International Urogynecology Journal

, Volume 19, Issue 10, pp 1359–1362 | Cite as

Mixed incontinence is more bothersome than pure incontinence subtypes

  • Yashika Dooley
  • Lior Lowenstein
  • Kimberly Kenton
  • MaryPat FitzGerald
  • Linda Brubaker
Original Article

Abstract

The purpose of the study was to compare incontinence bother in women with mixed incontinence versus pure incontinence subtypes. This is an institutional review board-approved study comparing physical exam findings and responses to the Medical Epidemiologic and Social Aspects of Aging (MESA) questionnaire and the Urinary Distress Inventory (UDI-6). The MESA responses were used to classify women as mixed, pure stress, or pure urge incontinence. This analysis includes 551 women with a mean age of 56 ± 16 years. Most women were Caucasian (86%) with 7% African American and 5% Hispanic. UDI scores were significantly higher in women with mixed incontinence (61 ± 23) than those with pure stress incontinence (40 ± 26) or pure urge incontinence (40 ± 25; p < 0.0001). Women with mixed incontinence report greater incontinence bother than women with either pure stress or urge incontinence.

Keywords

Bother Mixed incontinence Quality of life Stress incontinence Urge incontinence 

References

  1. 1.
    Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U et al (2002) The standardisation of terminology of lower urinary tract function: report from the standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 21:167–178PubMedCrossRefGoogle Scholar
  2. 2.
    Bump RC, Norton PA, Zinner NR, Yalcin I (2003) Duloxetine Urinary Incontinence Study G: Mixed urinary incontinence symptoms: urodynamic findings, incontinence severity, and treatment response. Obstet Gynecol 102:76–83PubMedCrossRefGoogle Scholar
  3. 3.
    Cardozo LD, Stanton SL (1980) Genuine stress incontinence and detrusor instability—a review of 200 patients. Br J Obstet Gynaecol 87(3):184–190PubMedGoogle Scholar
  4. 4.
    Sandvik H, Hunskaar S, Vanvik A, Bratt H, Seim A, Hermstad R (1995) Diagnostic classification of female urinary incontinence: an epidemiological survey corrected for validity. J Clin Epidemiol 48:339–343PubMedCrossRefGoogle Scholar
  5. 5.
    Weidner AC, Myers ER, Visco AG, Cundiff GW, Bump RC (2001) Which women with stress incontinence require urodynamic evaluation? Am J Obstet Gynecol 184:20–27PubMedCrossRefGoogle Scholar
  6. 6.
    Hannestad YS, Rortveit G, Sandvik H, Hunskaar S (2000) A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. J Clin Epidemiol 53:1150–1157PubMedCrossRefGoogle Scholar
  7. 7.
    Herzog AR, Diokno AC, Brown MB, Normolle DP, Brock BM (1990) Two-year incidence, remission, and change patterns of urinary incontinence in noninstitutionalized older adults. J Geron 45:M67–M74Google Scholar
  8. 8.
    Barber M, Walters M, Bump R (2005) Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol 193:103–113PubMedCrossRefGoogle Scholar
  9. 9.
    Nager CW, Schulz JA, Stanton SL, Monga A (2001) Correlation of urethral closure pressure, leak-point pressure and incontinence severity measures. Int Urogynecol J Pelvic Floor Dysfunct 12:395–400PubMedCrossRefGoogle Scholar
  10. 10.
    Stach-Lempinen B, Kirkinen P, Laippala P, Metsanoja R, Kujansuu E (2004) Do objective urodynamic or clinical findings determine impact of urinary incontinence or its treatment on quality of life? Urology 63:67–71PubMedCrossRefGoogle Scholar
  11. 11.
    Iker S, Onaran M, Aksakal N, Acar C, Tan MO, Acar A, Bozkirli I (2006) The impact of urinary incontinence on female sexual function. Adv Ther 23(6):999–1008CrossRefGoogle Scholar

Copyright information

© International Urogynecology Journal 2008

Authors and Affiliations

  • Yashika Dooley
    • 1
    • 2
  • Lior Lowenstein
    • 1
  • Kimberly Kenton
    • 1
  • MaryPat FitzGerald
    • 1
  • Linda Brubaker
    • 1
  1. 1.Departments of Obstetrics and Gynecology and Urology, Division of Female Pelvic Medicine and Reconstructive SurgeryLoyola University Medical CenterMaywoodUSA
  2. 2.Departments of Obstetrics and Gynecology, MCHE-OGBrooke Army Medical CenterFort Sam HoustonUSA

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