A survey of disordered micturition among an elderly population living at home showed 7 per cent affected with a significant problem and a further 1 per cent were catheterised. Unsatisfactory management in the form of wetting of external clothing was present in 2 per cent of the population and 3 per cent reported curtailment of normal social activities. Incontinence preventive aids were used by only 53 per cent of incontinent people, and just over half were supplied by the NHS. Failure to communicate the problem to the primary care team contributed to poor management. People living alone were less likely to communicate with, and to obtain aids from, NHS personnel. Embarrassment and hopelessness tended to inhibit attempts to obtain help. Attendance at a local survey clinic suggested these inhibitions can be overcome when services are offered rather than sought.