Pathways to managing female urinary incontinence

Greenham, Helen; Moran, Paul

doi:10.1383/wohm.2005.2.6.10

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Volume 2, Issue 6 , Pages 10-14, November 2005

Pathways to managing female urinary incontinence

Helen Greenham
- Helen Greenham is a Urogynaecology Nurse Specialist at Worcester Royal Hospital, UK. She qualified from Addenbrooke’s Hospital, Cambridge, and specialized in urogynaecology, completing an MSc in Advanced Clinical Practice at Birmingham University. She worked as a continence adviser managing a busy service in Birmingham for six years, prior to taking up her current post. Her special areas of interest are the development of nurse-led services for urogynaecology and painful urethral/bladder syndrome.
Paul Moran
- Paul Moran is Consultant Obstetrician and Gynaecologist at Worcester Royal Hospital, UK. He qualified from Nottingham University and trained in obstetrics and gynaecology in Nottingham and Oxford. He has a special interest in urogynaecology and reconstructive pelvic floor surgery, which he developed following a urogynaecology training fellowship in Melbourne, Australia. His research interests include anti-incontinence and vault prolapse surgery.

Abstract

Negotiating an appropriate pathway of care for women with urinary incontinence is often complex. The management of female bladder dysfunction often requires the input of many healthcare professionals, making the process daunting for both patient and doctor. This contribution covers the definition of a care pathway, patient involvement, primary care responsibilities and when to refer on, and provides a model for a team approach for primary care and an integrated approach to the management of female urinary incontinence.

Keywords: urinary incontinence , care pathway , patient involvement , SIFCRAT risk assessment tool

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