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As pstegman points out, it depends on the cause. The best approach will be to consult a doctor about the issue. If it is treatable, hooray ... follow the treatment plan. If it is not, learn the best ways to deal with it with dignity.

Good luck!
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It depends on the cause. I did experience incontinence prior to having my knee replaced, but after surgery and PT I could walk normally and the incontinence went away, and so did my lower back pain.
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