Mixed urinary incontinence — the combination of stress leakage (with cough, sneeze, laugh, or exercise) and urge leakage (sudden, uncontrollable need to urinate) — affects up to one third of women with urinary symptoms. It is also the most frequently undertreated form, because clinicians sometimes address only one component and patients are left with persistent leakage from the other.
The two mechanisms are quite different. Stress incontinence reflects a weakened pelvic floor support and urethral sphincter, often after childbirth or with age. Urge incontinence reflects an overactive bladder muscle that contracts inappropriately. Effective treatment for mixed incontinence must address both at the same time.
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Message us with what you are experiencing and we will tell you whether an examination is worth making, and what the appointment involves.
WhatsAppLINEAt THE FIT CLINIC, we combine targeted therapies: the magnetic chair electromagnetic chair sessions to rebuild pelvic floor strength for the stress component, bladder retraining and selected medications for the urge component, and lifestyle adjustments around fluid intake, caffeine, and weight. Progress is usually reviewed after several weeks. Results vary between individuals. A urogynecology assessment is the right starting point to determine the dominant component and personalise the plan.