Mixed Urinary Incontinence

Updated: Dec 14, 2020

african woman looking shocked at leaking
Mixed urinary incontinence.occurs when stress meets urge!


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When Stress meets Urge...Put both of them together, and you have Mixed Urinary Incontinence.

Mixed urinary incontinence is the combination of 2 of the most common forms of incontinence:


  • Urge urinary incontinence occurs when you really have to go... NOW! Sometimes you might not reach the loo in time and leak some or, you will be busy removing your underwear and leak. Either way urine is leaking usually because of an overactive bladder.

What can cause Mixed Urinary Incontinence?

  • Pregnancy – Extra weight and ‘pregnancy hormones’ put a strain on your pelvic floor resulting in leaks.

  • Childbirth – Difficult births and problems such as a vaginal tear or episiotomy means you are more likely to suffer from incontinence.

  • Ageing and the Menopause – Hormone changes mean the pelvic muscles, ligaments and fibres are not as ‘springy’ as they once were and your pelvic floor is ‘sagging’ which results in leaks.

  • Overweight / Obesity – You are TWICE as likely to suffer stress incontinence if you are overweight.

  • Medication – some medications unfortunately contribute to stress incontinence, for instance muscle relaxants such as Statins and anti-depressants are a lethal combination for your pelvic floor and urinary system. Hay fever meds play havoc too.

  • Smoking – continuous coughing also wreaks havoc with your pelvic floor by making it weak and you’ve also got a 3x higher chance of developing bladder cancer.

What can you do about Mixed Urinary Incontinence?

  • Pelvic Floor Exercises – Kegels or pelvic floor exercises are recommended as the first line treatment. The results from strengthening your pelvic floor muscles won’t happen overnight (just as they didn’t get weak overnight!) but a strong pelvic floor means that your pelvic organs are well supported and you should be able to stop those pesky bladder-leaks. It is vital you adopt an exercise plan now - if you don’t you could be heading for even less bladder control and possible prolapse.

  • Vaginal Pessary - A pessary device inserted into the vagina for stress incontinence presses against the bladder neck and urethra so you have less leakage.

  • Bladder Retraining – also known as bladder drill or bladder training. For urge incontinence bladder retraining is a simple solution. By creating a schedule of your loo visits you’ll be able to understand more about your bladder and how it works – ultimately you’ll be able to control your bladder rather than your bladder controlling you! For instance set yourself the challenge to go to the loo ever two hours or another regular interval if you can’t go that long.  If your bladder signals for you to go before your scheduled time, use pelvic floor or ‘Kegel’ exercises or relaxation techniques to control the feeling until the urge passes. When you start to recognise what triggers your bladder - like coffee or alcohol or smoking (which causes coughing) - you will be able to successfully train yourself to go less frequently, with longer and longer intervals between your scheduled ‘loo times’.

  • Weight loss - Even a modest 5-10% weight loss can help your urge incontinence and take the strain off your pelvic floor too!

  • Prescription Medications – Your healthcare provider will treat whichever incontinence (stress or urge) that is worse for you. There are medications available that can help for both however, they will not strengthen your muscles, so whilst they treat your symptoms (leaks) they won’t treat the underlying cause, which is a weak pelvic floor. So don't forget to do your Kegels. Be aware that medications can take up to 3 months to work and they are a long term medication, not just a course like antibiotics, so why not try 3 months of pelvic floor exercising instead?

  • Surgery - Surgical operations to treat stress incontinence tend only to be used when kegels have not helped.  They aim to tighten or support the muscles and structures below the bladder. The tension-free vaginal tape (TVT) procedure is a sling of synthetic tape used to support the urethra and neck of the bladder. Colposuspension is another operation to support the urethra and treat stress incontinence. In terms of urge incontinence, surgery is not recommended unless other symptoms are present.

Mixed Urinary Incontinence is a warning sign to your body - you need to strengthen your weak pelvic floor muscles and this is where Kegel8 can help.

You may try medications or surgery but neither of these options will make your pelvic floor strong to prevent further leaking / incontinence and/or prolapse problems. 

Take a look at our range of Kegel8 Ultra 20 for woman and specialist pelvic floor exercisers to help you get strong and calm your bladder!

Now available at Takealot.com


Original article: Kegel8 Website

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