General practice & primary care · UKMLA & AKT
Mixed urinary incontinence
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
Key high-yield points
- Stress leakage - small volumes lost on coughing, sneezing, laughing, lifting, or exercise
- Urgency - sudden, intense, difficult-to-defer desire to void
- Urge incontinence - leakage associated with urgency, often larger volumes than stress leakage
- Frequency - >8 voids in 24 hours; nocturia - more suggestive of urge/OAB component
Always identify the predominant component - management is guided by whichever symptom bothers the patient most. Urge-predominant mixed UI → prioritise bladder training ± anticholinergic.
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