Aims: this study aimed to evaluate the relationship between the perception that urinary system function annoys the Life in general with the analysis of the Kings Health Questionnaire (KHQ) in old age. Methods: cross-sectional and analytical study. Sociodemographic and clinical characteristics were investigated, as well as the impact of urinary incontinence (UI) on Quality of Life (QOL) by the KHQ instrument. Frequencies, means and standard deviation and chi-square, student t tests and Logistic regressions were calculated, accepting as significant p values <0.05. Results: 82 elderly, 68% women, mean age 92.3 +/- 2.7 years, 71% incontinent and 43% reporting that the pelvic functionality disrupted Life. Incontinent individuals most frequently reported the investigated complaint. The domains, UI impact, emotions, physicaland social. Limitation, KHQ task performance Limitation and its total score were related to the complaint. Individuals who reported Limitation of tasks away from home, travel, strong desire to urinate and difficult to control, feelings of depression and anxiety or nervousness had a significant increase in the chance of reporting that pelvic functionality was disruptive to Life. Conclusion: KHQ was related to the chance of reporting that the urinary system function was disruptive to Life. Even so, most incontinents did not report that the condition disrupted Life. Therefore, the results show that even in the absence of a positive statement of absence of UI, the urinary system function can compromise QOL. The findings suggest that either participants actually had UI and did not perceive UI as such, or that further questions such as voiding frequency need to be investigated, for example. The use of KHQ allowed us to identify that even in the absence of UI report, the urinary system function can interfere with the QoL of the oldest old.