Urinary Incontinence Treatment Online — Express Assessment
Leaking when you laugh or run, or an urge that gives you thirty seconds' notice — incontinence is common, treatable and rarely talked about. If yours is diagnosed and mild to moderate, an EU-registered doctor reviews a 3-minute questionnaire, usually within 15 minutes, and prescribes bladder medication or sets out the treatment plan. €34.
- €34, one fixed fee
- Doctor review usually within 15 minutes
- Daily 7am–11pm CET
- 14 EU countries, no appointment
Urge, stress or both
The questionnaire separates the two types, because they are treated differently: medication helps the urge type, pelvic-floor training is the first treatment for the stress type.
Read by a doctor, privately
An EU-registered doctor reads every answer personally and can message you if something needs checking. Nothing is decided automatically.
If it needs an examination
New symptoms, pain, blood in the urine or repeated infections need a doctor who can examine and test you; the doctor says where, and the €34 is refunded in full.
Urinary incontinence treatment online — key facts
| Who it is for | Adults with mild to moderate incontinence a doctor has diagnosed before, whose symptoms are stable |
|---|---|
| Urge incontinence and overactive bladder | Bladder training first; then a bladder tablet: an antimuscarinic (solifenacin, tolterodine, fesoterodine, trospium) or mirabegron, chosen from your other conditions and medicines |
| Stress incontinence | Pelvic-floor muscle training for at least three months is the treatment; medicines are rarely the answer, and the doctor says so |
| After the menopause | Vaginal oestrogen improves urgency and frequency and reduces urine infections |
| Not treated online | New or suddenly worse symptoms, pain, blood in the urine, repeated infections, leakage after a recent operation or childbirth, weakness or numbness in the legs |
| The prescription | In English, names the active ingredient, carries a verification code; recognised at pharmacies across the EU under Directive 2011/24/EU; several months' supply when the doctor agrees |
| Price and time | €34, one fee; an EU-registered doctor reviews it usually within 15 minutes, daily 7am–11pm CET; full refund if it cannot be handled online |
What is the treatment for urinary incontinence?
Urinary incontinence is treated by type: urge incontinence with bladder training, then a bladder tablet (an antimuscarinic or mirabegron). Stress incontinence needs at least three months of pelvic-floor muscle training, with surgery if that fails; mixed incontinence is treated by the type that troubles you most first. Vaginal oestrogen improves urgency and infections after the menopause. New symptoms, pain, blood in the urine or leakage after an operation need an examination first.
How to get urinary incontinence treatment online — what happens after you press start
1. The questionnaire — about 3 minutes
It asks about leakage in the last three months, urgency (the running-tap or key-in-the-door urge), leakage during sleep or without warning, whether your bladder empties fully, constipation, whether symptoms began after an injury or operation, any weakness or numbness in your legs, other conditions, allergies and the medicines you take. The pattern of your answers helps the doctor confirm which type you have.
2. The doctor's review
The doctor reads it personally. For a diagnosed urge or mixed incontinence with stable symptoms the doctor chooses a medicine, or explains why bladder training should come first; for stress incontinence the doctor sets out the pelvic-floor programme and says whether a medicine has any place. Anything that needs an examination — a possible prolapse, retention, a neurological cause — is switched to a video consultation, at no extra charge.
3. The pharmacy
If a medicine is prescribed it appears in your Mobi Doctor profile as a prescription in English naming the active ingredient. Show it at a pharmacy you choose and pay the pharmacy for the medicine. Mobi Doctor does not sell or dispense medicines.
New or suddenly worse symptoms, pain, blood in your urine, repeated urine infections, or leakage after an operation or childbirth? Book a video consultation instead.
Right for the Express Assessment if
- A doctor has diagnosed your urinary incontinence before
- Your symptoms are mild to moderate and have not changed suddenly
- You can say when you leak — with urgency, with coughing or exercise, or both
- You are 18 or over and in one of the 14 EU countries Mobi Doctor covers
Book a video consultation instead if
- Symptoms that are new, or suddenly worse
- Pain when you pass urine, blood in the urine, or repeated urine infections
- Leakage that began after a recent operation, childbirth or injury
- Weakness, numbness or tingling in your legs, or new problems with your bowels
- You cannot empty your bladder fully, or you leak constantly without any urge
- You are a man with new symptoms — the prostate needs assessing first
List every medicine you take and answer each question fully — the doctor's decision depends on it. Your answers are confidential.
