Mixed incontinence: Stressing about urge |
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Authors: | Jennifer Tash Anger Larissa V. Rodríguez |
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Affiliation: | (1) University of California at Los Angeles, Department of Urology, Box 951738, 90095-1738 Los Angeles, CA, USA |
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Abstract: | 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. |
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