National Hospital for Neurology and Neurosurgery
|
|
- Raymond May
- 7 years ago
- Views:
Transcription
1 National Hospital for Neurology and Neurosurgery Botulinum toxin injections for the bladder Department of Uro-Neurology
2 If you would like this document in another language or format, or require the services of an interpreter, contact us on We will do our best to meet your needs. Contents Introduction 3 What is Botulinum toxin treatment? 3 How can Botulinum toxin help your bladder symptoms? 3 What are the risks of Botulinum toxin treatment? 4 Repeat Treatments 6 What alternatives are available? 7 How should I prepare for Botulinum toxin treatment? 7 Pregnancy and Botulinum toxin 9 Asking for consent 9 What happens during Botulinum toxin treatment? 10 What should I expect after Botulinum toxin treatment? 11 Where can I get more information? 13 References 13 Contact details 14 Introduction This information booklet explains the treatment of overactive bladder syndrome using injections of Botulinum toxin (BOTOX ) into the bladder wall. What is Botulinum toxin? Botulinum toxin is a protein produced by the bacteria clostridium botulinum. It works by temporarily blocking receptor sites on nerve endings, stopping the connection between the nerve and the muscle fibre. Normally this connection, when active, would cause a muscle to contract and so by blocking this connection the muscle remains in a relaxed state. How can Botulinum toxin help? Botulinum toxin is licensed for use in the bladder. In recent years doctors in Europe and America have reported high success rates when used to treat bladder over activity. 2
3 Bladder over-activity commonly causes symptoms of urinary urgency, frequency and urinary incontinence (including night time incontinence). What are the risks of Botulinum toxin injections? All treatments and procedures have risks and the risks associated with Botulinum toxin injections in the bladder are discussed below. Problems that may happen straight away It is common for your urine to have a small amount of blood staining after this procedure. We advise you to drink plenty of fluid for two days and the bleeding normally stops within 48 hours. There is a risk of a urine infection (15-20 percent) following the procedure and a short course of antibiotics is given to help prevent this. It is not usually a painful procedure, though some discomfort may be experienced. A local anaesthetic lubricating gel is used to make the procedure more comfortable. Problems that may happen later Less than one in every one hundred patients have complained of a rash, a transient flu-like illness, drowsiness or temporary leg weakness. Intermittent self-catheterisation: Botulinum toxin may temporarily reduce the ability of the bladder to contract (which is how it works to reduce overactive symptoms). This means that following treatment you may need to catheterise yourself intermittently to empty your bladder until the bladder s power recovers. To be considered for this treatment you must be willing and able to do this. The doctor will discuss this with you during your consultation and will arrange an appointment with the continence nurse team, either at the National Hospital for Neurology and Neurosurgery (NHNN) or locally. The continence nurses will teach you to catheterise yourself. If you are willing and able to do this your name is added to the waiting list. If you are unable to catheterise we may have to discuss alternative treatment options with you. 3
4 The risk of needing to self catheterise for patients with neurological conditions such as Multiple Sclerosis is much higher (between 20 and 70 percent) than those without neurological causes for their bladder symptoms (five to 20 percent). No difference in symptoms: We hope that your symptoms improve following the injections but can give no guarantee that this will be the case. Repeat treatment Botox has a temporary effect, and if there is an improvement in bladder symptoms, the duration varies from person to person. Previous studies in our department showed the effects of the treatment last on average for 11 months. For patients receiving repeat injections we hope to re-inject them on a yearly basis, but will inject sooner if after further consultation it is deemed appropriate. If I choose not to have Botulinum toxin treatment, what alternatives are available? The most commonly used treatment for overactive bladder symptoms are tablet medications. Sometimes these are tried before or instead of Botulinum toxin treatment if appropriate. Less commonly in patients with severely impaired bladder function, reconstructive surgery is considered. This is major surgery and is usually considered only when all other treatments have failed. How should I prepare for Botulinum toxin treatment? How suitable you are for Botulinum toxin treatment depends on two elements: your consultation with our team, and any urodynamics tests you may have had. A urodynamics test is a specialist investigation to determine bladder function. During the test the bladder is filled with saline (salt water) through a small catheter connected to a computer that records the bladder activity. This gives us an idea of how your bladder behaves when it fills up with urine. 4
