INTRODUCTION the Department of Health report 'Good practice in continence services' highlights the need for proper assessment and management of urinary incontinence. The National Service Framework for Older People required service providers to establish integrated continence services by April 2004. A national audit was conducted to assess the quality of continence care for older people and whet...

Care pathways to manage continence problems in adults are well established (Bayliss et al, 2003). However, little work had been carried out to develop care pathways in paediatrics. There are increasing numbers of nurse-led clinics for children with continence problems, and nurses need structured systems to guide practice. June Rogers explains how the IMPACT paediatric bowel care pathway was dev...

In the present study, we report the utility of transrectal ultrasonography guidance for laparoscopic radical prostatectomy (LRP), and the effect of a novel surgical approach of 'seven key elements of operative skill for the early recovery of urinary continence' ('7 key elements'). Among 170 patients who underwent laparoscopic prostatectomy between July 2007 and June 2010, 72 were treated on the...

BACKGROUND Global demographic trends suggest that the incidence of both urinary and faecal incontinence will rise in the coming years, bringing significant health and economic implications for both patients and payers. There is limited organisational evidence to guide payers and providers about service configuration which will deliver efficient guideline-compliant, high-quality patient care. ...

BACKGROUND Radical prostatectomy (RP) is the most common treatment for patients with localized prostate cancer. Urinary incontinence (UI) is a significant bothersome sequela after radical prostatectomy that may dramatically worsen a patient's quality of life. Pelvic floor muscle training (PFMT) is the main conservation treatment for men experiencing urinary incontinence; however, whether additi...

AIM AND OBJECTIVES To establish whether the problems and issues experienced by people with dementia living at home and their carers were addressed in the clinical guidance for continence management for community nursing services in England. BACKGROUND Internationally, the numbers of people with dementia are rising. Managing incontinence is a significant issue as the presence of incontinence i...

PURPOSE Individuals with spinal cord injury or neurological disorders may have neurogenic detrusor contractions at low volumes (bladder hyperreflexia), which cause incontinence and can lead to significant health problems. Bladder contractions can be suppressed by electrical stimulation of inhibitory pathways but continuous activation may lead to habituation of the inhibitory reflex and loss of ...

INTRODUCTION Immediate continence is a goal to take into consideration for better patient satisfaction after radical prostatectomy. Factors predicting urinary continence at catheter removal were investigated. MATERIALS AND METHODS We evaluated preoperative, operative, clinical, hormonal and pathological variables in a homogeneous series of radical retropubic prostatectomies (RRPs) following t...

IN THE BEGINNING the authors discuss the high type of imperforate anus because they say the low type presents "no real problem in achieving continence." They ment ion a report by Partridge and Gough 4 in which they found that "only half the survivors of high anomalies had adequate continence." They say that factors involved in continence are specific sensation of the rectum and anal canal, and ...