Everything Incontinence

An Overview of Mixed Urinary Incontinence

Mixed Incontinence: Understanding the Dual Challenges of Bladder Control

Incontinence is a common condition that affects millions of people worldwide, and one specific subtype, known as mixed incontinence, presents unique challenges. Below, we’ll explain what mixed incontinence is, the causes, how to manage it, and more.

What is Mixed Incontinence?

Mixed incontinence is a urinary condition that combines the symptoms of two types of urinary incontinence: stress incontinence and urge incontinence. In this complex disorder, individuals may experience involuntary leakage and an overactive bladder during activities that exert pressure on the bladder, such as coughing, sneezing, or lifting heavy objects, as well as during sudden and intense urges to urinate that they cannot control. 

This dual challenge can significantly impact an individual's quality of life and daily activities. Fortunately, treatment options are available, ranging from lifestyle modifications and pelvic floor exercises to medications and surgical interventions, all tailored to address the specific needs of each patient. Seeking professional guidance is essential for a proper diagnosis and the development of an effective, personalized treatment plan.

How Common is Mixed Incontinence?

Mixed incontinence is actually more common than you might think. According to data from the National Association for Continence (NAFC), it affects approximately 30% of women and 5% of men in the United States. The condition becomes more prevalent with age, with an average onset age of 53 for women and 69 for men. While it predominantly affects women, men are not immune to its challenges.

The effect on females is mainly targeted to post-menopausal women and those who have given vaginal birth. The long-term wear of child birth, paired with the hormonal changes that occur during menopause, makes some women much more susceptible to mixed incontinence, especially as they age.

What Causes Mixed Incontinence Symptoms?

As the combination of both stress and urge incontinence, bladder leakage is often due to weakened pelvic floor muscles and a sudden, strong urge to urinate. But what causes those symptoms?

  • Pregnancy and childbirth: The strain of pregnancy and vaginal childbirth can significantly weaken pelvic floor muscles.
  • Menopause: Hormonal changes during menopause can often affect bladder control.
  • Obesity: Excess weight can put pressure on the bladder and worsen stress incontinence.
  • Neurological disorders: Conditions like multiple sclerosis and Parkinson's disease can impact nerve signals to the bladder, creating an uncontrollable urge to urinate.
  • Surgical procedures: Certain types of surgery, such as pelvic surgery or prostate surgery, can leave your muscles weakened.

Risk Factors and Side Effects of Mixed Incontinence

It's essential to recognize potential risk factors that may increase your susceptibility to mixed incontinence. Understanding these factors can help you get a step ahead when it comes to managing mixed incontinence. These factors can include:

  • Aging: As you age, your bladder muscles may weaken, making incontinence more likely.
  • Gender: Women are generally more prone to mixed incontinence than men.
  • Smoking: Smoking can irritate the bladder and contribute to incontinence.
  • Chronic cough: Conditions like chronic bronchitis or smoking-related cough can stress the pelvic floor muscles.
  • Heredity: A family history of incontinence may increase your risk.

How is Mixed Incontinence Diagnosed?

Proper diagnosis of mixed incontinence is done by your healthcare provider and will likely include a comprehensive evaluation, consisting of:

  • Medical history: Discussion of symptoms, medical conditions, and lifestyle factors.
  • Physical examination: Checking for signs of incontinence and any underlying causes.
  • Bladder diary: Keeping track of when and how often you urinate, as well as any leakage episodes.
  • Urodynamic testing: This involves various tests to assess bladder and urethral function.
  • Imaging studies: Sometimes, imaging such as ultrasound or cystoscopy may be required.

How is Mixed Incontinence Treated?

Treatment for mixed incontinence often involves a combination of approaches tailored to the individual's specific needs. These may include:

  • Behavioral therapies: Pelvic floor exercises, Kegel exercises, bladder training, and dietary modifications.
  • Medications: Prescription medications can help control urgency and reduce leakage.
  • Surgery: In severe cases, surgical treatments, like bladder sling procedures, may be necessary.
  • Nerve stimulation: Techniques such as sacral neuromodulation can help regulate bladder function.

Ways to Manage Mixed Incontinence

Whether mixed incontinence is a temporary condition or a long-term diagnosis, there are several easy ways to manage it.

Lifestyle Changes

Making certain lifestyle adjustments can significantly improve your quality of life with mixed incontinence. These changes may involve maintaining a healthy weight, quitting smoking, scheduling bathroom trips, and avoiding bladder irritants like caffeine and alcohol.

Choosing the Right Products

Selecting the right incontinence products is essential for managing mixed incontinence effectively. These can include:

  • Incontinence Pads: These offer discreet protection against leaks, making them a go-to choice for many women, and a better option than using menstrual pads.
  • Adult Diapers: For more severe cases where individuals are leaking large amounts of urine, adult diapers provide excellent coverage and absorption.
  • Protective Underwear: Similar to regular underwear but with enhanced absorbency, protective underwear offers comfort and confidence.
  • Environmental Changes

    Modifying your environment to reduce accessibility to restrooms can help with urge incontinence management. Also consider reducing fluid intake before bedtime or during long outings.

    Assistive Devices

    Certain assistive devices, such as bedpans or urinals, can be beneficial for those with mobility issues.

    Best Products for Mixed Incontinence

    Incontinence Pads

    Adult Diaper Briefs (With Tabs)

    • Dry Direct Super Brief: Noticeably softer and more comfortable than others in the marketplace, these Dry Direct briefs are a premium option that work for daytime and nighttime use. The Super Brief is constructed with high-quality materials, making it a superior option to what’s often sold in grocery stores, pharmacies, and big-box retailers.
    • Tranquility Premium OverNight Absorbent Underwear: For incontinence patients who seek an uninterrupted night's sleep, Tranquility Premium OverNight Absorbent Underwear is a perfect option. Thanks to their super-absorbent construction, these Tranquility adult diapers are made for all-night comfort and protection.

    Protective Underwear

    • Dry Direct Super Overnight Underwear: As our flagship underwear product, these are exceptionally soft, comfortable, and absorbent. In fact, they’re designed for extended use, up to six hours or overnight. The high-quality construction provides a more tailored fit than any generic underwear brands can offer.
    • Dry Direct Extra (Daytime Use) Underwear: Designed for daytime use, this underwear offers a low-profile fit that’s barely noticeable under clothing. It also features premium materials, making it a far more comfortable option than anything found at large retail stores.

    Ways to Prevent Mixed Incontinence

    While some risk factors are beyond your control, you can take steps to reduce your risk of mixed incontinence by maintaining a healthy lifestyle, practicing pelvic floor exercises, and avoiding smoking.

    FAQs About Mixed Incontinence

    What Other Types of Incontinence Are There?

    In addition to mixed incontinence, other types include stress incontinence, urge incontinence, overflow incontinence, functional incontinence, and psychogenic incontinence.

    Are There Any Resources With More Information About Mixed Incontinence?

    Yes, there are several reputable organizations, such as the National Association for Continence (NAFC) and the American Urological Association (AUA), that offer valuable information and support for individuals dealing with mixed incontinence.

    Find a Solution for Mixed Incontinence with Parentgiving

    Mixed incontinence presents a dual challenge for those affected, but with expert knowledge and resources, simple lifestyle changes, and the right incontinence products, individuals can effectively manage and improve their quality of life. If you suspect you or a loved one have mixed incontinence, it's essential to consult with a healthcare professional to receive a proper diagnosis and explore the treatment and management options available to you.