5 During this test, as your bladder is filled, you are asked when you feel you need to pass water and we will also measure how well you can pass water. You will be asked to take a urine sample to your GP ten days before your appointment for injections so that it may be tested for an infection. If results of that test are in any way abnormal or suggest that you may have a urine infection, you must inform the department of Uro-Neurology (the telephone numbers are given at the end of this leaflet). We also recommend a urine test the day before your procedure as an extra precaution. Important note on Pregnancy and Botulinum toxin You must not be pregnant or have recently given birth when receiving this treatment. Botulinum toxin may have adverse effects on an unborn baby. It is therefore very important that if you are pregnant, planning to become pregnant or are breast-feeding, that you do not undertake this treatment. If you are a woman who could/may become pregnant, you will have urine pregnancy tests at the beginning of the treatment to make sure you are not pregnant. You will then need to use effective contraception whilst the effects of Botulinum toxin are present and for at least one month after they are over. Asking for your consent We want to involve you in all the decisions about your care and treatment. If you decide to go ahead with treatment, we ask for your consent and will ask you to sign a consent form. This confirms that you agree to have the procedure and understand what it involves. We will explain all the risks, benefits and alternatives before we ask you to sign a consent form. If you are unsure about any aspect of your proposed treatment, please don t hesitate to speak with a senior member of staff again. 5
6 What happens during a Botulinum toxin treatment? This treatment is a day case procedure. You are awake during the procedure which normally takes around 20 minutes. You will be in the department for approximately one to two hours. You will be asked to provide a fresh urine sample on the day of your treatment so that it may be tested for an infection. If you do have an infection, we cannot proceed with the treatment until the infection has resolved. A local anaesthetic gel (Instillagel ) will be applied to the urethra and a special flexible bladder telescope (fibre-optic cystoscope) passed into the bladder. The bladder muscle will then be injected with 100 to 300 units of Botulinum toxin type A (BOTOX ) requiring 20 to 30 small injections to the bladder wall. What should I expect after Botulinum toxin treatment? You will routinely receive a short course of antibiotics as protection against infection. It is common for your urine to have a small amount of blood staining after this procedure. This normally clears within 48 hours. Recovery after Botulinum toxin treatment is short and most people continue with their normal routines the following day. One week after the injections you will receive a telephone call from one of the Uro-Neurology team to check on your progress and to help with any problems if they arise. Two weeks after the injections you may need to come back to the hospital to see a member of the Uro-Neurology team. We will check on your progress with the treatment and deal with any medical problems that may have come about as a result of you having had Botulinum toxin treatment. You will also be asked to empty your bladder whilst in the department and an ultrasound scan of your bladder will be performed to check if you are emptying completely. If you are not emptying completely we will advise you on how often you should perform clean intermittent catheterisation. This will be the final follow up visit. You should inform us when you feel the treatment is wearing off. At that stage you will be offered repeat injections, if appropriate.if you are taking 6
7 any tablets for overactive bladder symptoms, you should stop these when the Botox effect begins (normally within two weeks). Where can I get more information? BBC article on Botox 1 : NHS article on Botox 2 : References 1. Bladder Botox to treat incontinence, BBC NEWS HEALTH, September Available from: < [5 February 2015]. 2. Botox eases urinary incontinence, NHS CHOICES, March Available from: < [5 February 2015]. Contact details Thank you for taking the time to read this information. If you have any questions or concerns now or at any time about it, your safety or your rights, please contact us on the telephone number below: For the Nursing team: Tel: For secretaries: Tel: Fax:
8 Continence Team, Department of Uro-Neurology Square, London WC1N 3BG 33 Queen Main Switchboard (There is no additional service charge for using an 0845 number. The cost is determined by your phone company s access charge) / Hospital internet site 8
9 Space for Notes First published: November 2015 Date last reviewed: Nov 2015 Date next review due: Nov 2017 Leaflet code: UCLH/NHNN/URON/BOTOXFOR BLAD/1 University College London Hospitals NHS Foundation Trust 9
Botox treatment for an overactive bladder in women. Information for patients Gynaecology
Botox treatment for an overactive bladder in women Information for patients Gynaecology What is bladder overactivity (OAB)? Bladder overactivity is a common condition, affecting around one in five people.
