Prof Philip Van Kerrebroeck
Vice-Chairman EAU Policy Office
For millions of people across Europe, urinary incontinence (UI) shapes daily life in ways that often remain invisible. While its personal impact is widely felt, the broader health, economic and social consequences have long been underestimated.
A socio‑economic report1 commissioned by the European Association of Urology (EAU) in 2023 and published in 2025 was the first to assess the impact of UI across Europe, revealing both the scale of the issue and the urgency for action.
The economic burden of urinary incontinence
In 2023, the economic burden of UI across Europe reached €69.1 billion (around £60 billion).Women bear a disproportionate share of this cost, with the financial impact estimated to be four times higher than for men. When informal caregiving is included, the total burden increases by a further 16%, highlighting the often‑unseen contribution of families and carers.
If current trends continue, the economic burden of UI could rise to €86.7 billion by 2030 (around £75.4 billion), a 25% increase. Without better awareness, prevention and access to effective treatment, the strain on individuals, healthcare systems and society will continue to grow.
Improving continence care starts with recognising UI as a medical condition, not a personal failing, and seeking help early
What this means for people living with UI
Behind these figures are real people whose quality of life is affected every day. Many restrict their activities, avoid social events or feel forced to stay at home because of fear, embarrassment or a belief that nothing can be done. Yet urinary incontinence is common, treatable and not something people should simply accept.
If you experience bladder control issues, the first step is to speak to your GP and ask about referral to a urologist or specialist continence service. A wide range of treatments and management options are available, from lifestyle changes and pelvic floor therapy to medications and specialised care.
Improving continence care starts with recognising UI as a medical condition, not a personal failing, and seeking help early. No one should feel isolated or limited in their daily life because of incontinence. With the right support and treatment, people can remain active, confident and socially engaged.
At the EAU, we’re working towards a greater awareness of UI through the Urge to Act campaign and the Reveal-OAB Project.
[1] Bishop, C. et al. (2025). Prevalence, socioeconomic, and environmental costs of urinary incontinence in the European Union. https://tinyurl.com/msbmw7w4.
