Mixed Incontinence Causes And Treatments
JOIN OUR NEWSLETTER
Receive custom tools to help you manage your condition and get the latest in bladder and bowel health from NAFC!
Mixed Incontinence
Mixed incontinence is very common and occurs when symptoms of both stress and urgency types of incontinence are present. Often, symptoms of one type of incontinence may be more severe than the other.
For example, you may have a weak pelvic floor due to childbirth, creating stress urinary incontinence. Sometimes that causes leakage when one laughs or sneezes. When this incontinence is combined with an Overactive Bladder, the best treatment usually addresses the more serious condition. In this case, the weak pelvic floor would be a great place to start treatment.
You might also have mixed incontinence if there is urine leakage:
-
After an urge to urinate
-
When you experience a sudden urge to urinate
-
While you sleep
-
After drinking a small amount of water
-
Touching water or hearing it run
Causes
As you might expect, mixed incontinence also shares the causes of both Stress Urinary Incontinence and Urgency Urinary Incontinence.
Stress Urinary Incontinence often results when childbirth, pregnancy, sneezing, coughing, or other factors have compromised the muscles that support and control the bladder. This, in turn, causes leakage.
Involuntary actions of the bladder muscles creates Urgency Urinary Incontinence. Damage to nerves of the bladder, the nervous system, or muscles themselves are usually the key causes. This damage may be caused by serious health issues including diabetes, MS, Parkinson’s disease, strokes, thyroid problems, and other surgery-related injuries.
Treatment Options
You can find more information on causes and treatments for mixed incontinence on the following pages:
-
Urgency Urinary Incontinence, also known as Overactive Bladder (OAB)
Your physician will be better able to work with you on the appropriate treatment path based on your diagnosis. To help get a better understanding of what is at the root of your specific incontinence, your doctor may have you keep a diary for a day or more as a record of when you urinate, intentionally or on accident. Your doctor may ask you to record the specific time as well as the amount of urine to provide additional data.
Related Articles

Bladder Health and Longevity: What Your Symptoms Are Trying to Tell You
In this episode of Life Without Leaks, we sit down with Dr. Mia Duncan, a dual board-certified urologist and urogynecologist, to explore the connection between bladder health and longevity.
Dr. Duncan explains why incontinence is often just the “tip of the iceberg,” and how early bladder symptoms can signal broader health issues. From root-cause diagnosis and bladder diaries to sleep disruption, UTIs, and prevention strategies, this conversation offers practical insights to help listeners take control of their health, now and for the long term.
To learn more about Dr. Duncan and Columbus Urogynecology, visit here.

Beyond the Diagnosis: The Emotional Reality of Incontinence and Caregiving
In this insightful episode of Life Without Leaks, we sit down with veteran nurse and caregiver Ruth Naismith to explore the often-overlooked emotional side of incontinence. Drawing from over 35 years of clinical experience – and a deeply personal caregiving journey – Ruth shares candid insights into the stress, stigma and life-changing impact incontinence can have on both patients and those who care for them.

How to Measure for Adult Diapers and Pull-Ons
Poorly fitting incontinence products can cause frustrating leakage issues. It’s essential to determine the best fit for the wearer, keeping in mind that different brands of disposable incontinence products vary very differently in their sizing. You might be size large in one brand, and a completely different size in another.
This article will help you find the best fit for your specific needs:

Bladder Health and Longevity: What Your Symptoms Are Trying to Tell You
In this episode of Life Without Leaks, we sit down with Dr. Mia Duncan, a dual board-certified urologist and urogynecologist, to explore the connection between bladder health and longevity.
Dr. Duncan explains why incontinence is often just the “tip of the iceberg,” and how early bladder symptoms can signal broader health issues. From root-cause diagnosis and bladder diaries to sleep disruption, UTIs, and prevention strategies, this conversation offers practical insights to help listeners take control of their health, now and for the long term.
To learn more about Dr. Duncan and Columbus Urogynecology, visit here.