Continence Advisory Service (Locala)

What problems are suitable to refer?
Women
• Stress incontinence
• Overactive bladder
• Faecal incontinence or urgency
• Constipation
• Sensation of prolapse with associated bladder or bowel symptoms
• Pain during intercourse with associated bladder or bowel symptoms
Men
• Stress incontinence
• Overactive bladder
• Faecal incontinence or urgency
• Constipation
• Prostate evolvement has been excluded or actively treated by the GP

• Patients seen and assessed by the continence service within the last 12 months who did not complete their treatment programme or their symptoms have returned
• Patients in the last stages of life with continence problems.

What conditions would not be suitable for referral?
Red flags
• Blood in urine
• Unable to urinate
• Sudden onset urinary incontinence, frequency, urgency
• In women;
• Sudden onset symptoms of vaginal prolapse
• Abdominal / Pelvic pain
• Symptoms of a urinary tract infection – need to be assessed and treated by GP
• Unexplained sudden change in bowel habit, stool type or mucous
• Blood in the stool
• Sudden onset constipation or inability to empty bowel
• Sudden onset faecal incontinence.
• Sudden onset rectal prolapse
• Unexplained weight loss

Feedback

Rated by Anonymous
2nd October 2019
Response from provider

Useless poor quality care

Frustrating experience. It started with me calling this customer service...
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