More informationBotox (Botulinum Toxin) injections into the bladder
York Teaching Hospital NHS Foundation Trust Botox (Botulinum Toxin) injections into the bladder Information for patients, relatives and carers Department of Urology York Teaching Hospital NHS Foundation
More informationSaint Mary s Hospital. Gynaecology Service Warrell Unit. Overactive Bladder. Information for Patients
Saint Mary s Hospital Gynaecology Service Warrell Unit Overactive Bladder Information for Patients What is Overactive Bladder (OAB)? OAB is a condition that causes you to need to pass urine more often
More informationGreenLight laser prostatectomy
Ambulatory Care & Local Networks GreenLight laser prostatectomy Information for day surgery patients This information sheet answers some of the questions you may have about having a GreenLight laser prostatectomy.
More informationPeriurethral bulking agent for stress urinary incontinence (macroplastique)
PLEASE PRINT WHOLE FORM DOUBLE SIDED ON YELLOW PAPER Patient Information to be retained by patient affix patient label Who is this leaflet for? This leaflet provides information about having an injection
More informationNational Hospital for Neurology and Neurosurgery. Managing Spasticity. Spasticity Service
National Hospital for Neurology and Neurosurgery Managing Spasticity Spasticity Service If you would like this document in another language or format, or require the services of an interpreter please contact
More informationTreatments for Overactive Bladder
Treatments for Overactive Bladder Patient Information Author ID: SA Leaflet Number: Gyn 051 Name of Leaflet: Treatments for overactive bladder Date Produced: October 2014 Review Date: October 2016 Treatment
More informationTransobturator tape sling Female sling system
Transobturator tape sling Female sling system Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationSurgery for Stress Incontinence
Directorate of Women s Services Surgery for Stress Incontinence Tension Free Vaginal Tape Information for Patients Direct dial number Ward 40 0191 282 5640 Stress Incontinence Stress incontinence is a
More informationWomen s Health. The TVT procedure. Information for patients
Women s Health The TVT procedure Information for patients What is a TVT procedure? A TVT (Tension-free Vaginal Tape) procedure is an operation to help women with stress incontinence the leakage of urine
More informationInformation for Patients
Notes Information for Patients Sling procedure for urinary stress incontinence Aysha Qureshi Version 1, June 2010 Review date June 2013 Date of publication: June 2010 Ref: RUH GYN/002 Royal United Hospital
More informationUrinary Incontinence
Urinary Incontinence Q: What is urinary Urinary (YOOR-in-air-ee) incontinence (in-kahn-tih-nens) is when urine leaks out before you can get to a bathroom. If you have urinary incontinence, you re not alone.
More informationSELF-CATHETERISATION A Guide for Male Patients PATIENT EDUCATION
SELF-CATHETERISATION A Guide for Male Patients PATIENT EDUCATION ADHB Urology Department; Reviewed JULY 2005 Ubix code NPEB2 1 This booklet has been designed to help you learn how to perform self-catheterisation.
More informationOveractive bladder syndrome (OAB)
Overactive bladder syndrome (OAB) Exceptional healthcare, personally delivered What is OAB? An overactive bladder or OAB is where a person regularly gets a sudden and compelling need or desire to pass
More informationPROCEDURE- SPECIFIC INFORMATION FOR PATIENTS
The British Association of Urological Surgeons 35-43 Lincoln s Inn Fields London WC2A 3PE Phone: Fax: Website: E- mail: +44 (0)20 7869 6950 +44 (0)20 7404 5048 www.baus.org.uk admin@baus.org.uk PROCEDURE-
More informationTreatment for bladder tumours - transurethral resection of a bladder tumour (TURBT)
Treatment for bladder tumours - transurethral resection of a bladder tumour (TURBT) You have had a cystoscopy or other examination that has shown that you have an abnormal area (tumour) in your bladder.
More informationBLADDER CONTROL DURING PREGNANCY AND AFTER THE BIRTH OF YOUR BABY
BLADDER CONTROL DURING PREGNANCY AND AFTER THE BIRTH OF YOUR BABY Information Leaflet Your Health. Our Priority. Page 2 of 8 Contents Stress incontinence... 3 Pelvic floor exercises... 3 Urgency and frequency...
