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Last updated: 30 March, 2020 15:59pm

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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


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