Leeds Urinary Incontinence - Adult Female
1 Background Information / Scope of Pathway
Quick info:
This pathway has been developed jointly by the Leeds CCG planned care leads, Continence Urology and Colorectal Service (CUCS)
and consultants from Urology, Urogynaecology and Elderly Medicine within LTHT.
2 Information Resources for Patients and Carers
Quick info:
Community Urology and Colorectal Service (CUCS) - Patient Information Leaflet
PFMT (pelvic floor exercises) Patient Information Leaflet
Bladder Re-Training Patient Information Leaflet
Self Assessment
Bladder Diary
3 Development & Updates to this Pathway
Quick info:
Developed November 2014
4 Referral Forms
Quick info:
Continence, Urology and Colorectal Service (CUCS) Referral Form
7 Likely UTI Manage Accordingly
Quick info:
For further information about prescribing antibiotics please see Leeds Health Pathways guidance for:
Lower UTI in Men (no fever of flank pain)
Lower UTI in Women (no fever of flank pain) Upper UTI (Acute pyelonephritis) in Adult Men
Upper UTI (Acute pyelonephritis) in Adult Women
9 Red Flags Refer 2 Week Wait
Quick info:
GP Information:
- Frank Haematuria without infection or persistant microscopic haematuria
- Suspected gynaecological cancer
17 Stress Urinary Incontinence
Quick info:
GP Information:
Trigger Question
Does patient leak urine when cough laugh or sneeze?
19 Urge Incontinence or Over Active Bladder
Quick info:
GP Information:
Trigger Question
Do you sometimes not reach the toilet in time?
20 Voiding Dysfunction
Quick info:
GP Information:
Difficulty emptying bladder (voiding dysfunction)
21 Initial Management
Quick info:
GP Information:
Advise patient to keep Bladder Diaries (3 days) and recommend fluid management
If there is no improvement after 3 months - refer to community service
Patient Information:
PFMT (pelvic floor exercises) Patient Information Leaflet
23 Initial Management
Quick info:
GP Information:
Advise patient to keep Bladder Diaries (3 days) and recommend fluid management
Trial of anticholinergic
If there is no improvement after 3 months - refer to community service
Patient Information:
PFMT (pelvic floor exercises) Patient Information Leaflet
24 Initial Management
Quick info:
GP Information:
Consider causes (e.g. constipation, diabetes, neurological) Treat or refer as appropriate
If there is no improvement after 3 months - refer to community service
25 Refer Continence Urology and Colorectal Service (CUCS)
Quick info:
Community Urology and Colorectal Service (CUCS) - Patient Information Leaflet
Community Urology and Colorectal Service (CUCS) Referral Form
Community service will assess and treat and refer patient on to secondary care when necessary
Key Dates
Published: 21-Nov-2014, by Leeds
Valid until: 28-Feb-2017