Map of the Pages on this Site
 
* For technical reasons, the links below to the second and subsequent pages in each main section will open in new windows without the top and side menus. You may prefer to click on the main section heading and then use the side menu to reach the page you want.

 
Home Page


 
How to Use this Site


 
Continence Foundation Helpline

 
Helpline
 
Symptoms and Treatments


Introduction
 

A Complex System
How Common are Bladder and Bowel Problems?
More About Numbers including Royal College of Physicians
estimates of prevalence of urinary and faecal incontinence

  * The Healthy Bladder
 

How the Healthy Bladder Works
Healthy Bladder Habits
Common Questions and Answers

  * What can go wrong with the Urinary system?
 

Many Types of Possible Problem including male and female cutaway diagrams
Questions You May Be Asked
Urodynamics

  * Stress Incontinence
  * Urgency, Frequency and Urge Incontinence
 

The Overactive Bladder
Bladder Retraining
Drug Treatments
Surgery for Urge Incontinence

  * Mixed Incontinence
  * Overflow Incontinence
 

Types of Overflow Incontinence
Neurogenic Incontinence
After-Dribble in Men

  * Night-time Problems
 

Needing To Go Too Often - 'Nocturia'
Bedwetting - 'Enuresis'

  * Prostate Problems
 

You and Your Prostate
* Bladder Control after a Prostate Operation

  * Pelvic Floor Exercises For Women
 

How to do your Pelvic Floor Exercises
Vaginal Cones
Biofeedback
Electrical Stimulation

  * Pelvic Floor Exercises For Men
 

How to do your Pelvic Floor Exercises
Biofeedback
Electrical Stimulation

  * The Healthy Bowel
 

How the Healthy Bowel Works
Healthy Bowel Habits
Common Questions and Answers

  * Bowel Control Problems
 

Bowel Control
Causes of Bowel Leakage
Getting Help
Treatments and Management
Questions You May Be Asked

  * Special Bowel Topics
 

Imodium (Loperamide Hydrochloride)
Controlling Wind and Smells
Exercises For Your Anal Sphincter
Skin Care
Your Sphincter Repair Operation

s
 
Products


Products to help with Incontinence
 

Introduction
PromoCon
Types of Product

  * Hand-held Urinals
 

Introduction
Tips
Hand Held Urinals for Men including suitable clothing
Hand Held Urinals For Women including suitable clothing

  * Protecting Beds and Chairs
 

Using Covers
Using Bedpads and Chairpads
What are the Advantages and Limitations of Washable Bedpads?
How to Choose a Washable Bedpad

  * Protecting Yourself and Your Clothes
 

Introduction
Pads: Disposable versus Washable
Five Key Questions
Pads and Pants the Types Available

 

All-in-one disposables
All-in-one washable garments
Disposable insert pads
Washable insert pads
Male pouches
Absorbent disposable pads
Absorbent washable pads
Pouch pants
Stretch pants
Waterproof pants

  * Specialist Products
 

Introduction
Catheters
Drainage Bags
Sheaths, Body Worn Urinals, and Other Devices for Men
Devices for Women
Devices for Bowel Incontinence
Enuresis Alarms

 
Publications

Leaflets, Factsheets and Books
 

How to order
Prices
Continence Foundation Leaflets
Continence Foundation Factsheets
Publications From Other Organisations
Confidential Mail Order Book Service
Order Form

 
The Continence Foundation

About the Foundation: Our Aims and What We Do
 

Aims
Advice and Information
Public Awareness and Media Coverage
Advocacy, Policy and Campaigning
Achievements and Activities

  * Recent and Future Public Awareness Campaigns
 

Introduction
Code of Good Practice for Employers (September 1999)

 

Code of Good Practice for Employers (printable copy)

 

Information Sheet for Pre-Retirement Packs (January 2000)
Adult Bedwetting (June 2000)
Pregnancy, Birth and Continence (September 2000) - see text of leaflet below
Coping with Incontinence (September 2001)

 

* Expecting a Baby?

