Urinary leakage in women: complaints, problems and solutions

More than half of all women between the ages of 30 and 65 suffer from unwanted urine leakage. A quarter of women with involuntary urine leakage remain silent about it. What are the causes of urine loss? What solutions are there for urinary incontinence? What causes stress incontinence in women? What are the solutions for urine loss? Is there a remedy against urine loss? What can the woman do herself? What can the gynecologist and urologist do?

How many women suffer from urinary incontinence?

More than half of all women aged 30 to 65 have suffered from unwanted urine leakage in some way. To express it in percentages: more than 57% of women have suffered from unwanted and involuntary urine loss. It is incorrect to think that involuntary urine leakage only affects older women, many women over the age of 30 suffer from involuntary urine leakage. Almost half of all women over the age of 30 (49%!) have suffered from some urinary leakage.

Causes of urine loss

Normal daily and social activities, but also inflammation, can lead to unwanted urine leakage in women, such as:

  • To sneeze,
  • Lifting something heavy,
  • Laugh,
  • Cough,
  • Making out,
  • To play sports,
  • Getting up too quickly
  • Cystitis,
  • Pregnancy.

Pressure on the bladder

Many women suffer from stress incontinence. Stress incontinence means that pressure on the bladder increases in women during normal daily activities. This may cause the woman to lose a few drops of urine and in some cases the woman may lose more urine than a few drops.

Cause of stress incontinence

What causes this stress incontinence in women? In most women, stress incontinence is caused by weakened pelvic floor muscles. Because this pelvic muscle is too weak, the woman’s bladder no longer closes properly, resulting in annoying urine loss. These pelvic floor muscles are weakened by:

  • Pregnancy, pregnancies,
  • Childbirth, deliveries,
  • Estrogen deficiency and menopause (the period after menopause),
  • Excessive exertion,
  • Overweight,
  • Heredity,

Characteristics of bladder infection

Unwanted urine loss can also be an indication of a bladder infection in women. The following symptoms may be a sign of a bladder infection:

  • Incessant urge to urinate, urinate and constantly need to go to the toilet,
  • The urine smells strong, stronger than normal,
  • During urination, only small amounts of urine are released, less than normal,
  • Burning sensation during urination,
  • Can no longer hold urine
  • Temperature increase; the woman has a fever and may even feel feverish,
  • Nagging and an uncomfortable feeling in the lower abdomen.

General advice bladder infection

General advice for a woman with a bladder infection is:

  • Wear warm underwear,
  • Do not walk on wet feet after showering,
  • Put on warm socks,
  • Drink extra: herbal tea, mineral water, fresh fruit juices and fresh vegetable juices,
  • Urinate well,
  • Make an appointment with the doctor.

Urinary leakage: taboo

Many women are ashamed of involuntary urine loss. It even turns out that 25% of all women with some form of unwanted urine loss never talk about their involuntary urine loss, not even with their best friends. Research has also shown that women do not easily talk about their urinary incontinence.

Quality of woman’s life

The quality of life of a woman with unwanted urine leakage can be greatly reduced by:

  • Feelings of shame,
  • To feel dirty,
  • The smell of the urine,
  • The fear of discovery by the environment,
  • Avoiding sexual contact with the partner,
  • The feeling that there is little that can be done about the unwanted urine loss.

Solutions for unwanted urine loss

What solutions are there for unwanted urinary incontinence in women? In some women, the problem of unwanted urine loss can only be solved surgically. In most women, effective exercises can train the pelvic muscle in such a way that it becomes much stronger. This can make unwanted urine loss disappear or at least reduce.


For women with unwanted urine loss who are looking for solutions, it is best to turn to a specialized physiotherapist. This physiotherapist will teach the woman with unwanted urine loss how to consciously use the pelvic floor muscle.

Stress incontinence training program

At the initiative of Tena Lady, experts have developed a special training program for women with stress incontinence and weakened pelvic floor muscles. According to the makers of the training program, stress incontinence, urinary continence and weakened pelvic floor muscles will disappear in most women by applying the correct exercises to train the pelvic floor muscle.

Aids for urine loss

Women who suffer from unwanted urine leakage during exercise can insert a wet/moist tampon before exercising. In this way, unwanted urine loss during exercise is sufficiently remedied.

Prolapsed bladder aids

Women who suffer from unwanted urine loss due to a milder form of a prolapsed bladder can reasonably solve the problem by inserting a ring, a pessary. This pessary brings the slightly prolapsed bladder back into position.

Gynecologist and urologist

Solutions, aids and training the pelvic muscle will not be sufficient for every woman with urinary continence. It is best to make an appointment with the gynecologist or urologist. Together we can look at whether there are other solutions for the unwanted urine loss. It can often be decided to solve the problem surgically by:

  • A urethral sling,
  • A hammock in the basin.

Chances of success after surgery

Women who have surgically addressed the problem of unwanted urine loss have had 86% success and 8% have had a significant reduction in urine loss.

Incontinence outpatient clinic

The Flevo Hospital and the Almere care group together have a lot of experience with incontinence and in supporting women with urinary incontinence. All these experts are now working together in the incontinence outpatient clinic in Almere, which is part of the Flevo Hospital. More information incontinence outpatient clinic.

What can the woman do herself?

If the woman has a fairly mild form of unwanted urine loss, she can follow the following advice:

  • Go to the toilet at regular times,
  • Eat healthy with lots of extra fiber in your diet,
  • Drink as little as possible just before going to bed,
  • Purchase specially designed underwear that absorbs urine and neutralizes odor.

When to go to the doctor?

Women feel particularly uncomfortable when dealing with unwanted urine leakage. Women are strongly advised to see their doctor if they exhibit the following characteristics:

  • Blood in the urine,
  • Excessive urine loss,
  • Pain complaints during unwanted urine loss,
  • Long-term physical complaints due to urine loss,
  • Bladder infection or when a bladder infection is suspected.