General practice & prim · UKMLA & AKT
Mixed urinary incontinence
A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise mixed urinary incontinence — the full SA Note notes add investigations, management, complications and 10 practice questions.
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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