Life expectancy has increased over the last 50 years by a decade from 71 to 81 [1]. With this, there are increasing demands placed on health services by the challenges where elderly patients may represent a different set of physiological responses that may require a different approach to management. This trend in life expectancy is likely to continue and the impact of concurrent conditions, and their treatments will increasingly need to be considered as they affect or modify the symptoms or treatments of incontinence. Many patients may age without problem and therefore can be treated in the same way as younger patients, others may develop a number of agerelated conditions that impact on each other, and it is this later group that will benefit from a multidisciplinary approach.