Sometimes it feels like our bladder has a mind of its own, ringing the washroom alarm at the most inconvenient times. However, what makes it more difficult is that many people, who have difficulty holding the urge or have any bladder issues, find it very difficult to make it in time. Have you ever felt a sudden, strong urge to pee right when you see your front door, put your key in the lock, or open your garage? This common experience is called "latchkey incontinence." Researchers believe they've found ways to reduce these sudden urges and bladder leaks triggered by such familiar cues.A recent study, published in the June issue of Continence, shows that both mindfulness training and brain stimulation helped reduce bladder leaks in people with latchkey incontinence. Bladder leaks can be very distressing. As one researcher explained, "Incontinence is a massive deal." People might avoid social activities or exercise because they worry about accidents, which can lead to loneliness and depression, especially for older adults. Why Do People Get The Urge To Pee When You See A Bathroom?Latchkey incontinence is a type of situational urgency incontinence, meaning specific triggers make you feel like you need to urinate right away. Other common triggers include hearing or seeing running water, or walking past a public restroom. This is similar to Pavlovian conditioning: after years of going to the bathroom once you're inside your house, your body learns to associate certain actions, like opening your front door, with the need to urinate. Earlier research connected latchkey incontinence to a specific part of the brain called the dorsolateral prefrontal cortex. This area becomes more active when people are shown their personal triggers. This part of the brain acts like the "executive control center" for your bladder, telling you it's time to go. What Are the New Testing Treatments?For this study, researchers wanted to find ways to control this brain response. They worked with 61 women over 40 who experienced situational urgency incontinence. These women were divided into three groups while viewing photos of their personal triggers: One group listened to a 20-minute mindfulness exercise.Another group received brain stimulation through electrodes placed on their scalp.The third group received both mindfulness and brain stimulation.The mindfulness exercise involved paying attention to different parts of their body, including any bladder sensations. After just four in-office sessions over five or six days, all three groups experienced less urgency and fewer leaks. The improvements were similar to those seen with other treatments like medication or physical therapy for the pelvic floor. These results are very encouraging because they suggest that tools like mindfulness can be an alternative or an additional way to improve symptoms. Most participants completed the study, and some even sent "thank you cards," showing how much this research meant to them. Incontinence is often a difficult topic to discuss, and many people don't realize that treatments are available. As one researcher said, "You don’t have to suffer in silence." Next, researchers plan to test the mindfulness therapy in living facilities for seniors and hope to eventually create a smartphone app that can help people manage their symptoms.