Urology - Continence Advice and Support

Bladder and bowel problems affect up to six million people in the UK

Men, women and children can all be affected by continence problems. People tend to suffer in silence and do not like discussing this problem even with their closest friends or relatives because they are often too embarrassed.

Salford’s Bladder and Bowel Service

In many cases levels of continence can be improved and often cured. We can give you support, advice and information about the best treatments and ways of managing, eliminating embarrassment and helping you to improve your confidence.

We can help with:

• Leaking urine (when coughing, lifting or laughing)
• Passing small amounts of urine
• Strong urgent need to pass urine
• Going to the toilet more than six times each day
• Getting up at night to go to the toilet more than three times
• Constipation or faecal leakage

Our specialist nurses hold clinics across the city or can sometimes visit you at home (e.g. if you are housebound or live in a residential or nursing home).

What the specialist nurse will do?

Your first appointment will usually take about one hour. You will be assessed and treated by a nurse who specialises in bladder and bowel problems.

The nurse will take a full medical history and ask you specific questions about your problem and how this might affect your quality of life.

They will test a sample of your urine to ensure there are no abnormalities and will then scan your bladder with a handheld device. They may also recommend a physical examination.

You will be asked to complete a three-day bladder and bowel diary. These investigations all help the nurse to diagnose your condition and plan with you the most suitable treatment.

How can I help myself?

Hygiene

It is important to keep yourself clean. Remember, following a bowel movement wipe from front to back to reduce the chances of infection.

Drink

Try to drink 1.5 to 2 litres of fluid each day (approx. 6-8 cups).

Drinking less, concentrates the urine which may irritate the bladder.

You should also avoid caffeine and alcohol as these can irritate the bladder.

Coughing

Try to avoid smoky atmospheres as these can increase coughing and lead to urine leakage. If you need help to stop smoking, please speak to your nurse.

Constipation

Avoid becoming constipated. A full bowel can put pressure on your bladder.

You should go to the toilet when you first get the urge and remember to take your time. Try to eat a well-balanced diet with five portions of fruit or vegetables each day.

Be aware, if you notice:

• A change in your bowel habits lasting more than three weeks
• Blood or mucus in your faeces
• Any pain or discomfort
• Unexplained weight loss

Then contact your GP immediately

Continence Advice Line

The service operates a telephone advice line for patients, carers and members of the public.

The advice line provides information about continence, its management and treatments.

Advice line - 0161 206 8692.  The advice line is available Monday-Friday, 8:00am-4:00pm (excluding bank holidays).

If no one is available to take your call, you should leave your name, number and short message on the answering service and someone will return your call within one working day.

How do I make an appointment?

You may request an appointment either for yourself or for someone you care for (providing they have given you permission) by phoning the advice line. You do not need to be referred by your GP. We also accept patients from all health and social care organisations.

For further information or to make an appointment:

Telephone 0161 206 8692 or email bbs@nca.nhs.uk Bladder and Bowel Service

Turnpike House
Ground Floor
631 Eccles New Road Salford
M50 1SY