Urinary incontinence is a common problem among older women and men. Older adults are reluctant to seek treatment, and health care providers should inquire about symptoms. Treatment of urinary incontinence includes multiple, office-based modalities, such as behavioral approaches, medications, and devices. Older adults may also consider surgical options to improve urinary incontinence. Special consideration should be given to older adults with cognitive impairment and incontinence. © 2011.