When we are young, people will wet the bed, this is because we are not fully developed, when we grow up, we will not, but in old age, there are many older people will have incontinence, this is why? The simple word is that people are old, various body functions can not keep up. As for the specific reason why incontinence is prone to occur, it is necessary to start with the factors that appear incontinence. Urinary incontinence is mainly bladder and urethral factors, if the bladder is overactive, it will stimulate urination, urinary frequency and urgency, the phenomenon of holding urine, we call urgent incontinence; if the increase in abdominal pressure, a laugh, a cough, strenuous exercise, will involuntarily leak urine, we call pressure incontinence, like many older people now square dance, a little bigger action This is also a typical manifestation of stress urinary incontinence. There may also be problems with the urethra or pelvic floor muscles, problems with the outlet, always closed incomplete or easy to open, or bladder pressure increases, it can not control the flow of urine. But in fact, many patients now have a mixture of urge incontinence and stress incontinence, called mixed incontinence. In the elderly, the factors that just mentioned that cause urinary incontinence in the bladder and urethra can all occur because of weak pelvic floor muscles, married having given birth, multiple pregnancies, obesity, etc. Is urinary incontinence a problem that occurs mainly in older women, but is it also common in men? This is not really a problem for women only, it can also occur in men. The main problem for men is the prostate related diseases, prostate enlargement patients will have filling incontinence, long-term urine can not be discharged, obstruction, urine storage, bladder pressure is getting bigger and bigger, the urethra can not resist the bladder pressure, incontinence. There is also a high proportion of male overactive bladder, with severe urinary frequency and urgency, some patients will involuntarily urinate, because men have prostate support blocking the urethra, more performance into urinary urgency, some patients after prostate enlargement surgery, urinary urgency performance more obvious, because the obstruction removed, may show leakage of urine. For men with overactive bladder, the prevalence is also very high, and if you notice similar symptoms yourself you can be evaluated in the hospital. There is a very simple scale called the OABSS score, which has four items, takes 1 minute to do, and is applicable to both men and women. Depending on the score, you can determine if you have overactive bladder symptoms or not, and if you have symptoms you can treat them with behavior and medication. Some older people may not take it very seriously out of embarrassment, or they may use elderly diapers and not go for treatment, so what are the consequences of letting it go? Many people don’t take it seriously and don’t go for treatment, which is not right. Like the previously mentioned high-risk groups, if there is frequent urinary urgency, leakage of urine, or some underlying diseases of the elderly, more attention should be paid. For example, diabetes mellitus develops filling incontinence, the bladder is no longer functional at all, 300 or 500 ml of urine is stored inside, and the pressure of urine is too great to urinate, when the bladder has no feeling, this situation is worse. In some people, the condition is serious and can affect self-confidence and affect social interaction. Urinary incontinence is not malignant, but it also very much affects the quality of life. Severe urinary frequency and urgency and leakage should all be evaluated in detail at a hospital. To see whether it is a problem with the urethra, bladder or neurological or endocrine system.