Mixed bladder weakness

What’s it all about?

Mixed urinary incontinence is defined as the conjunction of two symptoms:

involuntary loss of urine through the urethra in the case of stress urinary incontinence, i.e. urine leakage during abdominal effort resulting in increased pressure in the abdomen and perineum (e.g. coughing, sneezing, running, jumping, etc.).
and urge incontinence, i.e. urine leakage when your bladder is capricious and overactive, with that sensation of pressing urges when the bladder is not full.

The combination of symptoms is not uncommon, and the risk of mixed urinary incontinence increases with age.

Risk or aggravating factors

Female gender
Overweight and obesity
Chronic cough
Chronic constipation
Pregnancy and vaginal delivery
Age
High-impact physical activity (trampoline, gymnastics, etc.)
Tobacco
Sedentary lifestyle
Peri-menopause and menopause
Stress
Cold
Water contact
Flowing water
Theine, caffeine, soft drinks, energy drinks
White wine and Champagne
“Doormat syndrome” or “key in the door syndrome”, that feeling when you approach your home that you’ll never be able to make it to the toilet because the urge is so strong.

Solutions

Bladder weakness due to exertion and urgency are common, but they don’t have to be!

Of course, it’s important to make the right diagnosis through a well-conducted consultation with a pelvic health professional. This is the ideal time to ask all the questions that will highlight the problems you’re experiencing, and you’ll then be in a position to follow the right care path, and put in place strategies, exercises and a “perineum” routine to get back to a fulfilling social life and a dry life!

To regain an effective perineum in all circumstances, you need to be aware of your condition, take appropriate muscle-strengthening exercises, coordinate with your abdominal muscles, adopt good posture and follow a healthy lifestyle, including a voiding calendar.

It's up to you!