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Mixed urinary incontinence: continuing to confound?

Hockey, Joanne

Current Opinion in Obstetrics and Gynecology: December 2007 - Volume 19 - Issue 6 - p 521–528
doi: 10.1097/GCO.0b013e3282f1daab
Women's health: Edited by Gubby Ayida and Joseph Aquilina
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Purpose of review Mixed incontinence remains a complex clinical problem for urogynaecologists and generalists alike, as research for new treatments and interventions tend to focus on single-symptom groups. Those with mixed symptoms form a diverse group, which is difficult to study precisely. Recent studies, however, have aimed to classify the subgroups within this heterogeneous group so that the response to treatment can be determined with greater accuracy. This review aims to evaluate these advances and place the research in a clinical context.

Recent findings The main developments have occurred with the acknowledgement of the large number of patients with these symptoms, the assessment of patients and attempts to classify symptom predominant types. Responses following pharmacological and surgical treatment have also improved.

Summary There is greater awareness of the prevalence of mixed urinary incontinence, which has a large impact on the quality of life of women, irrespective of their desire to seek medical help. Tools are available to identify different subgroups within the sphere of mixed urinary incontinence, and, once accurately assessed, patients can expect good outcomes from treatment. Further collaboration between units will lead to more consistent information being published.

Department of Obstetrics and Gynaecology, Royal Free Hospital, London, UK

Correspondence to Joanne Hockey, Department of Obstetrics and Gynaecology, Royal Free Hospital, Pond Street, Hampstead, London NW3 2WG, UK Tel: +44 207 830 2563; e-mail: joanne.hockey@royalfree.nhs.uk

© 2007 Lippincott Williams & Wilkins, Inc.