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Resolution of Overactive Bladder After Mid-Urethral Sling Placement With Mixed Incontinence

  • Overactive Bladder (U Lee, Section Editor)
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Abstract

Purpose of Review

Mixed urinary incontinence, though common, is often challenging for clinicians to treat. With guidelines and best practice statements published for overactive bladder and stress urinary incontinence, respectively, we rely on current research for data to support treatment decisions for mixed urinary incontinence. The goal of this paper is to review the research and better understand the outcomes that can be expected in patients with mixed urinary incontinence who undergo a mid-urethral sling.

Recent Findings

Seven articles published from 2011 to 2016 were reviewed that directly addressed this clinical question. Greater than 50% subjective cure rate of urgency-related symptoms was reported in these studies with some as high as 89%. Age, body mass index, and previous incontinence surgeries were found to influence the outcomes.

Summary

Improvement in urge-related symptoms is commonly seen after a sling is placed for mixed urinary incontinence. Managing patient expectations and patient education is critical in these difficult clinical scenarios.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Department of Urology, Cleveland Clinic Akron General, 320 W. Exchange, Akron, OH, 44302, USA

    Samantha Staley, Mitchell Krall & Raymond Bologna

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  1. Samantha Staley
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  2. Mitchell Krall
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  3. Raymond Bologna
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Correspondence to Raymond Bologna.

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The authors declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Overactive Bladder

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Staley, S., Krall, M. & Bologna, R. Resolution of Overactive Bladder After Mid-Urethral Sling Placement With Mixed Incontinence. Curr Bladder Dysfunct Rep 12, 80–85 (2017). https://doi.org/10.1007/s11884-017-0410-y

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