When I stand up, urine just leaks out and I cannot control it. How should I proceed?

Cheryl asks:When I stand up, urine just leaks out and I cannot control it. How should I proceed?Megan O. Schimpf, MD, responds:This is a common and very frustrating urinary symptom, but there are treatments for this problem. Sometimes this can happen because of a bladder spasm, but sometimes it's related to the muscles in the abdominal wall contracting as you stand up. It could also mean that the