Urinary incontinence in neurological disease: Management of lower urinary tract dysfunction in neurological disease

NICE clinical guidelines Issued: August 2012 http://publications.nice.org.uk/urinary-incontinence-in-neurological-disease-cg148/introduction

 This guideline lists a comprehensive patient approach and background for the treatment of UI in patients with neurological disease. It also includes a small amount about possible treatments including bladder training and pelvic floor muscle exercises.  Several nurses sat on the panel that created these guidelines – no PT.

National Institution for Health and Clinical Excellence issues the NICE Guidelines.  They develop evidence-based guidelines on the most effective ways to diagnose, treat and prevent disease and ill health. Patient-friendly versions of the guidelines can help educate and empower patients, carers and the public to take an active role in managing their conditions. Highest evidence is used to create guidelines along with medical professional consensus.

Several other Published Guidelines of interest

·         Nocturnal enuresis. NICE clinical guideline 111 (2010).
·         Constipation in children and young people. NICE clinical guideline 99 (2010).
·         Lower urinary tract symptoms. NICE clinical guideline 97 (2010).
·         Percutaneous posterior tibial nerve stimulation for overactive bladder syndrome. NICE interventional procedure guidance 362 (2010).
·         Urinary tract infection in children. NICE clinical guideline 54 (2007).
·         Faecal incontinence. NICE clinical guideline 49 (2007).
·         Urinary incontinence. NICE clinical guideline 40 (2006). Being updated – due July 2013
·         Sacral nerve stimulation for urge incontinence and urgency-frequency. NICE interventional procedure guidance 64 (2004).