Purity and Prayer for One with Involuntary Urination

Question:
May Allah reward you. This person says: I suffer from the fear of urine leaking out and from involuntary urination. What is my situation regarding prayer? And what is required of me, Shaykh Salih?

Answer:
First, if this is a matter of obsessive thoughts (waswas) and the work of Satan trying to confuse you, seek refuge in Allah from Satan and do not pay attention to the obsessive thoughts. However, if it is a real physical condition, you should consult a doctor, perhaps he will find a cure for you, with Allah’s permission. If this condition proves difficult for you and persists, then you are among those with a permanent state of ritual impurity. You perform istinja’ (cleaning) when you pray. When you want to pray, you perform istinja’, you wash your private part, you place something on it to prevent leakage, then you perform wudu’ and pray immediately. This is how you do it. Yes.