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What is Incontinence?

Urinary and faecal incontinence are common problems affecting both men and women of all ages. Children can also have continence problems.

The primary aim of the NHS Borders Bladder, Bowel and Pelvic Floor service is to promote continence by offering advice, treatment and management options.

NHS Borders Bladder, Bowel and Pelvic Floor Service aims to meet the needs of all individuals, respecting culture, diversity, ethnicity and sexuality.

Types of Incontinence;

  • Stress Urinary Incontinence is a leakage of urine on cough, sneeze, laugh and/or any form of exertion.
  • Urge Incontinence is an uncontrollable desire to pass urine with/without leakage.
  • Mixed Incontinence is both of the above.
  • Functional Incontinence is when you are unable/unwilling to use the toilet.
  • Nocturnal Enuresis is passing urine while sleeping.
  • Faecal Incontinence is a leakage of faeces.

How do I access the Bladder, Bowel and Pelvic Floor Service?

The service can be contacted in the following ways:-

  • A referral from your GP
  • A referral from any healthcare professional.
  • Self referral  - you can refer yourself by telephoning 01896 824555 and leaving your details on the confidential answer phone.

NHS Borders Bladder, Bowel and Pelvic Floor Service

The members of the NHS Borders Bladder, Bowel and Pelvic Floor Service team are:-

  • Principal Physiotherapist Bladder, Bowel and Pelvic Floor Service - Lead Clinician Bladder, Bowel and Pelvic Floor Service
  • Specialist Physiotherapist Bladder, Bowel and Pelvic Floor Service
  • Bladder, Bowel and Pelvic Floor Service Nurse
  • Administrator

What will happen once I’ve been referred?

An appointment will be made for you to be seen by the most appropriate member of the Bladder, Bowel and Pelvic Floor team.

Both the physiotherapists and nurses have clinics throughout the Borders area and where possible you will be asked to attend the nearest clinic to you.

In exceptional circumstances the nurses may visit you at home.

What will happen on my initial visit?

A full continence assessment will be carried out to obtain a clear history of your complaint. This may include a vaginal/rectal examination, bladder scan, bladder diary and urine test.

Following this a personalised treatment plan will be given to you. This will be reviewed on a regular basis.

What can I do to help myself?

  • Do not go to the toilet 'just in case'.
  • Reduce your intake of tea, coffee and fizzy drinks.
  • Do not be afraid to seek help, the majority of continence problems will respond to treatment.
  • Try doing some pelvic floor exercises. A leaflet explaining these exercises can be downloaded here.

Downloadable Files: