The Obstetrician & Gynaecologist 2008;10:3:184-193
doi: 10.1576/toag.10.3.184.27422
Copyright © 2008 by the Royal College of Obstetricians and Gynaecologists.
Continence care pathways: a motorway for urogynaecology
Deepali Sinha, MD MRCOG, Consultant Obstetrician and Gynaecologist1,
Alexandra Blackwell, MRCOG, Consultant in Obstetrics and Gynaecology2,
Elizabeth J Adams, MRCOG, Consultant Urogynaecologist3 and
Paul A Moran, MRCOG MFFP, Consultant Urogynaecologist and Obstetrician4
1. Alexandra Hospital, Redditch, Worcestershire B98 7UB, UK Email: adsinha{at}hotmail.com (corresponding author)
2. Department of Obstetrics and Gynaecology, Worcestershire Royal Hospital, UK
3. Department of Obstetrics and Gynaecology, Liverpool Womens Hospital, Crown Street, Liverpool L8 7SS, UK
4. Department of Obstetrics and Gynaecology, Worcestershire Royal Hospital, UK
Key content:
- Urinary incontinence is common in women and results in medical and psychological morbidity.
- It is associated with a clinically significant decrease in quality of life, comparable with chronic medical conditions.
- Continence is low on the list of priority given to healthcare services.
- NICE guidance aims to overcome variation in referral and treatment.
Learning objectives:
- To understand the challenges of developing and implementing continence care pathways.
- To appreciate the importance of consistent care without geographical variation that adheres to national guidelines.
- To learn the value of prompt, appropriate identification of women requiring primary or secondary care.
- To identify evidence-based treatments.
Ethical issues:
- Can the future development of continence services be balanced with meeting the needs of an ageing population?
Please cite this article as: Sinha D, Blackwell A, Adams EJ, Moran PA. Continence care pathways: a motorway for urogynaecology. The Obstetrician & Gynaecologist 2008;10:184–193.
Keywords care pathways / integrated continence services / urinary incontinence
Copyright © 2008 by the Royal College of Obstetricians and Gynaecologists.