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Mixed incontinence is more bothersome than pure incontinence subtypes

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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.

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No funding was received for this research.

Conflicts of interest

Dr. Dooley: none; Dr. Lowenstein: none; Dr. Kenton: NICHD, NIDDK; Dr. Fitzgerald: NICHD, NIDDK; Dr. Brubaker: Pfizer, Q-med, Allergan, NICHD, NIDDK.

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Correspondence to Yashika Dooley.

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Dooley, Y., Lowenstein, L., Kenton, K. et al. Mixed incontinence is more bothersome than pure incontinence subtypes. Int Urogynecol J 19, 1359–1362 (2008).

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