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Mixed incontinence: Stressing about urge

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Abstract

Urgency and urinary urge incontinence are troublesome and complex symptoms that can complicate the diagnosis and treatment of stress urinary incontinence. Despite this fact, first-line intervention frequently is directed toward the incompetent bladder neck using surgical approaches. Persistent urgency or detrusor instability following anti-incontinence surgery reduces patient satisfaction and overall continence in most series. This article discusses current theories explaining the etiology of mixed incontinence. It also reviews the results of anti-incontinence surgery for mixed incontinence and discusses management strategies. Possible predictors of outcome after sling surgery in this complex group of patients also are presented.

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Authors and Affiliations

  1. University of California at Los Angeles, Department of Urology, Box 951738, 90095-1738, Los Angeles, CA, USA

    Jennifer Tash Anger MD & Larissa V. Rodríguez MD

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  1. Jennifer Tash Anger MD
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  2. Larissa V. Rodríguez MD
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Anger, J.T., Rodríguez, L.V. Mixed incontinence: Stressing about urge. Curr Urol Rep 5, 427–431 (2004). https://doi.org/10.1007/s11934-004-0065-z

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  • DOI: https://doi.org/10.1007/s11934-004-0065-z

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