Mixed Urinary Incontinence


Definition:

Mixed Urinary Incontinence is the involuntary leakage associated with Stress Urinary Incontinence and Urge Urinary Incontinence, and can also include Nocturia and Dribbling.  Some people have a mixture of all these different symptoms which may have several different causes.

Pathology

The pathophysiology of stress incontinence is due to pelvic floor weakness or prolapse and/or loss of the normal urethra vesical angle. The pathophysiology of urge incontinence is uninhibited bladder contractions caused by irritation or loss of neurologic control of bladder contractions (Harris & Riggs, 2020).

Signs and Symptoms

It is marked by involuntary leakage associated with urgency and also with exertion, sneezing or coughing; one may be more troublesome than the other.

Management options

Combinations of Urge and Stress treatments.

 


References

Harris S, Riggs J. Mixed Urinary Incontinence. [Updated 2021 Jul 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK534234/"


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