Mixed urinary incontinence is best described as a combination of which two types of incontinence?

• A. Stress incontinence alone
• B. Combination of stress plus urge
• C. Urge incontinence alone
• D. Overflow incontinence

Answer: (B)

Mixed urinary incontinence occurs when a patient experiences symptoms of both stress incontinence and urge incontinence. Stress incontinence leaks with activities that raise abdominal pressure, like coughing, sneezing, laughing, or lifting, due to pelvic floor weakness or urethral sphincter issues. Urge incontinence involves a sudden, compelling urge to void followed by leakage, often from detrusor overactivity. When both phenomena are present, the description explicitly reflects two mechanisms at play, which is why this term is used. The other scenarios describe only one type—or a different problem like overflow due to poor bladder emptying—so they don’t capture the dual nature of symptoms.