Mixed incontinence: stressing about urge.
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.
Anger
Jennifer  Tash
J
University of California at Los Angeles, Department of Urology, Box 951738, Los Angeles, CA 90095-1738, USA. janger@mednet.ucla.edu
Rodríguez
Larissa V
LV
D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D014521:Urethra / Q000503:physiopathology; D001743:Urinary Bladder / Q000503:physiopathology; D014549:Urinary Incontinence / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D014550:Urinary Incontinence, Stress / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000628:therapy