More informationEpidural Continuous Infusion. Patient information Leaflet
Epidural Continuous Infusion Patient information Leaflet April 2015 Introduction You may already know that epidural s are often used to treat pain during childbirth. This same technique can also used as
More informationNormal bladder function requires a coordinated effort between the brain, spinal cord, and the bladder.
.. Urinary Incontinence Urinary incontinence is not an inevitable part of aging, and it is not a disease. The loss of bladder control - called urinary incontinence - affects between 13 and 17 million adult
More informationVesico-Vaginal Fistula
Saint Mary s Hospital The Warrell Unit Vesico-Vaginal Fistula Information For Patients Contents Page What is a vesico-vaginal fistula? 3 How does a fistula develop? 3 What tests will I need? 3 How can
More informationHaving a tension-free vaginal tape (TVT) operation for stress urinary incontinence
Having a tension-free vaginal tape (TVT) operation for stress urinary incontinence This leaflet explains more about tension-free vaginal tape (TVT) including the benefits, risks and any alternatives, and
More informationThe overactive bladder and bladder retraining
Oxford University Hospitals NHS Trust The overactive bladder and bladder retraining Information for patients Normal bladder function Your bladder normally stores urine produced by your kidneys. The kidneys
More informationMacroplastique injection for stress urinary incontinence
Macroplastique injection for stress urinary incontinence Information for patients This information sheet answers some of the questions you may have about having a Macroplastique injection. It explains
More informationExcision or Open Biopsy of a Breast Lump Your Operation Explained
Excision or Open Biopsy of a Breast Lump Your Operation Explained Patient Information Introduction This leaflet tells you about the procedure known as excision or open biopsy of a breast lump. It explains
More informationTreating your enlarged prostate gland HoLEP (holmium laser enucleation of the prostate)
Treating your enlarged prostate gland HoLEP (holmium laser enucleation of the prostate) This leaflet is designed to answer any questions you may have about having holmium laser treatment for your enlarged
More informationName of procedure: Laparoscopic (key-hole) ovarian surgery. Left/ Right unilateral salpingo-oophorectomy* (removal of one fallopian tube and ovary)
For staff use only: Patient Details: Surname: First names: Date of birth: Hospital no: Female: (Use hospital identification label) Gynaecology Patient agreement to treatment Name of procedure: Laparoscopic
More informationPROCEDURE- SPECIFIC INFORMATION FOR PATIENTS
The British Association of Urological Surgeons 35-43 Lincoln s Inn Fields London WC2A 3PE Phone: Fax: Website: E- mail: +44 (0)20 7869 6950 +44 (0)20 7404 5048 www.baus.org.uk admin@baus.org.uk PROCEDURE-
More informationPreparing for your laparoscopic pyeloplasty
Preparing for your laparoscopic pyeloplasty Welcome We look forward to welcoming you to The Royal London Hospital. You have been referred to us for a laparoscopic pyeloplasty, which is an operation using
More informationVAGINAL TAPE PROCEDURES FOR THE TREATMENT OF STRESS INCONTINENCE
VAGINAL TAPE PROCEDURES FOR THE TREATMENT OF STRESS INCONTINENCE AN INFORMATION LEAFLET Written by: Department of Urology May 2011 Stockport: 0161 419 5698 Website: w w w. s t o c k p o r t. n h s. u k
More informationPATIENT URINARY CATHETER PASSPORT
n PATIENT URINARY CATHETER PASSPORT A guide on how to look after your Catheter NHS Hertfordshire Patient Experience Team Charter House Parkway Welwyn Garden City Hertfordshire AL8 6JL Telephone: 01707
More informationPatient Information Sheet
TRANSURETHRAL RESECTION OF PROSTATE (TURP) Patient Information Sheet Department of Urology Homerton University Hospital NHS Foundation Trust Homerton Row, London, E9 6SR Reviewed: June 2012 Next date:
More informationPatient Information:
Patient Information: Care of an indwelling Urinary Catheter What is a Urinary Catheter? A catheter is a hollow, flexible tube designed to drain urine from the bladder. Following insertion into the bladder,
More informationTransurethral Resection of Bladder Tumour (T.U.R.B.T)
