Survey Highlights the Hidden Impact of Urinary Incontinence

Many people believe urinary incontinence is simply a normal part of aging. However, experts say that while bladder changes can occur over time, incontinence is not something people should feel forced to accept or suffer through.

According to Aleece Fosnight, PA-C, medical adviser at Aeroflow Urology, one of the biggest misconceptions she sees in clinical practice is the idea that bladder leaks are unavoidable with age. In reality, many types of incontinence are treatable and sometimes even reversible.

Data from a 2022 survey conducted by Aeroflow Urology highlight just how common and impactful the issue can be. The survey found that 44% of adults over age 60 either experience urinary incontinence themselves or know someone who does. Even more concerning, 25% of respondents said they skip social events because of incontinence.

For many people, this means the condition affects far more than physical health. It can lead to social isolation and reduced quality of life. Some individuals stop traveling, exercising or spending time with friends because they worry about leaks or urgently needing a bathroom.

Part of the challenge is that many people feel embarrassed discussing bladder issues. Fosnight says shame can become a major barrier to care, especially when patients believe they are the only ones experiencing the problem. When health care providers openly discuss the topic, however, patients often feel immediate relief.

Simply reassuring patients that urinary incontinence is very common and treatable can help start important conversations. Fosnight encourages health care providers to ask about bladder symptoms routinely so patients know it is safe to talk about.

Education also plays a critical role. Many people do not realize there are clear physiological reasons why bladder control can change. Pelvic floor muscles may weaken over time, hormonal shifts can affect bladder function, and certain medications or medical conditions can contribute to symptoms.

Lifestyle factors may also play a role. Fosnight often encourages patients to track their symptoms using a bladder diary, which can help identify triggers. Certain foods and drinks, including caffeine, alcohol, carbonated beverages, spicy foods, citrus fruits and tomatoes, can sometimes increase bladder urgency.

Other factors, such as constipation, may also contribute to bladder problems because increased pressure in the pelvis can affect bladder function. Medications such as diuretics, commonly used to treat high blood pressure, may also increase urinary frequency.

The encouraging news is that once patients understand these connections, small adjustments can sometimes make a meaningful difference. Identifying triggers, strengthening pelvic floor muscles or exploring medical treatments can help many people regain confidence and return to activities they enjoy.

Fosnight says the key message for patients is simple: Urinary incontinence may be common, but it is not something people have to live with in silence.