Management of Mixed Urinary Incontinence
Author(s) -
Rosamund Grimshaw,
Preeti Jain,
Pallavi Latthe
Publication year - 2012
Publication title -
women s health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.363
H-Index - 39
eISSN - 1745-5065
pISSN - 1745-5057
DOI - 10.2217/whe.12.38
Subject(s) - medicine , urinary incontinence , neuromodulation , obesity , exertion , urology , physical therapy , stimulation
Mixed urinary incontinence accounts for 33% of all incontinence and is the involuntary loss of urine associated with the sensation of urgency; it is also associated with exertion, sneezing or coughing. Riskfactors include vaginal delivery, obesity, age and possible genetic factors. Treatment includes lifestyle changes, behavioral therapies, medication and nerve modulation. Surgery with midurethral slings can cure both stress and urge components in 40–50% of cases. Future therapies may include new medications adapting potassium and calcium channels and more widespread use of sacral neuromodulation. This reviewfocuses on the investigation and optimal management of mixed urinary incontinence.
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