Background: Urinary incontinence (UI) has been identified as a World Health Organization health priority. In particular, urge UI (UUI) refers to urine leakage associated with a sudden and compelling desire to void urine. It affects quality of life more than other kinds of UI, but it is not always treated adequately. The prevalence of urinary incontinence (UI) in Saudi Arabia older adults is variable due to the methodological heterogeneity of available studies and investigating the factors associated with this condition can lead to an approach centered on the bio psychosocial model, Lower urinary tract symptoms and urinary incontinence are very common in the general population and increase in prevalence in association with age. Urinary incontinence in particular is still seldom discussed by patients, many of whom delay seeking healthcare for the condition. Aim of the study: This study aims to assessment the prevalence of urinary incontinence among elderly patients attending the primary health care centers in Makah Al-Mukarramah, Saudi Arabia in 2022 Method: A cross-sectional descriptive study was carried out among elderly patients in Makah al-Mokarramah, Saudi Arabia, attending primary health care centers from 1 August to 12 October 2022. Our total participants were (200). Data was collected using a predesigned questionnaire that was distributed. Results: majority of the participant were, male (71.0 %), The age of the participant majority from 50-60 years, were (45%) w. regarding level of education most of participant Primary were (34.0%), were regarding the Occupation the most of participant yes working were (59.0%) .while How often do you get up at night to urinate the majority more than2 and 3were(23.0%) and How often do you urinate during the day majority more than 10 were (36.0%) Conclusion: We acknowledge the fact that urinary incontinence is a common and poorly understood problem in our community. Another problem in the among middle group is cognitive impairment, which also contributes to urinary incontinence. Prevalence of urinary incontinence is most likely underestimated. Detection of this problem is essential for preventing complications and improving the quality of life of the among elderly age group, are useful to aid the reduction in UUI episodes in elderly-aged women. Further studies comparing the effectiveness of conservative treatments for UUI are needed .