Female SUI / Mixed Incontinence

• A bladder diary over three days showing fluid intake, frequency, leaks and what provoked them.
• Urine test results to exclude infection, and a post-void residual or bladder scan.
• Urodynamic study report, usually requested before surgery, particularly if symptoms are mixed.
• Pelvic examination notes describing any prolapse, and your history of childbirth, previous pelvic surgery or sling.
• A list of medicines tried for urgency, such as anticholinergics or mirabegron, and your response.

1. Which is my main problem: stress leakage, urgency, or both equally?
2. What non-surgical treatments should I try first and for how long?
3. Would a sling or pelvic floor reconstruction help, and could it worsen urgency?
4. Do I need urodynamics before surgery?
5. What are the risks, such as mesh complications, difficulty emptying or new urgency?
6. How long until I can lift, exercise and fly after surgery?

Mixed incontinence is harder to treat than a single type, and results depend on which component dominates. Pelvic floor training and bladder retraining improve many women. Surgery for stress leakage cures or greatly improves it in most women, but urgency may persist or occasionally improve, so expectations should be realistic. Outcome depends on age, weight, prolapse, bladder function, and careful assessment before surgery.