Incontinence – Female

Summary: Urological referral after referral to Cambridge Community Service for a trial of conservative management.

Advice: Initial referral should be made to Cambridge Community Services for conservative management of urinary incontinence as described in the Continence Pathway.
For more information on the continence services available in your area and for downloadable referral proforma, please click here.
Once on the website, select your practice location, then select continence advisory service.
Please click for access to theĀ female bladder health patient information leaflet.
For general advice on continence problems, contact the District Continence Advisors at the Princess of Wales Hospital, Ely (Tel 01353 652145 Fax 01353 652146)
Refer To: Any adult urologist

Contents:

Stress incontinence

Please refer to pathway links above.

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Urge incontinence

Please refer to pathway links above.

Beware of the combination of urge incontinence and haematuria which usually indicates an intra-vesical lesion such as a bladder tumour.

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Overflow incontinence

Consider chronic retention of urine and refer to Consultant Urologist.

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Post-micturition dribbling

There is usually no cause identified but urethral stricture and urethral diverticulum may be responsible and so consider referral to a urologist.

If the ultrasound is normal, teach bulbar milking with compression.

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Special information

This page contains guidelines and advice from professional bodies, together with information about the prescription of drugs. Since all NHS hospitals have local arrangements with their Primary Care Trusts (PCTs) about which medicines can be used, some drugs mentioned cannot be prescribed by local hospitals.

Treatment of patients will be planned with the Consultant responsible for care, taking into account those drugs which are or are not available at the local hospital and what is appropriate for optimum patient care.

Healthcare professionals are advised to check prescribing arrangements with their local hospital or PCT.

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Related Downloads

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