When is routine assessment worthwhile?
Consider assessment when leakage is new, becoming more frequent, interfering with daily life or requiring steadily increasing levels of absorbent protection.
What symptoms should be checked promptly?
- pain or burning when passing urine;
- blood in the urine;
- fever or feeling systemically unwell;
- difficulty starting or emptying the bladder;
- a sudden major change in bladder control;
- new weakness, numbness or neurological symptoms.
What if leakage happens only with coughing or exercise?
Patterns of leakage can have different causes and management options. A clinician or continence service can help identify the pattern and discuss treatment.
What if leakage is associated with urgency?
Sudden strong urges and leakage are also worth discussing, especially if the pattern is new or worsening.
Can incontinence underwear treat the cause?
No. It manages the practical effect of leakage but does not treat an underlying bladder, pelvic-floor or medical problem.
Who can help?
A GP may be the first point of contact. Continence services, pelvic-health professionals and other clinicians may also be involved depending on the cause and symptoms.
Important: Seek urgent medical advice for severe new symptoms, inability to pass urine, significant bleeding or a sudden neurological change.
