Understanding Heavy Bladder Leakage (HBL)

What is Heavy Bladder Leakage (HBL)?

What Is Heavy Bladder Leakage (HBL)?

Heavy Bladder Leakage (HBL) refers to moderate to severe bladder leaks that require more absorbent protection than light incontinence products can provide. Unlike occasional light bladder leakage (LBL) triggered by coughing or sneezing, HBL involves larger volumes of urine loss that can occur throughout the day and night and may be associated with conditions such as neurogenic bladder or the use of diuretics that increase urine output.

People living with HBL often experience:

• Multiple voids throughout the day or night
• Sudden, intense urges with limited warning time
• Larger volume leaks that can soak through store brand adult diapers or pads
• Disrupted sleep due to nighttime leakage
• Need for premium incontinence products engineered specifically for heavy leaks

HBL requires specialized products with advanced absorbency technology to provide the protection, comfort, and confidence you need to go about your daily activities.

"Heavy Bladder Leakage (HBL) doesn’t have to disrupt normal life if protection can be trusted to last, no matter what."

Adam Greenberg • Founder & CEO of NorthShore

What Is Incontinence?

Incontinence refers to the involuntary loss of bladder or bowel control. It can range from minor leaks to significant voids, affecting millions of people worldwide across all ages and backgrounds.

Incontinence is more common than you might think:

• 1 in 3 people have recently experienced it
• 2 in 3 people will experience it in their lifetime
• 3 in 3 people have a family member who has experienced it in their lifetime

If you're living with heavy bladder leakage, know that millions of others share your experience. You're not alone, and effective solutions exist to help you live with confidence and dignity.

Living with incontinence can feel like an unfair opponent: disrupting your daily life, causing frustration, and sometimes making you feel powerless. It may affect your sleep, limit your social activities, or impact your confidence. It's okay to acknowledge these challenges — recognizing them is the first step toward overcoming them.

Light vs. Heavy Incontinence: Understanding the Difference

Understanding where you fall on this spectrum helps you choose the right products and management strategies for your needs. It’s also important to know that many store-brand incontinence products (even those labeled “maximum absorbency” or “overnight”) are primarily designed for LBL, which may leave people with HBL underprotected.

Types of Incontinence

Understanding the different types of incontinence is the first step toward effective management. Knowing what you're dealing with can motivate you to seek solutions, build confidence, and take meaningful steps toward better control.

Causes of Incontinence

Incontinence can result from a variety of medical, neurological, or lifestyle factors. Understanding the root cause is essential to finding the right solutions and working with your healthcare provider on an effective treatment plan.

Bladder and Bowel Dysfunction (BBD)

This common cause stems from nerve or muscle dysfunction, which can prevent proper bladder or bowel control. BBD can develop gradually or appear suddenly, and often responds well to treatment.

Contributing factors include:

Neurological Disorders (ND)

Certain conditions impact the brain and nervous system, interfering with the signals between the brain and bladder. These conditions can disrupt the normal communication needed for bladder and bowel control.

Examples include:

Functional Barriers

For some, incontinence isn't caused by medical dysfunction but by physical or cognitive barriers that prevent timely bathroom access.

Common barriers include:

Life Stages and Lifestyle Factors

Incontinence can also develop or worsen due to natural life changes and lifestyle factors:

When to Seek Help

While incontinence is common, it doesn't have to be an inevitable part of life. Many people suffer in silence, believing nothing can be done, but numerous effective treatments and management strategies are available.

You should consult a healthcare professional if:

• Symptoms start interfering with daily life
• Leakage interrupts your sleep regularly
• You experience discomfort or pain with urination
• Incontinence leads to skin irritation, rashes, or infections
• You're limiting social activities or exercise due to fear of leaks
• You experience sudden changes in bladder or bowel control
• You notice blood in your urine
• You have frequent urinary tract infections
• Symptoms are worsening over time
• You feel depressed, anxious, or isolated because of incontinence

What to expect at your appointment

Your healthcare provider will likely:

• Take a detailed medical history
• Perform a physical examination
• Request a urine sample to check for infection
• Ask about your symptoms, fluid intake, and bathroom habits
• May recommend keeping a bladder diary
• Discuss treatment options tailored to your specific type and cause of incontinence

Remember, healthcare providers discuss incontinence regularly. There's no need to feel embarrassed, they're there to help you find solutions.

How Can I Best Manage My HBL

NorthShore provides premium adult diapers and incontinence solutions that are engineered to keep you unbelievably dry and leak-free all day or all night so that you can focus on life, not leaks.

	Tab-Style Overnight Briefs, such as MegaMax, can provide up to 12 hours of leak-free protection*, making them an ideal option for long days and overnights. They feature waterproof backing, available in either a plastic (poly) material or soft cloth-like material. Refastenable tabs allow a more adjustable fit and make it easier to change when needed.
	Pull-Up Underwear, such as GoSupreme, provide maximum absorbency for up to 8 hours and offer he perfect blend of comfort and security. Designed to function like regular underwear, they feature a quick-wicking absorbent lining that keeps you dry, leak guards for added protection, and convenient tear-away side seams for easy removal.
	Pad-Style Incontinence Liners, such as DynaDry Supreme, can be worn in regular, washable underwear and provide heavy duty protection against light dribbles to heavy urinary and/or bowel leaks. NorthShore pads and liners deliver maximum absorbency, odor control, and all-day comfort.

In addition to adult diapers and incontinence pads, NorthShore also offers maximum absorbency booster pads (to extend the lifespan of briefs and pull-ons), cleansing wipes and disposal bags for discreet and efficient cleanup, waterproof covers that add an extra layer of protection to diapers, and underpads (aka chux) that protect bedding and furniture.

Not sure if you're dealing with light or heavy bladder leakage? NorthShore's Customer Care Experts are here to help. They are real people who offer 100% judgment-free guidance to help you find the right products, styles, and sizes for your body, routine, and comfort needs. Need personalized recommendations? Connect online or call or text 800-563-0161 any time — they can even help you place a free sample order (up to six samples, just pay shipping) so you can discover what works best and move forward with clarity and confidence.

*An immediate change is required after a bowel movement

What is Heavy Bladder Leakage (HBL)?