Transurethral Resection of Bladder Tumour (T.U.R.B.T) Patient Information Introduction This booklet has been written to help you understand the surgery you are about to undergo. It will give you information
More informationHaving a urinary catheter information for men
Having a urinary catheter information for men This leaflet explains what a catheter is, why you need it and how you should look after it. If you have any further questions, please contact your district
More informationOutpatient hysteroscopy
Women s & Children s Outpatient hysteroscopy Information for patients Welcome to King s gynaecology service. The doctor who saw you in the outpatient clinic recently has recommended that you have a procedure
More informationGwen Griffith Clinical Nurse Specialist Bolton NHS foundation Trust
Gwen Griffith Clinical Nurse Specialist Bolton NHS foundation Trust Overview Setting the Scene Beginning of the journey & specialist nurse role Why people with MS experience bladder problems MS and the
More informationTrans Urethral Resection of the Prostate (TURP) Trans Urethral Incision of the Prostate (TUIP) Department of Urology
Trans Urethral Resection of the Prostate (TURP) Trans Urethral Incision of the Prostate (TUIP) Department of Urology Where is the Prostate Gland? The prostate gland sits below the bladder which lies behind
More informationUniversity College Hospital. Prostate high dose rate (HDR) brachytherapy. Radiotherapy Department Patient information series
University College Hospital Prostate high dose rate (HDR) brachytherapy Radiotherapy Department Patient information series 18 2 If you need a large print, audio or translated copy of the document, please
More informationVaginal hysterectomy and vaginal repair
Women s Service Vaginal hysterectomy and vaginal repair Information for patients Vaginal hysterectomy and vaginal repair This leaflet is for women who have been advised to have a vaginal hysterectomy.
More informationYour Treatment with Bacillus Calmette- Guérin (BCG)
Your Treatment with Bacillus Calmette- Guérin (BCG) Patient Information Introduction Your consultant has prescribed BCG for the treatment of your bladder tumour. This booklet does not replace the discussion
More informationBladder reconstruction (neo-bladder)
Bladder reconstruction (neo-bladder) We have written this leaflet to help you understand about your operation. It is designed to help you answer any questions you may have. The leaflet contains the following
More informationContents Page. 1. What is IV DHE? 3. 2. Medication Licence 3. 3. How can a course of IV DHE help? 4. 4. What are the side effects of IV DHE?
If you would like this document in another language or format, or if you require the services of an interpreter, please contact us on extension 84299 or 83926. Switchboard: 0845 155 5000 020 3456 7890
More informationFrustrated with your Overactive Bladder (OAB) medication not working? Can t handle the side effects?
Frustrated with your Overactive Bladder (OAB) medication not working? Can t handle the side effects? BOTOX treats adults with the OAB symptoms of leaking, going too often, and the strong sudden need to
More informationGuy s, King s and St Thomas Cancer Centre The Cancer Outpatient Clinic Maintenance BCG for nonmuscle invasive bladder cancer
Guy s, King s and St Thomas Cancer Centre The Cancer Outpatient Clinic Maintenance BCG for nonmuscle invasive bladder cancer This information sheet has been given to you to explain the use of maintenance
More informationSuspected pulmonary embolism (PE) in pregnant women
Suspected pulmonary embolism (PE) in pregnant women What is a pulmonary embolus? A deep vein thrombosis (DVT) is a blood clot that forms in one of the deep veins of the leg. If the clot moves to the lung,
More informationColposuspension for Stress Incontinence
Colposuspension for Stress Incontinence Patient information Leaflet BSUG Patient Information Sheet Disclaimer This patient information sheet was put together by members of the BSUG Governance Committee
More informationLaparoscopic Nephrectomy
Laparoscopic Nephrectomy Information for Patients This leaflet explains: What is a Nephrectomy?... 2 Why do I need a nephrectomy?... 3 What are the risks and side effects of laparoscopic nephrectomy?...
