When it comes to researching incontinence, you’ll discover a multitude of types, including a combination of “this” and “that” symptoms. In such cases of mixed incontinence, it becomes crucial to determine the appropriate treatment since many are very specific to a particular type. Additionally, understanding why symptoms change with age can provide valuable insights. Amidst the wealth of available information, confusion about urinary incontinence and its various forms can persist. By gaining a clear understanding, you can better comprehend which mixed incontinence treatment options can improve your life and reduce the number of different treatments.
What is Urinary Incontinence?
Urinary incontinence refers to the common problem of losing bladder control (as opposed to fecal incontinence, which is less common). Individuals affected by urinary incontinence experience involuntary urinary leaks, impacting them physically, emotionally, and psychologically. While urinary incontinence can manifest in several ways, the most prevalent types are explained below.
Identifying Your Type of Incontinence:
As you understand the types of symptoms that resonate with your experience, validated questions can make it easier to diagnose. Consider whether you answer “yes” to the following:
- “Is it very difficult to control when you have a strong urge to urinate?” If so, you likely have urge incontinence.
- “Do you lose urine with physical activities such as coughing, sneezing, or running?” If this applies to you, stress incontinence is likely the type you have.
- “Do you have both the above?” Then you have mixed incontinence.
Understanding Stress Urinary Incontinence (SUI):
Stress Urinary Incontinence (SUI) occurs due to weakened pelvic floor muscles, including the urethral sphincter responsible for holding urine in the bladder. When external stimuli such as laughing, coughing, or jumping exert pressure on the bladder, urine is involuntarily released. SUI commonly leads to urinary leaks after sneezing, laughing, or exercising. It affects people of all ages, including teens and individuals in their 20s, particularly due to high-impact sports and childbirth.
Exploring Urge Urinary Incontinence (UUI):
Urge Urinary Incontinence (UUI) causes an involuntary loss of urine after experiencing an intense and sudden urge to urinate, even when the bladder isn’t full. This urgency, often accompanied by bladder spasms, results from overstimulated nerves triggering the surrounding bladder muscles to squeeze. UUI is also referred to as overactive bladder. If you can reach the toilet in time, it is considered urgency and increased frequency of bathroom visits. However, if accidents occur, it becomes UUI. Nocturia, which refers to waking up multiple times at night to urinate, can also be a manifestation of UUI. Sleep deprivation caused by Nocturia can negatively impact physical and mental health. UUI usually begins later in life, typically affecting individuals in their 50s and beyond.
Understanding Mixed Incontinence:
Mixed incontinence is a common occurrence in women, encompassing symptoms of both stress and urge incontinence. According to data from the National Health and Nutrition Survey, approximately 35% of women experience both stress and urge incontinence, or mixed incontinence. When considering the definition of urgency (overactive bladder), it is not considered incontinence if one can reach the toilet in time. In contrast, the inability to reach the toilet without an accident indicates a weakened urethral sphincter, which is why mixed incontinence represents the second-largest group after stress incontinence.
Often women may have more severe stress incontinence, but it is the urgency that is most bothersome and restricts their quality of life, since they need to be near a bathroom. Unfortunately, treatments are often geared for one or the other type of incontinence, and since mixed incontinence doesn’t seem to have a clear treatment (until you read to the end of this article), people with mixed incontinence often are paralyzed and get no treatment at all!