Mixed Urinary Incontinence

Overview

4.6 out of 5 (16 Reviews)

Credits

1.00

Post Assessment Questions

5

Start Date

1 Jan 2021

Last Review Date

17 Feb 2024

Expiration Date

31 Dec 2023

Estimated Time To Finish

60 Minutes


 
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Activity Description

Urinary incontinence (UI) is the involuntary leakage of urine, causing symptoms of wide-ranging severity and affecting patients' quality of life. There are 3 major types of UI as recommended by the International Urogynecological Association (IUGA), the International Incontinence Society (ICS), and the American Urological Association (AUA). Stress incontinence is the involuntary loss of urine with increased intraabdominal pressure or physical exertion (eg, coughing, sneezing, jumping, lifting, laughing, straining, exercising). Urge incontinence is the involuntary loss of urine preceded by a sudden and severe desire to pass urine. Mixed urinary incontinence (MUI) is a combination of stress and urge incontinence and may take on the pathophysiology of both. Symptoms may force significant lifestyle changes, including physical and psychosocial well-being changes. Although incontinence is not itself a terminal disease, UI contributes to overall mortality, at least in nursing home residents. However, UI affects other aspects of the patient's health and quality of life more often.

Incontinence places an increased burden on family caregivers as well as on nursing facilities. Up to 10% of all nursing home admissions in the US are solely due to urinary incontinence. In addition to clinical history, simple office incontinence testing (eg, urinalysis, post-void residual urine volume, and pelvic exam) should be utilized to help differentiate the different types of urinary incontinence. Many behavioral, medical, and surgical techniques are available to improve lifestyles due to incontinence. For conditions unresponsive to conservative treatment, referral to a urology specialist and consideration of more invasive therapies are appropriate. This activity reviews the evaluation and management of mixed urinary incontinence and highlights the role of interprofessional team members in collaborating to provide well-coordinated care and enhance outcomes for affected patients.


Target Audience

This activity has been designed to meet the educational needs of physicians.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify key risk factors and symptoms associated with mixed urinary incontinence.

  • Differentiate between mixed urinary incontinence and other types through comprehensive patient assessments.

  • Implement evidence-based interventions for managing mixed urinary incontinence, considering both stress and urge components.

  • Coordinate with the interprofessional team to enhance care for patients affected by mixed urinary incontinence.

Disclosures

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they or their immediate family may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by CUSOM for resolution, to ensure fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

CUSOM will identify, review, and resolve all conflicts of interest that faculty, authors, activity directors, planners, managers, peer reviewers, or relevant staff disclose prior to an educational activity being delivered to learners. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation. Disclosure information for authors, editors, planners, peer reviewers, and/or relevant staff is provided with this activity.

Continuing Education Accreditation Information

 

 

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. CUSOM designates this enduring material for a maximum of 1.00 AOA Category 1 B Credits and will report CME credits commensurate with the extent of the physician's participation in the activity.

Cancellation Policy: Cancellations must be received in writing and a money back guarantee is provided if not completely satisfied.

  • StatPearls and CUSOM reserve the right to cancel any course due to unforeseen circumstances. StatPearls and CUSOM will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Equal Opportunity

  • StatPearls and CUSOM are Equal Opportunity / Affirmative Action / Equal Access Institutions. 

Medium or Media Used:

  • Computer Requirements:  Internet Access
  • E-mail Address

Instructions for Credit

  1. Register for the activity and create a StatPearls login.     
  2. Review the required accreditation information:  Target audience, learning objectives and disclosure information.
  3. Complete the entire self-study activity.
  4. Complete the post-test assessments.
  5. Successfully pass the post-test with a minimum score of 100%.
  6. Complete the evaluation form.
  7. Obtain a certificate.

StatPearls and CUSOM adheres to AOA Standards regarding commercial support of continuing medical education. It is the policy of StatPearls and Campbell that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

This course is intended for osteopathic physicians who wish to earn AOA CME credit. Take this version of the course to ensure you receive appropriate credit.

 

 
 

Reviews

Christina H. on 2/15/2021

Laurie C. on 6/10/2021

Katherine C. on 6/19/2021

Wendy S. on 11/26/2021

priya n. on 1/24/2022

Sherryl E. on 3/18/2022

Anoop S. on 3/28/2022

Dottie L. on 5/1/2022

Harriette S. on 8/1/2022

larry z. on 10/29/2022

Wilbert W. on 12/18/2022

Richard H. on 12/25/2022

M S. on 1/7/2023

thank you

Melissa S. on 2/14/2023

Jeffrey W. on 1/16/2024

Sandra O. on 1/29/2024

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