More informationURINARY INCONTINENCE
URINARY INCONTINENCE What is urinary incontinence? Urinary incontinence is the uncontrollable loss of urine. The amount of urine leaked can vary from only a few drops when you cough or sneeze to entirely
More informationHaving a kidney biopsy
Having a kidney biopsy Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm Introduction
More informationUniversity College Hospital at Westmoreland Street. Mid urethral tension-free vaginal tape procedures
University College Hospital at Westmoreland Street Mid urethral tension-free vaginal tape procedures Urology Directorate for women 2 3 If you would like this document in another language or format, or
More informationPalm Beach Obstetrics & Gynecology, PA
Palm Beach Obstetrics & Gynecology, PA 4671 S. Congress Avenue, Lake Worth, FL 33461 561.434.0111 4631 N. Congress Avenue, Suite 102, West Palm Beach, FL 33407 Urinary Tract Infection About one of every
More informationOVERACTIVE BLADDER SYNDROME (OAB)
OVERACTIVE BLADDER SYNDROME (OAB) BLADDER ANATOMY AND FUNCTION The bladder is hollow balloon-shaped muscle that acts as a storage organ, holding urine from your kidneys until a convenient time for you
More informationIntermittent Self Catheterisation for Women
ISCW Intermittent Self Catheterisation for Women National Service, Locally Based www.fittleworth.com Opening hours: 8am - 8pm Monday to Friday 9am - 1pm on Saturday Freephone National 0800 378 846 Scotland
More informationTRANSURETHRAL RESECTION OF A BLADDER TUMOUR (TURBT) PATIENT INFORMATION
TRANSURETHRAL RESECTION OF A BLADDER TUMOUR (TURBT) PATIENT INFORMATION ADHB Urology Department; Reviewed FEB 2005 Ubix code UPEB18 1 The information contained in this booklet is intended to assist you
More informationPatient information leaflet for Termination of Pregnancy (TOP) / Abortion
Patient information leaflet for Termination of Pregnancy (TOP) / Abortion Families Division Options available If you d like a large print, audio, Braille or a translated version of this leaflet then please
More informationAfter care following insertion of a suprapubic catheter
Other formats After care following insertion of a suprapubic catheter If you need this information in another format such as audio tape or computer disk, Braille, large print, high contrast, British Sign
More informationColposuspension for stress urinary incontinence
Colposuspension for stress urinary incontinence Information for patients This leaflet sheet answers some of the questions you may have about colposuspension. It explains the benefits, the risks and the
More informationUniversity College Hospital. Your child is having an MRI scan under sedation. Imaging Department
University College Hospital Your child is having an MRI scan under sedation Imaging Department If you would like this document in another language or format, or require the services of an interpreter,
More informationTreatment for Stress Incontinence Patient Decision Aid
Treatment for Stress Incontinence Patient Decision Aid Patient Information Author ID: JD/NS Leaflet Number: Gyn 056 Version: 1 Name of Leaflet: Treatment for stress incontinence - Patient decision aid
More informationEndovenous Laser Therapy
Information for patients Endovenous Laser Therapy Northern General Hospital You have been given this leaflet because you will be having Endovenous Laser Therapy (EVLT). This leaflet explains more about
More informationHow to Improve Bladder After Bowler Cancer
Bladder changes after bowel cancer treatment This information is from the booklet Managing the late effects of bowel cancer treatment. You may find the full booklet helpful. We can send you a free copy
More informationInguinal Hernia (Female)
Inguinal Hernia (Female) WHAT IS AN INGUINAL HERNIA? 2 WHAT CAUSES AN INGUINAL HERNIA? 2 WHAT DOES TREATMENT / MANAGEMENT INVOLVE? 3 DAY SURGERY MANAGEMENT 3 SURGICAL REPAIR 4 WHAT ARE THE RISKS/COMPLICATIONS
More informationSurgery for stress incontinence:
Surgery for stress incontinence: information for you Published February 2005 by the RCOG Contents Page number Key points 1 About this information 2 What is stress incontinence? 2 Do I need an operation?
