stress urinary incontinence is involuntary leak of urine during exercise, cough or sneeze (any condition that leads to increase in the pressure inside the abdomen)
Initial appointment
Initial assessment, identification of predisposing factors and treatment of any precipitating factor
Referral to Physiotherapy for Pelvic floor muscle training exercise, bladder retraining/drills
Lifestyle advice.
Review of a bladder diary
Urogynaecology responsibilities:
Full reassessment in clinic, including history and examination
Quality of life questionnaire
Urine analysis
Post voiding residual urine (Bladder scan)
Review of bladder diary (3 days)
Review outcome of conservative management and drug therapy
Offer urodynamic investigations if indicated
All patients with stress urinary incontinence should be discussed in MDT before surgical treatment
All patients should be given all the relevant surgical options, leaflets should be given
Stress Urinary Incontinence Fact
Lifestyle interventions
Reduce weight if BMI more than 30kg/m2
Reduce caffeine, alcohol and other fizzy drinks
Healthy bladder diet advice
Smoking cessation advice and refer to stop smoking services
Pelvic floor muscle training
Refer to physiotherapy for supervised pelvic floor muscle training for 3 months
Surgical options for management of stress urinary incontinence (Options not in order)
Women should be offered all the relevant options for her care, and offered the relevant patients’ information leaflets
