Abstract
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.
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