Answer: Urinary incontinence (involuntary urine leakage) can be caused by different medical conditions. Hormone-based urinary incontinence is a common problem in middle-aged and elderly spayed female dogs. The pet can urinate normally, but they leak urine while resting. Frequently the dogs are not aware that they are leaking urine. Physical examination and blood and urine tests are usually normal in these pets. Hormone-responsive incontinence can occur months to years after a