 

Introduction
During your pregnancy
During delivery
Afterwards
Conclusion
Pelvic Floor Exercises

  * Recent and Future Policy Campaigning Work
 

Some Failings of the Present NHS Service
A Critique of the Department of Health's Policy

 

Extracts from INCONTINENCE - A CHALLENGE AND AN OPPORTUNITY FOR PRIMARY CARE (Continence Foundation - May 2000) including High Prevalence, Heavy Cost, Effective Treatment Possible, Quality of Life Implications

 

VAT on Continence Pads

 

Representations to the Government on VAT on Continence Pads

 

Letter to Minister of Health - October 2000
Letter to Customs and Excise - January 2001

 

Continence Pad Provision in Nursing Homes

 

Correspondence with the Department of Health on the Provision of Continence Products in Nursing Homes

 

Latex Gloves for Carers
Remuneration of Appliance Dispensing Contractors

 

Memorandum of Evidence from the Continence Foundation

  * Become a Friend of the Foundation
 

Application form

  * Trustees and Other Details (including contact details)
  * Contact Us
  * Tell us what you think about our website
 
The NHS and Other Organisations

  The NHS and Incontinence
 

Introduction
A Brief Description of the Present NHS Continence Services
NHS Supplies of Absorbent Pads and Other Products

 

Residential Homes
Nursing Homes
Buying your own pads

  * Department of Health Policy
 

Background to the New Policy Statement
Statement by the Minister of Health
Letter from the Chief Medical Officer and Chief Nursing Officer
Our Summary of the Department of Health's Policy (April 2000)

 

Comprehensive, Integrated Services in Sight
User Involvement in Planning and Audit
The Commissioning Role
Primary and Community Care Teams to Take Much Heavier Responsibility
Assessment and Treatment in Primary Care
New Continence Service Director Post Vital if Integration is to Work

  * Continence Organisations in the UK and Abroad
 

The UK Continence Alliance
Associates of the Continence Foundation
International Links

 
Pages for Professionals

Introduction
* Making the Case for Investment in an Integrated Continence Service

1. The New NHS Guidance
2. The Origin of NHS Guidance
3. Prevalence of Incontinence
4. Calculating the Local Numbers Affected
5. The Natural History of Incontinence
6. The Iceberg Effect
7. Special Local Considerations
8. Comparing Numbers with other Diseases
9. Linking Incontinence with NHS Priorities
10. Quality of Life
11. Clinical Governance
12. The Cost of Incontinence to the NHS
13. The Need for an Integrated Service
14. Getting Incontinence on the Agenda

* A Brief Guide to Bladder Control Problems in Adults
* A Brief Guide to Bowel Control Problems in Adults
* Continence in Primary Care
 

Causes of Urinary Incontinence
Assessment of Urinary Incontinence
Treatment of Urinary Incontinence
Faecal Incontinence
Living with Incontinence
Managing Incontinence
Further Reading

* Male Pelvic Organs
A4 full-colour printable cutaway diagram
* Female Pelvic Organs

A4 full-colour printable cutaway diagram

* Continence Foundation Review
 
Stress Incontinence Surgery for Women
Urge Incontinence: Drugs or Behavioural Techniques?
Pelvic Floor Exercises Proved to Work
Management of Faecal Incontinence
Poor Results following Repair of Parturition Injury
Conservative Treatment effective for the Physically Disabled
Conservative Treatment effective for Elderly Women
When to Use Injection Therapy
Preventing UTI in the Elderly
Superiority of Colposuspension Again Demonstrated Urodynamics Vital before Surgery
How to avoid Incontinence after Prolapse Surgery
Symptoms of lower urinary tract dysfunction vary over time Incontinence affects sex life - but minimally
Drug and behavioural therapy combined are better than either alone
Tension-free Tape Procedure for Stress Incontinence
Pelvic floor exercises in men effective after prostatectomy
Midline Episiotomy Increases Risk of Faecal Incontinence and Incontinence of Flatus
Why Pelvic Floor Exercises don't work (retrospect)
Caffeine Restrictions - Where's the Evidence? (retrospect)
* Consensus Statement from the First International Conference
      for the Prevention of Incontinence (June 1997)

Introduction
A: Clinical Definition
B: the Concept of Prevention
C: Healthy Bladder Habits
D: Incontinence Prevention by Age Group
     - Prevention in Childhood
     - Prevention in Young Adults
     - Prevention in the Middle Years
     - Prevention in Healthy Older Adults
     - Prevention in Frail Older Adults
E: Promoting Prevention Education by Target Group

* Your Baby, Your Bladder and Your Bowels
What Childbirth Does to the Pelvic Floor
The Midwife and Continence
Epidurals: the Danger of Overdistension
Treatment of Incontinence
Sex and the Bladder
Bowel Problems After Childbirth
The Physiotherapist's Role
The Primary Health Care Nurse's Responsibility
Medico-legal and Ethical Issues
The Way Forward
References
  * Guidelines for Project Work in Continence Care
 
Introduction
References and Resources
Useful Organisations
Useful Leaflets From Other Sources
Reports Relevant to Continence Care
  * Publications for Professionals
 
Continence Foundation Leaflets
Continence Foundation Factsheets
Continence Foundation Reference Publications
   
  Produced at 31 May 2001