Falls and urinary incontinence are major problems among older people. Both are associated with significant morbidity and consumption of healthcare resources, and a consistent relationship between falls, urinary incontinence and some lower urinary tract symptoms (LUTS) has been established. Unfortunately, despite the link between LUTS and falls, few intervention studies to reduce falls have included addressing potentially remediable urinary symptoms as part of a management strategy. This review examines the evidence for the association, looks at supportive evidence and suggests a way ahead given the lack of evidence in this area.