USA, at least $4.5 billion is spent on incontinence pads every year

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