Oxford University Hospitals NHS Foundation Trust

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Urogynaecology referrals

This gynaecological sub-specialty provides multidisciplinary specialist services for women with gynaecological and pelvic floor problems.

Pelvic floor disorders are common in women of all ages. Patients are often reluctant to seek medical advice through embarrassment, or a mistaken perception that nothing can be done. However, pelvic floor disorders can be effectively treated.

In Oxfordshire we aim to provide a state-of-the-art clinical service. Effective treatment depends on careful assessment by the surgeons, backed up by our multidisciplinary team. We treat conditions such as urinary incontinence and vaginal and uterine (womb) prolapse.

Oxford and Banbury are amongst a few centres in the UK providing laparoscopic reconstructive surgery for uterine and vaginal prolapse. When the uterus has prolapsed, we offer laparoscopic re-suspension and preservation of the uterus as an alternative to the more widely available option of hysterectomy.

Physiotherapists and Clinical Nurse Specialists support this service with the Community Bladder and Bowel Service. A holistic approach is taken to these disorders.

More information can be found on the Oxford Health website.

Urodynamics clinics are run by Clinical Nurse Specialists.

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Referring to the department

Oxford Urogynaecology Department usually needs a referral from a GP or hospital specialist to the contact details below.

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NICE guidelines and criteria

In line with local commissioning policy, all urogynaecology referrals need to demonstrate compliance with NICE guidelines.

NICE criteria

  • URGE incontinence
    • Lifestyle intervention ie: caffeine / alcohol reduction / fluid intake / weight loss management
  • URGE incontinence
    • Course of anti-muscarinics
    • 1st line: Oxybutynin (immediate release)
    • 2nd line: Solifenacin or Tolterodine (modified release). Initial trial for one month.
  • STRESS incontinence
    • Supervised pelvic floor muscle retraining for a period of at least three months
    • Symptoms severe / needing exception to NICE
    • New referrals not accompanied with the proforma or evidence of compliance with the NICE guidelines will be returned.
  • Urogynaecology referral proforma (Word, 712 KB)

Details of long-term conditions need to be provided.

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DEPARTMENTS AND SERVICES