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If you have continence problems there are professionals you can talk to and continence services that will give you help, advice, diagnosis and treatment

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If you need a consultant's assessment, your healthcare adviser will send you to a urologist


Usually the first place to go is your local health service, such as your general practice. You can talk to your family doctor or practice nurse. Or you can go to a well-man or well-woman clinic if they are offered.

Women can talk to a gynaecologist about pelvic floor exercises and maintaining good continence control. These exercises are especially important during pregnancy and after childbirth.

If you can't get to your doctor's office your general practice can arrange for a visit from a healthcare professional, such as your GP or a community nurse.

First visit

During the first visit your symptoms will be assessed. If you are experiencing mild symptoms your GP or nurse practitioner may decide to advise and treat you with appropriate diet, exercises and possibly medications.

Or you may be referred to a physiotherapist or continence care clinic where a specialist healthcare professional will assess your symptoms and help you with treatments. This could be a specialist physiotherapist or a continence nurse.

If you are pregnant or have a pregnancy-related problem, you might go to a gynaecologist or obstetrician.

If you need a consultant's assessment, your healthcare adviser will send you to a urologist. If you need surgery, you'll be seen by a urological surgeon.

General Practice/family doctor

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Nursing and continence care

Continence nurses and nurse specialists work both in hospitals and the community.

Urology nurses work with urological consultants and urogynaecological nurses in the gynaecological specialty. Nurses can do assessments and provide help with some treatments.


Exercise and Diet

Physiotherapists help with specific exercises for the pelvic muscles and daily exercise routines.

Nutritionists and dietitians help with dietary advice and nutrition plans.

Older people's medicine

Geriatricians specialise in care for older people.


Pregnancy and childbirth, gynaecology

Women will see a gynaecologist and obstetrician during their pregnancy, both of whom can help with continence care advice and assessment, as can a urogyaecologist.


Consultants and specialist physicians

These are urologists and urological surgeons. The specialism is also known as genitourinary medicine and includes both urinary and reproductive specialists.



Last update : December 20 2006

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Site created: 25 November 2006. Last updated on 22 June 2007