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NICE guidelines on urinary incontinence: implications for training and practice in urogynaecology

^1. Department of Obstetrics and Gynaecology, Derriford Hospital, Derriford Road, Plymouth PL6 8DH, UK Email: robert.freeman{at}phnt.swest.nhs.uk (corresponding author)
^2. Department of Urological Gynaecology, Princess Anne Hospital, Coxford Road, Southampton SO16 5YA, UK

Key content:

• NICE have produced the most comprehensive guidelines so far on the management of urinary incontinence in women.
  
• Thirteen key recommendations relate to initial assessment in primary care; investigations; and conservative and surgical treatments.
  
• NICE discuss the implications for training and practice and recommend methods of implementation.
  

Learning objectives:

• To learn how to assess symptoms.
  
• To appreciate how to use investigations appropriately.
  
• To understand how to choose appropriate treatment.
  

Ethical issues:

• Do we have to follow national guidelines?
  
• Is it appropriate for the medical profession to focus on cost?
  
• Should decisions on funding to implement these guidelines rest with primary care trusts?
  

Please cite this article as: Freeman RM, Monga A. NICE guidelines on urinary incontinence: implications for training and practice in urogynaecology. The Obstetrician & Gynaecologist 2009;11:33–39.

Keywords overactive bladder syndrome / pelvic floor assessment / postvoid residual volume / urinalysis / urodynamics