Abstract
Mixed urinary incontinence (MUI) may impose a significant negative impact on a woman’s quality of life. Treatment is often challenging, as a single modality, such as oral medications, behavioral modification, or pelvic floor physiotherapy, may be inadequate for alleviating both the urge and stress components. Historically, surgical intervention for MUI has been approached with trepidation, owing to a concern about postoperative worsening of the urge component. Identifying an ideal single treatment also has been made more challenging by the poor characterization of the pathophysiology of MUI. Fortunately, surgical options, such as colposuspensions, bladder neck slings, and midurethral slings, appear to have similarly effective rates of MUI resolution in women. The durability of symptom resolution is being evaluated, as long-term outcomes of the midurethral slings continue to emerge. The presence of concomitant, preoperative detrusor overactivity has not been consistently associated with postoperative outcomes.
Published Version
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