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BMJ 2006;333:876 (28 October), doi:10.1136/bmj.333.7574.876-c
London Adrian O’Dowd
Doctors in England and Wales have been given new guidance to improve the care and treatment of millions of women who have urinary incontinence.
But surgeons should have specific competences before they perform surgery in cases of urinary incontinence, says the guidance, which was issued this week by the clinical standards body the National Institute for Health and Clinical Excellence (NICE).
The guidelines on how to manage urinary incontinence in women contain around 100 recommendations and advise on diagnosis, treatment, and training in this area, which NICE says is still regarded by many as a “hidden” subject.
Experts believe that the condition affects five million women in England and Wales aged over 20 and one in three women aged over 40, but this may be an underestimate, because embarrassment stops many women seeking help.
Paul Hilton, a consultant gynaecologist and chairman of the guideline development group, said
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