How do I pray if I leak urine?

Yes, you still pray, and Islam makes it easy for you. A person with ongoing urine leakage is excused from the usual rule that leakage breaks wudu. Clean yourself, use protection, make wudu once the prayer time has entered and pray, even if some drops come out. Never skip prayer because of it.
Allah does not burden you beyond your ability
Incontinence is a medical condition, not a sin and not a sign of weakness. It can follow childbirth, surgery, age or illness. Allah says:
Scholars compared this to the case of Fatima bint Abi Hubaysh, who had continuous bleeding outside her period and asked if she should give up prayer. The Prophet ﷺ told her no, and added that she should do ablution for every prayer (Sahih al-Bukhari 228). In the same way, a person with constant leakage keeps praying, with an excuse.
What to do, step by step
- Wash the private area, change your pad or underwear if you can, and wipe any splash on your clothes.
- Wear a pad, a liner or protective underwear to limit the mess.
- Make wudu after the prayer time has begun, or just before the prayer.
- Pray right away. If drops come out during the prayer, carry on and do not break your prayer.
- If you notice a clear gap in the leakage that is long enough to make wudu and pray, use it.
What the schools say
- Hanafi and Hanbali: make wudu once the time of the prayer enters. That wudu lasts until the time ends, so you can pray the obligatory prayer and any extra prayers in that time.
- Shafi'i: make fresh wudu for every obligatory prayer, right after cleaning yourself, and pray without delay.
- Maliki: if the leakage happens most of the time, it does not break wudu at all, though you are encouraged to stay clean.
If you are unsure which of these fits your own situation, ask a trusted imam. This also applies to how often you need to change your clothes. Wash or change them if you can do so without hardship, and note that scholars excuse what you cannot avoid. A related case is when drops appear after istinja. See What if urine drips come out after istinja?
See a doctor too
Treatments, exercises and devices can help a lot, so do not ignore it. Seeking treatment is encouraged in Islam. In the meantime, prayer is still required, and you can sit if standing is hard. See What is istihada? and Can I pray while I need the toilet?
- A person with ongoing leakage still prays; it is an excuse, not a reason to skip (Quran 2:286).
- Clean up, use protection and make wudu after the time enters (or before each prayer in the Shafi'i school).
- Drops during the prayer do not break it for a person with this condition.
- Talk to a doctor and, if unsure, to an imam.
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