Members' NAVLE study guide

Canine Urinary Incontinence

3,197 words 13 min read 3 figures Reviewed November 12, 2026

Urinary incontinence is the passive, involuntary leakage of urine: the dog does not know it is happening. It is common in spayed female dogs and has many causes, from a weak urethral sphincter to a ureter that opens in the wrong place or a bladder that cannot empty. The key skill, in practice and on the exam, is sorting the dog into a storage or a voiding disorder before choosing a drug.

Key facts

Urinary incontinence at a glance
  • Species and system: dog; lower urinary tract (bladder, urethra, ureters) and its nerve supply.
  • How common: acquired incontinence is reported in 3% to 20% of spayed female dogs; it is much less common in males.
  • Most common cause: urethral sphincter mechanism incompetence (USMI) in neutered bitches, especially dogs over 20 kg.
  • Classic presentation: a middle-aged spayed bitch leaves wet patches where she sleeps but urinates normally when awake.
  • Young dog version: constant dribbling since puppyhood suggests ectopic ureter(s).
  • Zoonotic or reportable: no.

What's inside

12 sections in the full guide
  1. Key facts
  2. How the NAVLE tests this
  3. Cause and pathophysiology
  4. Clinical signs
  5. Diagnosis
  6. Differential diagnoses
  7. Treatment and management
  8. Prevention, control and public health
  9. Prognosis
  10. Quick review
  11. Test yourself
  12. References
The full guide also has 4 tables, 3 figures, 3 self-test questions and 10 references, available to NAVLE members.

Read the full study guide

The full guide is part of every NAVLE plan, with diagnosis and treatment tables, figures, a quick review and self-test questions. Start a free trial to try the question bank, or log in if you are already a member.

Read the free overview article A shorter, free article on Urinary incontinence on the NavleExam blog.

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