Urinary incontinence (UI) is one of the major problems that has a negative impact on
the women's psychological wellbeing and self esteem. It is also one of the threatening factors
which can cause withdrawal from social activities and decreased quality of life. Objective:
The aim of this study is to determine the Impact of urinary incontinence on self esteem and
quality of life of elderly females residing in assisted living facilities. Setting: The study was
carried out in two of the governmental assisted living facilities (elderly homes) in Alexandria.
Subjects: The study included, one hundred elderly females aged 60 years and above, able to
communicate effectively, and accept to participate in the study. Tools: Three tools were used;
the Socio-demographic and Clinical Data Structured Interview Schedule, the Rosenberg Self-
Esteem Scale (RSES), and the Kings Health Questionnaire (KHQ). Results: The majority of
the study females had UI for three years and more. UI affected positively the self esteem and
quality of life. Females with lower quality of life were young old, single, house wife, and with
inadequate enough income. Conclusion: Urinary incontinence had a great impact on all
domains of quality of life of the study females. Shame, embarrassment and / or their belief
that UI is a normal part of aging are among the reasons for not seeking help.
Recommendations: Educational programs for older adults and their care givers should focus
on developing awareness about UI, the importance of seeking advice in order to develop
effective coping strategies, increase self esteem, and improve QoL.