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National Urinary Incontinence Organisational Survey

The National Urinary Incontinence (UI) Organisational Survey is assessing current clinical services for women with UI.

All eligible NHS providers in the UK were invited to participate in this survey through Clinical Directors of Obstetrics and Gynaecology. The RCOG is leading this study in partnership with the London School of Hygiene and Tropical Medicine (LSHTM) and the British Society of Urogynaecology (BSUG), funded by Speciality European Pharma Ltd.


UI is the involuntary loss of urine by stress, urge or both (mixed) and is the third highest condition for impacting quality of life (after Alzheimer’s disease and stroke). It is estimated to affect a third of adult women and is a major health burden in secondary care.

Over the last 10 years, there has been a substantial increase in the awareness of UI, through national surveys, audits and all-party parliamentary group reports. However, the actual management of UI remains unclear, even with published guidelines in place.

In 2013, NICE issued an updated guideline (CG171: Urinary incontinence) providing further clarification on clinical practice and addressing some of the controversy in the management of this common and complex condition. In an effort to asses current clinical services for women with UI, the RCOG conducted a national survey on hospital services for women presenting with UI.

Aim of the survey

To describe the organisation of hospital services in the management of UI.


  1. Online survey of all NHS gynaecology units in the UK (RCOG database)
  2. Analysis of the survey data
  3. Reporting of results


  • December 2013: Survey opened
  • May 2014: Extended survey deadline closed
  • June 2014 onwards: data cleaning, data analysis and production of outputs

Dissemination of findings

The results of the survey will be published as an academic paper in 2016.


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