MIXED INCONTINENCE
Mixed incontinence: understand your symptoms and your options
Mixed incontinence involves both stress incontinence (leakage with physical activity) and urgency symptoms (a sudden, strong need to urinate). Find out more about what this means and how our private EMS service may be suitable for you.
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COULD THIS SOUND FAMILIAR?
Common signs of mixed incontinence
Mixed incontinence can affect people differently. You may experience both stress-related leakage and urgency symptoms, with varying frequency and severity.
Leakage with activity
Leakage may occur during activities such as coughing, laughing, sneezing or lifting.
A sudden need to urinate
A strong or sometimes difficult-to-delay need to urinate, which can lead to leakage.
A combination of both
You may experience both stress-related and urgency symptoms at different times.
When to seek advice
If symptoms are new, worsening or affecting daily life, consider speaking with your GP or another qualified healthcare professional.
What is mixed incontinence?
Stress incontinence
Urgency symptoms
Mixed incontinence
A range of approaches may be considered
Assessment
A GP or healthcare professional can assess your symptoms and medical history.
Pelvic-floor and bladder approaches
Other clinical options
Further options may be discussed according to symptoms, assessment and response to earlier approaches.
Discuss private EMS suitability
Our private EMS service can be explained separately, with suitability considered before treatment.
Your appropriate options depend on your symptoms and clinical assessment.
IF YOU’RE CONSIDERING EMS
A straightforward process
Consultation
Discuss your symptoms, medical history and any questions with our team.
Suitability
We’ll review the information you provide and discuss whether the service may be suitable for you.
Sessions
TAKE THE NEXT STEP
Book a consultation
Get clear, honest information about mixed incontinence and whether our private EMS service may be suitable for you.
SUITABILITY & SAFETY
Important information
Our service may be suitable for many people, but it is not appropriate for everyone. Suitability depends on your individual circumstances, and we may recommend that you speak to a GP or other qualified healthcare professional near you London.
Key considerations
Certain medical conditions may require further advice
We follow manufacturer safety guidance
Speak to a GP if you have any concerns
If you have symptoms that require medical assessment, we recommend speaking to a GP or other qualified healthcare professional.
Your questions, answered
Clear, practical answers about mixed urinary incontinence, recognised management approaches and where our private EMS service fits.
What does mixed urinary incontinence mean?
Mixed urinary incontinence describes a combination of stress and urgency symptoms. A person may leak when the bladder is put under pressure, such as with coughing or exercise, and also experience sudden urges that are difficult to defer.
How can stress and urgency symptoms occur together?
The two patterns involve different symptoms. Stress leakage is linked to pressure on the bladder, while urgency involves a sudden need to pass urine that can be difficult to postpone. Both patterns can occur in the same person, which is why the balance of symptoms matters when discussing management.
How is mixed urinary incontinence usually managed?
Management depends on the symptoms, their impact and the person’s circumstances. NHS guidance describes conservative approaches such as pelvic-floor muscle training and bladder training. For women with mixed urinary incontinence, NICE recommends supervised pelvic-floor muscle training for stress symptoms and bladder training for urgency or mixed symptoms.
Sources: NHS — Non-surgical treatment · NICE NG123
Is pelvic-floor muscle training relevant to mixed symptoms?
It can be. NICE recommends a supervised pelvic-floor muscle training programme as first-line treatment for women with stress or mixed urinary incontinence. The programme should be based on assessment of pelvic-floor muscle contraction rather than assuming that the same exercise approach is right for everyone.
Source: NICE NG123
Can bladder training be used when urgency is part of mixed incontinence?
Yes. NICE recommends bladder training lasting at least 6 weeks as a first-line approach for women with urgency or mixed urinary incontinence. The appropriate approach depends on the individual symptoms and clinical assessment.
Sources: NICE NG123 · NHS — Non-surgical treatment
Where does private EMS fit if I have mixed urinary incontinence?
Having mixed symptoms does not, by itself, establish that electromagnetic pelvic-floor stimulation is suitable. Incontinence Direct can explain its private mobile EMS service and its suitability criteria, but it does not diagnose the cause of symptoms or replace appropriate medical assessment. Where symptoms need assessment, speak with a GP or another qualified healthcare professional.
Further information: NHS — Urinary incontinence
Reliable. Evidence-informed.
We base our information on recognised sources, including NHS and NICE guidance, and published research on electromagnetic stimulation.
Incontinence Direct is an independent provider.
We are not affiliated with, endorsed by or part of the NHS or NICE.
