Many physicians have little experience of the correct evaluation and treatment of the problem. If your doctor is one of these, find another with the skills needed to help you. About two-thirds can be helped by the family physician and a third need specialty care. Correct evaluation will lead to proper treatment and a satisfied patient. Some changes occur with aging.
Younger people excrete most of their fluid before bedtime.
The elderly do this during the night. Getting up once or twice at night to urinate can be normal. Injury at childbirth may change the position and effectiveness of the bladder exit tube, the urethra. Once these have been dealt with, the other causes are in the muscle of the bladder, the bladder exit tube, or both. Bladder incontinence occurs firstly because of storage of urine problems.