Ms W, a 62-year-old woman with initial symptoms of stress urinary incontinence, now reports urge incontinence symptoms as well, a condition termed mixed urinary incontinence. In a discussion of this case, Myers reviews the prevalence, diagnosis, treatment, and outcomes of mixed urinary incontinence. In a literature review of 73 articles, the author found high-quality evidence to support treatment of urinary incontinence with weight loss; surgical treatment of stress urinary incontinence; and managing urge incontinence with anticholinergic medications. High-quality evidence for the treatment of mixed urinary incontinence was lacking, as are clear diagnostic criteria. Thus, treatment of mixed urinary incontinence typically begins with conservative management of the most bothersome component.