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Classifying type urinary incontinence: stress-, urgency- or mixed Treatment plan

1. Input: - presumed diagnosis GP with relevant information - copy baseline data / measurements 2. Standardised history taking 3. Check bladder diary. Time Visit 1 60 minutes ---------------- 1 week ---------------- 3-5x weekly visites 20 minutes

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Classifying type urinary incontinence: stress-, urgency- or mixed Treatment plan

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  1. 1.Input: - presumed diagnosis GP with relevant information - copy baseline data / measurements2.Standardised history taking3. Check bladder diary Time Visit 1 60 minutes ---------------- 1 week ---------------- 3-5x weekly visites 20 minutes Follow-up contact 15 minutes at 6 weeks 3 months 6 months 12 months End study Diagnostic proces • Classifying type urinary incontinence: stress-, urgency- or mixed • Treatment plan Evaluation Information, education and advice Bladder diary OK Bladder diary not OK Check PFM function Bladder training Bladder diary not improved after 3 weeks PFM OK PFM not OK Therapeutic proces consult GP: check PFM Consultation / report GP: PPT, medication PFMT OK Not OK Sufficient improvement / cure Consultation/report GP: PPT, medication, specialist Failure / insufficient improvement after 6 weeks,3 months Follow-up / control Fall back Consultation / report GP: refresher-intervention NS

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