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Mixed Urinary Incontinence: What First?

  • Female Urology (K Kobashi, Section Editor)
  • Published:
Current Urology Reports Aims and scope Submit manuscript

Abstract

Mixed urinary incontinence (MUI) is the involuntary loss of urine associated with the sensation of urgency and also with exertion, effort, sneezing, or coughing. The underlying cause of MUI is poorly understood. Without clearly understanding the pathophysiological and anatomical changes associated with MUI, treatment is often misdirected. This review presents an analysis of the most recent studies and pathophysiological mechanisms thought to be associated with MUI-related voiding dysfunction. A suggested algorithm is provided for the workup of these women with a review of medical and surgical treatment options used to treat MUI.

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Abbreviations

MUI:

Mixed urinary incontinence

SUI:

Stress urinary incontinence

UUI:

Urge urinary incontinence

DO:

Detrusor overactivity

MUS:

Midurethral sling

UTI:

Urinary tract infection

ICS:

International Continence Society

TVT:

Transvaginal tape

TOT:

Transobturator tape

ISD:

Intrinsic sphincter deficiency

SNM:

Sacral neuromodulation

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

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Compliance with Ethics Guidelines

Conflict of Interest

Dr. Nazia Q. Bandukwala declares no potential conflicts of interest. Dr. Angelo E. Gousse is a consultant and investigator for Allergan.

Human and Animal Rights and Informed Consent

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

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Authors and Affiliations

  1. Memorial Hospital Miramar, South Broward Hospital District, 1951 SW 172 Avenue, Suite 305, Miramar, FL, 33029, USA

    Nazia Q. Bandukwala & Angelo E. Gousse

Authors
  1. Nazia Q. Bandukwala
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  2. Angelo E. Gousse
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Corresponding author

Correspondence to Angelo E. Gousse.

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This article is part of the Topical Collection on Female Urology

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Bandukwala, N.Q., Gousse, A.E. Mixed Urinary Incontinence: What First?. Curr Urol Rep 16, 9 (2015). https://doi.org/10.1007/s11934-015-0483-0

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  • DOI: https://doi.org/10.1007/s11934-015-0483-0

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