Buying health services for local people

COVID-19 (coronavirus) latest: do not leave your home

Everyone must stay at home to help stop the spread of coronavirus. Advice for clinicians on COVID-19 (coronavirus) is here. If you are a member of the public looking for health advice, visit the NHS website or North Yorkshire Public Health. And if you are looking for the latest travel information, and advice about the government response to the outbreak, go to the gov.uk website.

Last updated: 30 March, 2020 15:59pm

en English
en English

Uro-gynaecology (including urinary incontinence) – Information for GPs

Referral criteria / commissioning position

Referral to secondary care for:

Stress Incontinence if:

  • following a three month course of pelvic floor exercise, supervised by physiotherapist or continence advisor there has been no improvement

Overactive Bladder and Urge Incontinence if:

  • conditions fails to respond conventional primary care management

Red Flag symptoms

  • Acute urinary retention is a rare complication, but sometimes a presenting feature of complete uterine prolapse and requires admission
  • Persistent Haematuria – please follow Haematuria Pathway referral guidance

Investigations prior to referral

  • Bladder diary

Information to include in referral letter

  • Clear indication for referral: stress, urge mixed incontinence or other
  • Details of treatments and measures tried including outcomes & Diary results
  • Relevant past medical/surgical history
  • Drug history (prescribed and non-prescribed)
  • Relevant past medical/surgical history
  • Current regular medication
  • BMI
  • Smoking status
  • Alcohol consumption

Patient information

References

en English
X