Hearing running water often triggers the urge to pee because of a strong brain–bladder connection. Over time, your brain learns to associate the sound of water with urination—a form of classical conditioning—so even if your bladder isn’t full, your brain sends a “go now” signal. Running water is also relaxing, which can loosen the muscles that help you hold urine, making the urge feel more intense.
This response is especially common in people with sensitive or overactive bladders, those who pee “just in case,” or anyone who urinates in the shower. It’s usually harmless, but if it happens constantly, bladder training—pausing before going, reducing unnecessary bathroom trips, and strengthening pelvic floor muscles—can help retrain the reflex.