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This study aimed to determine the prevalence of different subtypes of urinary incontinence (UI) symptoms beyond stress urinary incontinence (SUI) and urgency urinary incontinence (UUI) in women presenting with complaints of UI in a tertiary referral center. The study included a retrospective cross-sectional review of 432 patients who presented to a urogynecology provider with UI complaints between January 2014 and August 2016. The symptoms assessed included SUI, UUI, insensible urine loss, nocturnal enuresis, post-micturition dribbling, and coital incontinence. <br /><br />The results showed that the most common UI complaint among the patient population was UUI, followed by SUI, post-micturition dribbling, and nocturnal enuresis. Coital incontinence was the least common symptom. Mixed incontinence (both SUI and UUI) was seen in 56.4% of patients, and a significant number of patients complained of additional symptoms such as insensible urine loss, post-micturition dribbling, or nocturnal enuresis. Women who had complex types of UI were more likely to have mixed incontinence complaints. <br /><br />The study highlights the complexity of UI symptoms in women and suggests that assessing for a range of symptoms beyond SUI and UUI is important for accurately diagnosing and treating patients. Not assessing for symptoms such as nocturnal enuresis, post-micturition dribbling, and insensible urine loss would lead to missing a significant number of leakage episodes. Therefore, further evaluation may be necessary to establish an accurate diagnosis prior to treatment.
Keywords
urinary incontinence
subtypes
prevalence
stress urinary incontinence
urgency urinary incontinence
women
retrospective review
insensible urine loss
nocturnal enuresis
post-micturition dribbling
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