More informationSUPRAPUBIC CATHETER INSERTION INFORMATION FOR PATIENTS
The British Association of Urological Surgeons 35-43 Lincoln s Inn Fields London WC2A 3PE Phone: Fax: Website: E-mail: +44 (0)20 7869 6950 +44 (0)20 7404 5048 www.baus.org.uk admin@baus.org.uk INFORMATION
More informationFemoral Hernia Repair
Femoral Hernia Repair WHAT IS A FEMORAL HERNIA REPAIR? 2 WHAT CAUSES A FEMORAL HERNIA? 2 WHAT DOES TREATMENT/ MANAGEMENT INVOLVE? 3 DAY SURGERY MANAGEMENT 3 SURGICAL REPAIR 4 WHAT ARE THE RISKS/COMPLICATIONS
More informationAn operation for stress incontinence Tension-free Vaginal Tape (TVT)
Saint Mary s Hospital The Warrell Unit An operation for stress incontinence Tension-free Vaginal Tape (TVT) Information for Patients 1 Stress Incontinence Stress incontinence is a leakage of urine occurring
More informationDrinking fluids and how they affect your bladder
Drinking fluids and how they affect your bladder Contact us Patient Advice and Liaison Service (PALS) To make comments or raise concerns about the Trust s services, please contact PALS. Ask a member of
More informationGoing home with a urinary cathether
Going home with a urinary cathether A patient s guide 1 Your doctor has advised that you require a urinary catheter so that urine can be drained from your bladder. This leaflet provides advice to help
More informationThe main surgical options for treating early stage cervical cancer are:
INFORMATION LEAFLET ON TOTAL LAPAROSCOPIC RADICAL HYSTERECTOMY (TLRH) FOR EARLY STAGE CERVICAL CANCER (TREATING EARLY STAGE CERVICAL CANCER BY RADICAL HYSTERECTOMY THROUGH KEYHOLE SURGERY) Aim of the leaflet
More informationTransrectal Ultrasound (Trus) Guided Prostate Biopsies Urology Patient Information Leaflet
Transrectal Ultrasound (Trus) Guided Prostate Biopsies Urology Patient Information Leaflet Page 1 What is the purpose of my appointment? Your doctor has informed us that you have an elevated Prostate Specific
More informationAn Operation for Stress Incontinence. Tension Free Vaginal Tape - TVT (Retropubic tape)
An Operation for Stress Incontinence Tension Free Vaginal Tape - TVT (Retropubic tape) Patient Information Leaflet BSUG Patient Information Sheet Disclaimer This patient information sheet was put together
More informationProstate Specific Antigen (PSA) Blood Test
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Prostate Specific Antigen (PSA) Blood Test An information guide Prostate Specific Antigen (PSA) Blood Test Prostate Specific Antigen (PSA)
More informationPelvic Floor Exercises for Women
Pelvic Floor Exercises for Women Exceptional healthcare, personally delivered What are pelvic floor muscles? They are layers of muscles stretching like a hammock from the pubic joint at the front of the
More informationDeep Vein Thrombosis (DVT) in pregnancy
Deep Vein Thrombosis (DVT) in pregnancy Information and advice for women and families Maternity What is a deep vein thrombosis (DVT)? A deep vein thrombosis (DVT) is a blood clot that forms in a deep leg
More informationonline version Understanding Indwelling Urinary Catheters and Drainage Systems Useful information When to call for help
When to call for help This will depend on the individual situation, but usually help should be sought if any of the following occurs: 1. The catheter does not start to drain, despite trying the problem
More informationLearning Resource Guide. Understanding Incontinence. 2000 Prism Innovations, Inc. All Rights Reserved
Learning Resource Guide Understanding Incontinence 2000 Prism Innovations, Inc. All Rights Reserved ElderCare Online s Learning Resource Guide Understanding Incontinence Table of Contents Introduction
More informationThe Children s Hospital Treatment for Hypospadias Information for parents
The Children s Hospital Treatment for Hypospadias Information for parents What is hypospadias and what is the cause? Hypospadias is a congenital (since birth) abnormality of a boy s penis. Hypospadias
More informationUniversity College Hospital. Having a CT scan. Imaging Department
University College Hospital Having a CT scan Imaging Department If you need a large print, audio, or a translated copy of this document, please contact us on: 020 345 67002 We will do our best to meet
More informationAn operation for prolapse Colpocleisis
Saint Mary s Hospital Gynaecology Service Warrell Unit An operation for prolapse Colpocleisis Information for Patients What is a prolapse? A prolapse is a bulge or lump in the vagina caused by sagging
More informationPain Relief during Labour and Delivery: What Are My Options?
Pain Relief during Labour and Delivery: What Are My Options? To help you prepare for the birth of your baby, this booklet answers some of the questions you may have about pain relief options. You should
More informationRenal Vascular Access Having a Fistula For Haemodialysis
Renal Vascular Access Having a Fistula For Haemodialysis Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationYou are a doctor at a busy general practice surgery in the city suburbs.
