.................

Background Urinary incontinence is a common condition in childhood and represents a significant clinical and psychosocial problem. Although often perceived as a benign and self-limiting developmental issue, increasing evidence indicates that urinary incontinence may substantially impair children’s mental health and quality of life. Emotional distress, social difficulties, and psychological comorbidities are frequently observed among affected children. Aim The aim of this narrative review was to summarize current evidence on the impact of urinary incontinence in children on mental health and quality of life, with particular emphasis on psychosocial functioning and long-term consequences extending into adolescence. Materials and methods This narrative review was based on a qualitative synthesis of the literature identified through a search of the PubMed database. Clinical, epidemiological, and psychosocial studies focusing on nocturnal enuresis, daytime urinary incontinence, lower urinary tract symptoms, quality of life, and mental health outcomes in children and adolescents were included. The findings were analyzed descriptively and organized thematically. Results The reviewed studies consistently demonstrate that urinary incontinence in children is associated with significant impairment in quality of life across emotional, social, school, and family domains. Affected children show increased levels of anxiety, reduced self-esteem, and a higher prevalence of emotional and behavioral problems compared with their continent peers. Psychosocial burden is particularly pronounced in children with combined daytime and nighttime symptoms, coexisting lower urinary tract symptoms, or persistent urinary incontinence. Longitudinal evidence suggests that negative psychosocial effects may persist into adolescence, even after partial or complete resolution of urinary symptoms.