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Mixed incontinence involving features of different other types; Treatments include pelvic floor muscle training, bladder training, surgery, and electrical stimulation. Behavioral therapy generally works better than medication for stress and urge incontinence. The benefit of medications is small and long term safety is unclear.
Overactive bladder. Overactive bladder ( OAB) is a common condition where there is a frequent feeling of needing to urinate to a degree that it negatively affects a person's life. [2] The frequent need to urinate may occur during the day, at night, or both. [4] Loss of bladder control ( urge incontinence) may occur with this condition. [1]
In mixed type A, the bladder muscle is flaccid but the sphincter is overactive. This creates a large, low pressure bladder and inability to void, but does not carry as much risk for kidney damage as a spastic bladder. Mixed type B is characterized by a flaccid external sphincter and a spastic bladder causing problems with incontinence.
Nocturia. Nocturia is defined by the International Continence Society (ICS) as "the complaint that the individual has to wake at night one or more times for voiding ( i.e., to urinate )". [1] The term is derived from Latin nox – "night", and Greek [τα] ούρα – "urine". Causes are varied and can be difficult to discern. [2]
Bladder training, also known as scheduled voiding and bladder re-education is urinating at specific times of the day. [1] It is used as a first line treatment of overactive bladder on mixed urinary incontinence.
Lower urinary tract symptoms (LUTS) refer to a group of clinical symptoms involving the bladder, urinary sphincter, urethra and, in men, the prostate.The term is more commonly applied to men – over 40% of older men are affected – but lower urinary tract symptoms also affect women.
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