You are a doctor at a busy general practice surgery in the city suburbs. Today, four patients who you feel are at risk of diabetes have appointments to discuss the results of recent 'glucose tolerance'
More informationInformation for you Abortion care
Information for you Abortion care Published in February 2012 This information is for you if you are considering having an abortion. It tells you: how you can access abortion services the care you can expect
More informationHaving a supra pubic urinary catheter
Having a supra pubic urinary catheter Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationGynaecology Service. Saint Mary s Hospital. The Whitworth Clinic. Information for patients
Gynaecology Service Saint Mary s Hospital The Whitworth Clinic Information for patients Welcome to the Whitworth Clinic at Saint Mary s Hospital This leaflet will give you information about the service,
More informationInformation for men considering a male sling procedure
Information for men considering a male sling procedure Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationLaparoscopic Hysterectomy
Any further questions? Please contact the matron for Women s Health on 020 7288 5161 (answerphone) Monday - Thursday 9am - 5pm. For more information: Royal College of Obstetrics and Gynaecology Recovering
More informationRefer to Coaptite Injectable Implant Instructions for Use provided with product for complete instructions for use.
Questions for my Doctor Refer to Coaptite Injectable Implant Instructions for Use provided with product for complete instructions for use. INDICATIONS: Coaptite Injectable Implant is indicated for soft
More informationHow prostate cancer is diagnosed
How prostate cancer is diagnosed This information is an extract from the booklet Having tests for prostate cancer. You may find the full booklet helpful. We can send you a free copy see page 7. Contents
More informationAcute pelvic inflammatory disease: tests and treatment
Acute pelvic inflammatory disease: tests and treatment Information for you Information for you Published August 2010 Published in August 2010 (next review date: 2014) Acute What is pelvic inflammatory
More informationNHS Cervical Screening Having a colposcopy
NHS Cervical Screening Having a colposcopy What is a colposcopy? 1 Why do I need a colposcopy? 1 What does a colposcopy involve? 2 Colposcopy results 4 Treatment to remove abnormal cells in the cervix
More informationElective Laparoscopic Cholecystectomy
General Surgery Elective Laparoscopic Cholecystectomy This information aims to explain what will happen before, during and after your surgery to remove your gallbladder. It includes information about the
More informationSpinal Cord and Bladder Management Male: Intermittent Catheter
Spinal Cord and Bladder Management Male: Intermittent Catheter The 5 parts of the urinary system work together to get rid of waste and make urine. Urine is made in your kidneys and travels down 2 thin
More informationTemozolomide (oral) with concurrent radiotherapy to the brain
Temozolomide (oral) with concurrent radiotherapy to the brain Temozolomide (oral) with concurrent radiotherapy to the brain This leaflet is offered as a guide to you and your family. You will find it useful
More informationUrinary Tract Infections
Urinary Tract Infections www.kidney.org Did you know that... n Urinary tract infections (UTIs) are responsible for nearly 10 million doctor visits each year. n One in five women will have at least one
More informationStudies tell us the pain will be gone or improved significantly in ¾ of patients in 4 weeks and 9/10ths of patients in 6 weeks.
Back pain is common and ranges from mild to severe pain. Most episodes soon ease within 4 weeks and are not due to serious illness. Keeping active is the most important message along with painkillers if
More informationStress Urinary Incontinence
Saint Mary s Hospital Gynaecology Service Warrell Unit Stress Urinary Incontinence Information for patients What is Stress Incontinence? Stress incontinence is a leakage of urine occurring on physical
More informationEpidurals for pain relief after surgery
Epidurals for pain relief after surgery This information leaflet is for anyone who may benefit from an epidural for pain relief after surgery. We hope it will help you to ask questions and direct you to
More informationHaving a Trans-Arterial Embolisation
Having a Trans-Arterial Embolisation Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationA Guide to Urinary Incontinence (UI) in Adults With Overactive Bladder (OAB) Due to a Neurologic Condition
A Guide to Urinary Incontinence (UI) in Adults With Overactive Bladder (OAB) Due to a Neurologic Condition Information and treatment options BOTOX is a prescription medicine that is injected into muscles
More information