ArticleThe Journal of urology2009
Mixed urinary incontinence: greater impact on quality of life.
Article in The Journal of urology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
28 citing papers in PubMed.
- Cost-effectiveness of behavioral and pelvic floor muscle therapy combined with midurethral sling surgery vs surgery alone among women with mixed urinary incontinence: results of the Effects of Surgical Treatment Enhanced With Exercise for Mixed Urinary Incontinence randomized trial.American journal of obstetrics and gynecology · 2021Trial
- Severity, not type, is the main predictor of decreased quality of life in elderly women with urinary incontinence: a population-based study as part of a randomized controlled trial in primary care.Health and quality of life outcomes · 2012Trial
- Treatment Gaps in Women Aged 65 Years and Older with Stress or Stress-Predominant Mixed Urinary Incontinence: Age-Stratified Patterns of Active Therapy, Containment Use, Frailty, and Anxiety.Medicina (Kaunas, Lithuania) · 2026Observational
- Risk Factors and Quality of Life in Women with Urinary Incontinence in Kazakhstan: A Multicenter Case-Control Study.International journal of environmental research and public health · 2026Article
- Potential factors influencing quality of life in Chinese adult women with urinary incontinence: a nationwide cross-sectional study.World journal of urology · 2026Article
- Assessing Quality of Life Among Women with Urinary Incontinence-Medical, Psychological, and Sociodemographic Determinants.Journal of clinical medicine · 2025Article
- Mixed urinary incontinence: Are there effective treatments?Neurourology and urodynamics · 2023Article
- Prevalence and Risk Factors of Urinary Incontinence in Frail Elderly Females.Journal of aging research · 2020Article
- Efficacy of mace (Arils ofIntegrative medicine research · 2018Article
- Does transition of urinary incontinence from one subtype to another represent progression of the disease?International urogynecology journal · 2018Article
- Clinical epidemiological insights into urinary incontinence.International urogynecology journal · 2017Review
- Predictors of impact of vaginal symptoms in postmenopausal women.Menopause (New York, N.Y.) · 2016Article
- Reliability and validity of the Turkish King's Health Questionnaire in women with urinary incontinence.International urogynecology journal · 2015Article
- The Effect of Urinary Incontinence on Quality of Life of Women at Childbearing Age in Jeddah, Saudi Arabia.Global journal of health science · 2015Article
- The interaction of stress and urgency urinary incontinence and its effect on quality of life.International urogynecology journal · 2015Article
- Mapping of incontinence quality of life (I-QOL) scores to assessment of quality of life 8D (AQoL-8D) utilities in patients with idiopathic overactive bladder.Health and quality of life outcomes · 2014Article
- Impact of transobturator tape treatment on overactive bladder symptoms, particularly nocturia, in patients with mixed urinary incontinence.Korean journal of urology · 2014Article
- The Effects of Suburethral Tape on the Symptoms of Overactive Bladder.Geburtshilfe und Frauenheilkunde · 2014Article
- Does the impact of urinary incontinence on quality of life differ based on age?International urogynecology journal · 2013Article
- Severity of urinary incontinence and effect on quality of life in women by incontinence type.Obstetrics and gynecology · 2013Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
purposeWe compared the impact of mixed, stress and urge urinary incontinence on quality of life in middle-aged or older women. MATERIALS AND
methodsWe analyzed cross-sectional data from a population based cohort of 2,109 ethnically diverse middle-aged or older women. Among participants reporting weekly incontinence, clinical type of incontinence was assessed by self-reported questionnaires and disease specific quality of life impact was evaluated using the Incontinence Impact Questionnaire. Multivariable logistic regression was used to compare the odds of greater quality of life impact from incontinence, defined as an Incontinence Impact Questionnaire score in the 75th percentile or greater in women with stress, urge and mixed incontinence.
resultsMore than 28% (598) of women reported weekly incontinence, including 37% with stress, 31% with urge and 21% with mixed incontinence. Unadjusted Incontinence Impact Questionnaire scores were higher for women with mixed vs urge or stress incontinence (median score 29 vs 17 and 13, respectively, p <0.01). Adjusting for age, race/ethnicity, health status and clinical incontinence severity, women with mixed incontinence were more likely to report a greater overall quality of life impact compared to those with stress incontinence (OR 2.5, 95% CI 1.4-4.3), as well as a greater specific impact on travel (OR 2.2, 95% CI 1.3-3.7) and emotional (OR 1.8, 95% CI 1.0-3.4) Incontinence Impact Questionnaire domains. The overall impact of urge incontinence did not differ significantly from that of stress (urge vs stress OR 1.6, 95% CI 0.9-2.7) or mixed incontinence (mixed vs urge OR 1.6, 95% CI 0.9-2.8) in adjusted models.
conclusionsIn middle-aged or older women mixed incontinence is associated with a greater quality of life impact than stress incontinence independent of age, race, health or incontinence severity. Identification of women with mixed incontinence symptoms may be helpful in discovering which women are most likely to experience functional limitations and decreased well-being from incontinence.
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Registered trials
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