Thank you for your query. Urinary incontinence can be due to an over active bladder or an underactive bladder.) neurogenic bladder I would initially get a detailed medical history : - your age, gender, BMI, personal habits (smoking, alcohol) - history or family history of diabetes hypertension, hyperlipidemia, heart disease, stroke, neurological, psychiatric disorders -any previous surgeries including cesarean sections (if female), injury, trauma to the spine. -any recent infections (urinary /pelvic)? Any medication? -any increased frequency of urination, burning or pain while urinating, lower abdominal pain, fever Depending on the symptoms (overactive /underactive), I would like to do an ultrasound of your pelvic organs, check neurological control of the bladder, check other pelvic organs for increased size, do a urine routine to check for infection. Beyond the primary exam and checking for a. Urinary tract infection / uterine prolapse/spinal nerve Injury (the one that controls the micturition reflex) or compression., I would need a MRI of the brain to rule of central causes of a neurogenic bladder. Sometimes, psychological factors can lead to loss of bladder control but that is usually during sleep (enuresis). You need to see a urologist /urogynecologist ASAP to examine you. More often than not this can be treated by correcting the underlying cause. Surgery may be necessary to remain pelvic floor defects. You could try kegel s exercises (pelvic floor strengthening) while you wait to see the doctor. Also maintain a diary monitoring your fluid intake and when the incontinence occurs. Try to time bathroom visit about 30-40 minutes before the incontinence or urge occurs or sooner (about every 2hours)to prevent leakage. If this too doesn t help or you need a back up plan, adult diapers can be discrete. I hope this resolves soon enough. Hope I ve helped. Please get back to if you need further clarification. Wish you good health