Most psychological problems appear to apply to cases where incontinence is due to a hyperactive bladder and not so much in cases of to stress incontinence.

Urodynamic studies have also shown that the severity of urinary incontinence is linked to psychological burdens.

Elderly people who suffer from incontinence showed increased depression symptoms. Of course, it is possible that the depression is not solely  due to urine leakage but to the fact that, usually, the elderly also suffer from other conditions that may exacerbate their psychological state.

15-35% of adults suffering from incontinence admitted a low level of satisfaction with their life.

Incontinence is a barrier to fun, exercise and social activities. It is not clear whether depression exacerbates incontinence or whether, vice versa, incontinence causes depression, although the condition does not put the life of patients at risk. However, it has a significant impact on relationships, work, travel, sports and hobbies.

Approximately 25-50% of women with urinary incontinence also experience sexual dysfunction, while 23% of women suffering from incontinence avoid work, often calling in sick. It is also known that incontinence can cause severe problems in the relationships with the opposite sex.

Lastly, people suffering from depression may neglect themselves and their health, so that they may not seek medical help for their incontinence.

Kindly contributed by Urologist – Andrologist Surgeon, Dr Charalambos P. Asvestis