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Mixed urinary incontinence: international urogynecological association research and development committee opinion |
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| Authors: | Dorothy Kammerer-Doak Diaa E. E. Rizk Olanrewaju Sorinola Wael Agur Sharif Ismail Tony Bazi |
| Affiliation: | 1. Women’s Pelvic Specialty Care P.C, University of New Mexico Hospital, Albuquerque, NM, USA 2. The Canadian Continence Foundation, Peterbotough, Canada, and Department of Obstetrics and Gynaecology, Faculty of Medicine, Ain Sham University, Cairo, Egypt 3. South Warwickshire NHS Foundation Trust Warwick, University of Warwick, Coventry, UK 4. NHS Research Scotland, University Hospital Crosshouse Kilmarnock, Scotland, UK 5. Brighton and Sussex University Hospitals and Brighton and Sussex Medical School, Brighton, East Sussex, England, UK 6. American University of Beirut Medical Center, Beirut, Lebanon |
| Abstract: | Background and aimThe definition as well as the treatment of women with mixed urinary incontinence (MUI) is controversial. Since women with MUI are a heterogeneous group, the treatment of MUI requires an individual assessment of the symptom components: stress urinary incontinence, urinary urgency, urgency urinary incontinence, urinary frequency, and nocturia. The purpose of this paper is to summarize the current literature and give an evidence-based review of the assessment and treatment of MUI.MethodsA working subcommittee from the International Urogynecological Association (IUGA) Research and Development (R&D) Committee was formed. An initial document addressing the diagnosis and management of MUI was drafted based on a literature review. After evaluation by the entire IUGA R&D Committee, revisions were made, and the final document represents the IUGA R&D Committee Opinion on MUI.ResultsThis R&D Committee Opinion reviews the literature on MUI and summarizes the assessment and treatment with evidence-based recommendations.ConclusionsThe diagnosis of MUI encompasses a very heterogeneous group of women. The evaluation and treatment requires an individualized approach. The use of validated questionnaires is recommended to assess urinary incontinence symptoms and effect on quality of life. Conservative therapy is suggested as a first-line approach; if surgery is contemplated, urodynamic investigation is recommended. Women undergoing surgical treatment for MUI need to be counselled about the possibility of persistence of urinary urgency, frequency and urge incontinence even if stress urinary incontinence is cured. |
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