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International Urogynecology Journal
Erschienen in: International Urogynecology Journal 10/2008

01.10.2008 | Review

Why do stress and urge incontinence co-occur much more often than expected?

verfasst von: Vatche A. Minassian, Walter F. Stewart, Annemarie G. Hirsch

Erschienen in: International Urogynecology Journal | Ausgabe 10/2008

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Abstract

Assuming stress and urge urinary incontinence (UI) are independent, mixed UI prevalence is 17 times higher than expected. We consider three explanatory models. We summarize evidence from previous studies on whether common Risk Factors, Liability (i.e., one UI subtype increases risk of the other), or Severity model (i.e., mixed UI represents an advanced and more persistent stage of a progressive disorder) explains the unexpectedly high prevalence of mixed UI. We found little support to indicate that the excess prevalence of mixed UI is explained by common risk factors. In contrast, evidence does indicate that onset of one UI subtype increases risk of onset of the other subtype. Finally, although the Severity model is intuitively attractive, there is little epidemiologic evidence to support it. Longitudinal studies are needed to determine which model offers a dominant explanation for the high prevalence of mixed UI.
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Metadaten
Titel
Why do stress and urge incontinence co-occur much more often than expected?
verfasst von
Vatche A. Minassian
Walter F. Stewart
Annemarie G. Hirsch
Publikationsdatum
01.10.2008
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 10/2008
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-008-0647-2

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