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Related Experiment Videos

Mixed incontinence: stressing about urge.

Jennifer Tash Anger1, Larissa V Rodríguez

  • 1University of California at Los Angeles, Department of Urology, Box 951738, Los Angeles, CA 90095-1738, USA. janger@mednet.ucla.edu

Current Urology Reports
|November 16, 2004
PubMed
Summary

Mixed incontinence, involving urgency and stress urinary incontinence, complicates treatment. Surgery targeting stress incontinence may worsen urgency, impacting patient satisfaction. This review examines mixed incontinence causes, surgical outcomes, and management strategies.

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Area of Science:

  • Urology
  • Gynecology
  • Female Pelvic Medicine

Background:

  • Urgency and urge incontinence complicate stress urinary incontinence (SUI) diagnosis and treatment.
  • First-line SUI interventions often focus on bladder neck surgery.
  • Post-surgery urgency or detrusor instability reduces patient satisfaction and continence.

Purpose of the Study:

  • To discuss current theories on the etiology of mixed incontinence.
  • To review anti-incontinence surgery outcomes for mixed incontinence.
  • To discuss management strategies and predictors of outcome after sling surgery.

Main Methods:

  • Literature review of mixed incontinence etiology.
  • Review of surgical outcomes for mixed incontinence treatment.

Related Experiment Videos

  • Analysis of predictors for sling surgery success in complex cases.

    • Main Results:

    • Persistent urgency post-surgery is a common complication.
    • Surgical outcomes for mixed incontinence vary.
    • Predictors for successful sling surgery in this population require further investigation.

    Conclusions:

    • Mixed incontinence presents complex diagnostic and therapeutic challenges.
    • Surgical management of SUI in patients with urgency requires careful consideration.
    • Optimizing outcomes necessitates understanding etiology and identifying predictive factors.