Urinary leakage is not one disease.

Leakage while coughing is different from leakage with sudden urgency. Leakage after prostate surgery is different from leakage after childbirth. Continuous wetness is different from occasional leakage.

Correct treatment starts by identifying the type of leakage.

We commonly evaluate

• Leakage on coughing, sneezing, laughing or lifting
• Sudden urgency followed by leakage
• Frequent urination with leakage
• Night-time leakage
• Pad dependence
• Leakage after prostate surgery
• Leakage after childbirth
• Continuous wetness
• Fear of travel due to leakage

Evaluation may include

• Leakage history
• Bladder diary
• Pad use assessment
• Urine test
• Ultrasound with post-void residual urine
• Uroflowmetry
• Cystoscopy in selected cases
• Urodynamic study before invasive treatment when needed

Treatment may include

• Bladder training
• Pelvic floor muscle training
• Fluid and caffeine correction
• Medicines for urgency leakage
• Treatment of infection, obstruction or residual urine
• Post-prostate surgery continence rehabilitation
• Surgical options in selected cases