It is very common for women to have a combination of stress and urge incontinence. This is a symptom complex, most commonly explained by genuine stress incontinence, but can be due to detrusor overactivity, and occasionally by both dysfunctions. Refer to a qualified physiotherapist in this field or continence nurse for first line treatment of PFMT and bladder training. Treat most bothersome symptoms first.
If considering surgery, the predominant dysfunction(s) should be defined on urodynamics first.
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