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There are several potential culprits behind canine urinary incontinence: 1  Bladder infections, stones, polyps or tumors. 2  Overflow incontinence, which occurs when a dog is affected by a medical condition that causes her to drink excessively, such as diabetes and Cushingâs disease. 3  Spinal cord disease.
Early spaying causes urinary incontinence in up to 20% of spayed females. Weak bladder muscles start to leak in middle age. This is stressful for both you and your dog, who is understandably upset at having accidents when she can't understand why.