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Incontinence/bladder dysfunction (female) (Urology)


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • Suspected malignant mass
    • Bladder outlet obstruction
    • Haematuria or sterile pyuria
    • Elevated post-void residuals (> 300mls) and hydronephrosis on USS and/or altered renal function
    • Known or suspected neurogenic bladder
    • Suspected urogenital fistulae
  • Category 2
    (appointment within 90 calendar days)
    • Incontinence requiring multiple (> 2) pad changes per day
    • Nocturnal incontinence
    • Post-void residual > 100ml
    • Associated faecal incontinence
    • Moderate to severe pelvic organ prolapse
  • Category 3
    (appointment within 365 calendar days)
    • Incontinence requiring 1-2 pad changes per day and any of the following:
      • recurrent (> 3 per year) or persistent UTI
      • persisting bladder or urethral or perineal pain
      • socially limiting (severe)
      • failed physiotherapy/continence nurse management
      • failed anti-cholinergic and beta3 adrenergic agonist therapy

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • MSU M/C/S results
  • USS urinary tract results
  • ELFT results

3. Additional referral information Useful for processing the referral

  • Documented episodes of incontinence – bladder chart/diary, time and volume chart

4. Request

Last updated: 13 June 2023