Urinary incontinence is the uncontrollable and uninhibitable leakage of urine through the urethra. Urinary incontinence could be secondary to many causes. Primarily it is related to, what is called overactive bladder, where the patient has frequency and urgency running to the toilet. It also could be related to stress urinary incontinence, where when the patient coughs or sneezes or exercise, he or she leaks urine. Overflow urinary incontinence is when the bladder is unable to empty and it, in fact, overflows. This is usually secondary to a bladder that will not contract or to urethral obstruction, such as stricture or prostate obstruction. Again the diagnosis of urinary incontinence requires a good thorough history and physical examination, especially in women understanding history of childbirth and pelvic surgeries. We then obtain a urinalysis along with a voiding diary, which is a day to day accounting of how much urethral leakages is associated with normal voiding and oral intake of fluids. Then based upon this data, we decide whether the patient could be controlled by noninvasive means, which may include fluid management and pelvic exercises, the so called Kegel exercises. The patient may need more aggressive evaluation including an urodynamic measurement, which in fact is a way to measure how the bladder and urethra works to identify the source of the incontinence and guide therapy. Therapy could include a range of pharmaceuticals and pelvic exercises, up to surgery.