Voiding disorders, including urinary incontinence (UI), are common in elderly men. The aging process is associated with anatomic and physiologic changes that may predispose older adults to urinary problems. The epidemiology of UI in older adults is different from that in younger individuals. Costs associated with UI care—in terms of economic costs, health resource utilization, and personal psychosocial costs—can be quite high. UI is one of the geriatric syndromes that can negatively influence physical function and quality of life in the elderly. Several clinical disorders that commonly occur in older men may have important urologic correlates, such as normal pressure hydrocephalus, Parkinson’s disease, diabetes, and dementia. Nocturia is also highly prevalent in this population and may be somewhat difficult to treat. UI is common in nursing home residents and can be associated with declines in overall and health-related quality of life. Successful treatment can have a positive impact. Effective evaluation and management rely on a strong knowledge of the etiology and treatment options for UI in elderly men.