Prefer to listen? The Mobi Doctor podcast episode on this condition.
About urinary incontinence: the two types and why the difference matters
Urge incontinence is the sudden, hard-to-defer need to pass urine, often with leakage before you reach the toilet, and usually goes with frequency and night-time waking; together these make up the overactive bladder. Stress incontinence is leakage on coughing, sneezing, laughing, lifting or exercise, without urge, caused by a weakened pelvic floor or urethral support. Many women have both, which is mixed incontinence, and the doctor treats the type that troubles you most first. Roughly one woman in three has some leakage at some point, and most never mention it to a doctor — which is why it stays untreated.
Overactive bladder treatment: what the doctor can prescribe for urge incontinence
European urology guidance puts bladder training and lifestyle changes first — reducing caffeine and alcohol, spreading fluids through the day, treating constipation, losing weight where relevant — and they help most people within a few weeks. When they are not enough, or you have tried them, medication is the next step: an antimuscarinic such as solifenacin, tolterodine, fesoterodine or trospium, or the beta-3 agonist mirabegron. They work on the same problem by different routes; antimuscarinics can cause a dry mouth and constipation, are not used with narrow-angle glaucoma, urinary retention or myasthenia gravis, and are used cautiously in older patients and with certain other medicines. Mirabegron avoids those effects but raises blood pressure slightly, so it is not prescribed when blood pressure is uncontrolled. The doctor chooses from your answers, and reviews the effect after four to twelve weeks.
Stress urinary incontinence treatment: why the answer is usually not a pill
For leakage on coughing or exercise the treatment with the strongest evidence is supervised pelvic-floor muscle training for at least three months — eight to twelve contractions, three times a day, taught properly, ideally with a physiotherapist. It helps most women who keep it up. No medicine treats stress incontinence well: duloxetine can reduce it in some women but its side effects mean it is rarely used, and the doctor will say so rather than prescribe something that will not help. When training has not worked, surgery is effective, and that conversation belongs with a urologist or gynaecologist.
After the menopause: vaginal oestrogen
Low oestrogen after the menopause thins the lining of the urethra and bladder neck and is a common cause of urgency, frequency and repeated urine infections. Vaginal oestrogen — a cream, pessary or ring, used locally, with very little absorbed — improves those symptoms in most women within weeks and is safe for long-term use for the great majority; after breast cancer it is agreed with your oncologist first, and unexplained vaginal bleeding is examined before it is started. It can be prescribed from the questionnaire when the doctor agrees, and it is often the first thing tried before a bladder medicine.
What to expect, and when to stop and see a doctor
Bladder training shows results in two to six weeks; a bladder medicine usually within four weeks, with the full effect at twelve; pelvic-floor training needs three months. Stop and contact a doctor if you develop pain, blood in the urine, a urine infection, new difficulty emptying, or weakness in your legs — those change the diagnosis. If the first medicine does not suit you, the doctor can switch class rather than give up; if two have not helped, a specialist assessment with bladder tests is the next step, and the video consultation is the place to arrange it.
Using the prescription at a pharmacy anywhere in the EU
The prescription is issued in English by an EU-registered doctor, names the active ingredient rather than a brand, and carries a verification code the pharmacist can check at mobidoctor.eu/verify. A prescription issued in one EU country must be recognised in another (Directive 2011/24/EU); the active-ingredient name is what makes that work at the counter. Dispensing is the pharmacist's decision under the rules of the country you are in, and depends on the medicine being available there. If you need a supply covering several months, say so in the questionnaire — the doctor decides the quantity. The other conditions the Express Assessment covers — 13 in all, plus repeat prescriptions — are listed on the online doctor prescription page.
Sources: European Association of Urology — patient information on urinary incontinence · EAU Guidelines on Non-neurogenic Female LUTS, current edition — urinary incontinence and overactive bladder
Start Express Assessment — €34 About 3 minutes to complete.
Dr. Chrysoula I. Liakou MD, PhD
Urinary incontinence treatment online — your questions answered
Medical Build Order
About 3 minutes of questions — then the doctor takes over. No waiting room.