SUMMARY

* Regular urinary incontinence is relatively common in the elderly population. Estimates are 10-20% for women and 7-10% for men living at home. In residential and nursing homes these figures increase dramatically.

* Not all sufferers seek professional help. This is often due to feelings of shame or embarrassment. Local campaigns co-ordinated by a multi-professional team can help to remove taboos and raise awareness of available products and treatments.

* Accurate assessment, diagnosis and treatment is essential, as 70% of sufferers could be helped substantially, with cures achieved in many cases.

* Initial assessment should involve consideration of a wide range of factors, including the history of the problem, and the patient's general medical and surgical history, as well as other issues such as mobility and mental state.

* Each patient should have an individual management plan, developed in conjunction with all those involved in their care.

* The local continence advisory service may be able to provide training for members of the practice team in the assessment and treatment of incontinence.

* Increased local expertise will improve primary care management of incontinent patients and reduce referrals to secondary care.

* The ultimate aim is restoration of full continence and improved quality of life to a large number of the affected population. Resources may also be utilised more effectively to obtain maximum patient benefit.