Urinary and faecal incontinence is a common problem in older adults. There are several reasons for it including medication side effects, reduced mobility, cognitive issues, previous abdominal surgeries, prostate enlargement etc. Urine incontinence can be further divided in stress, urge and overflow incontinence. During the assessment, a geriatrician tries to establish the cause of incontinence and its impact on one’s life. After a thorough clinical history, specific urological and radiological investigations are ordered. Depending on the cause, a management plan is implemented. Majority of the patients can benefit from non-surgical strategies suggested by the geriatrician. A small number of the patients require surgical intervention.