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Stephan L. Werner, MD FACS
Mixed Incontinence is the combination of stress incontinence and urgency incontinence. Not only does the patient leak when they cough or sneeze or laugh, but also have the "I gotta go right NOW!" symptoms. The patient is usually female. The evaluation for mixed incontinence is the same as for both stress incontinence and urgency incontinence. History, physical examination, urinalysis, cystometrogram, (CMG), and cystoscopy. The treatment is usually dual, with combinations of Kegel exercises, biofeedback, surgery and medication. Sometimes when surgery is done for stress incontinence, the unstable bladder symptoms will decrease or disappear as well. However this is uncommon, and most patients with mixed incontinence undergo a bladder suspension and then find they still have to make a mad dash for the toilet. The symptoms may disappear with time, but frequently the urgency symptoms require long term medication or biofeedback training.
[Top] [Incontinence] [Female Incontinence] [Male Incontinence] [Stress incontinence] [Urge Incontinence] [Total Incontinence] |
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