Format

Send to

Choose Destination
See comment in PubMed Commons below
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Oct;19(10):1429-40. doi: 10.1007/s00192-008-0647-2. Epub 2008 Jun 5.

Why do stress and urge incontinence co-occur much more often than expected?

Author information

1
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Geisinger Health System, Danville, PA 17822, USA. vaminassian@geisinger.edu

Abstract

Assuming stress and urge urinary incontinence (UI) are independent, mixed UI prevalence is 17 times higher than expected. We consider three explanatory models. We summarize evidence from previous studies on whether common Risk Factors, Liability (i.e., one UI subtype increases risk of the other), or Severity model (i.e., mixed UI represents an advanced and more persistent stage of a progressive disorder) explains the unexpectedly high prevalence of mixed UI. We found little support to indicate that the excess prevalence of mixed UI is explained by common risk factors. In contrast, evidence does indicate that onset of one UI subtype increases risk of onset of the other subtype. Finally, although the Severity model is intuitively attractive, there is little epidemiologic evidence to support it. Longitudinal studies are needed to determine which model offers a dominant explanation for the high prevalence of mixed UI.

PMID:
18528608
DOI:
10.1007/s00192-008-0647-2
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments

    Supplemental Content

    Loading ...
    Support Center