Understanding Incontinence in Older Adults: Treatment, Support & Solutions

Urinary incontinence is one of the most common—yet least talked about—health challenges older adults face. It affects millions of people, often leading to embarrassment, frustration, and a decline in quality of life. But here’s the truth: incontinence is not a normal part of aging, and it’s not something anyone has to simply “live with.” With the right care and support, incontinence can be managed—and in many cases, improved. Whether you’re experiencing it yourself or caring for an aging loved one who is, understanding the causes and treatment options is the first step toward restoring confidence, dignity, and independence.

Why Older Adults May Not Talk About Incontinence

Unlike common ailments like joint pain or backaches, incontinence often carries a stigma that makes people feel ashamed or isolated. Research shows that many individuals—especially men—delay talking to their doctor for years. In fact, a study by UT Southwestern Medical Center found that 32% of men waited five years or more to seek help.

This silence can lead to unnecessary suffering. Left untreated, incontinence can result in:

• Skin irritation and urinary tract infections
• Disrupted sleep and fatigue
• Social withdrawal and isolation
• Decreased physical activity due to fear of leakage

The North American Menopause Society notes that many women with incontinence reduce physical activity out of fear, accelerating decline in both physical and cognitive health.

Types of Urinary Incontinence in Seniors

Understanding the different forms of incontinence can help families and care providers find the right treatment plan.

• ‍Urge Incontinence: Sudden, intense urge to urinate followed by involuntary leakage. Common in older adults and often linked to nerve damage, infections, or irritants.
• Overflow Incontinence: Frequent or constant dribbling due to an overfilled bladder. This may result from prostate issues in men, constipation, or nerve damage.‍
• Stress Incontinence: Leakage triggered by physical movement or pressure—such as coughing, sneezing, or lifting. Often seen in women after childbirth or in men post-surgery.‍
• Functional Incontinence: The individual has normal bladder control but can’t reach the toilet in time due to mobility challenges, cognitive decline, or environmental barriers.

Incontinence Treatments and Management Options

Once the type of incontinence is diagnosed, there are a range of effective treatment strategies available. A personalized approach often leads to the best outcomes. Treatment options include:

• ‍Bladder training (timed voiding): Developing a bathroom schedule to gradually increase the time between bathroom visits.‍
• Pelvic muscle exercises: Kegel exercises can strengthen pelvic floor muscles to better control urination.‍
• Medications: Certain prescriptions can relax bladder muscles, reduce urgency, or, in women, restore vaginal and urethral tissue with estrogen.‍
• Surgery or medical devices: Options like slings or pessaries may be recommended for stress incontinence or prostate-related issues.‍
• Lifestyle changes: Reducing caffeine, alcohol, and tobacco; increasing physical activity; and managing weight can all reduce symptoms.‍
• Absorbent products: Modern incontinence briefs and pads offer discreet protection and peace of mind.

How Geriatric Care Managers Can Help

Talking about incontinence can be difficult—but it’s easier with the right support. Geriatric Care Managers (GCMs) are experienced professionals who help families navigate sensitive health issues with empathy and expertise.

A GCM can:

• Facilitate honest conversations between family members and health care providers
• Recommend specialized medical evaluations and continence care resources
• Assist with in-home modifications to ensure timely and safe bathroom access
• Monitor the effectiveness of treatment plans and adjust as needed
• Provide emotional support to reduce embarrassment and build confidence

By working with a care manager, families can approach incontinence with the respect and dignity every older adult deserves.

Restore Dignity and Confidence with Expert Incontinence Support

Incontinence doesn’t have to diminish quality of life. With open communication, proper care, and compassionate guidance, your loved one can feel more confident, active, and supported.

📞 Contact LiveWell today to schedule a free initial consultation and discover how our experienced care managers can support you and your loved ones—through incontinence challenges and beyond.