Kammerer-Doak Dorothy, Rizk Diaa E E, Sorinola Olanrewaju, Agur Wael, Ismail Sharif, Bazi Tony
Women's Pelvic Specialty Care P.C, University of New Mexico Hospital, Albuquerque, NM, USA.
Int Urogynecol J. 2014 Oct;25(10):1303-12. doi: 10.1007/s00192-014-2485-8. Epub 2014 Aug 5.
The definition as well as the treatment of women with mixed urinary incontinence (MUI) is controversial. Since women with MUI are a heterogeneous group, the treatment of MUI requires an individual assessment of the symptom components: stress urinary incontinence, urinary urgency, urgency urinary incontinence, urinary frequency, and nocturia. The purpose of this paper is to summarize the current literature and give an evidence-based review of the assessment and treatment of MUI.
A working subcommittee from the International Urogynecological Association (IUGA) Research and Development (R&D) Committee was formed. An initial document addressing the diagnosis and management of MUI was drafted based on a literature review. After evaluation by the entire IUGA R&D Committee, revisions were made, and the final document represents the IUGA R&D Committee Opinion on MUI.
This R&D Committee Opinion reviews the literature on MUI and summarizes the assessment and treatment with evidence-based recommendations.
The diagnosis of MUI encompasses a very heterogeneous group of women. The evaluation and treatment requires an individualized approach. The use of validated questionnaires is recommended to assess urinary incontinence symptoms and effect on quality of life. Conservative therapy is suggested as a first-line approach; if surgery is contemplated, urodynamic investigation is recommended. Women undergoing surgical treatment for MUI need to be counselled about the possibility of persistence of urinary urgency, frequency and urge incontinence even if stress urinary incontinence is cured.
混合性尿失禁（MUI）女性的定义及治疗存在争议。由于MUI女性是一个异质性群体，MUI的治疗需要对症状成分进行个体化评估：压力性尿失禁、尿急、急迫性尿失禁、尿频和夜尿症。本文旨在总结当前文献，并对MUI的评估和治疗进行循证综述。
成立了国际尿控协会（IUGA）研发委员会的一个工作小组委员会。基于文献综述起草了一份关于MUI诊断和管理的初始文件。经IUGA研发委员会全体评估后进行了修订，最终文件代表了IUGA研发委员会对MUI的意见。
本研发委员会意见回顾了关于MUI的文献，并用循证建议总结了评估和治疗方法。
MUI的诊断涵盖了非常异质性的女性群体。评估和治疗需要个体化方法。建议使用经过验证的问卷来评估尿失禁症状及其对生活质量的影响。建议将保守治疗作为一线方法；如果考虑手术，建议进行尿动力学检查。接受MUI手术治疗的女性需要接受咨询，了解即使压力性尿失禁治愈，尿急、尿频和急迫性尿失禁仍可能持续存在的可能性。
