SUMMARY

* Early assessment of incontinent patients should help establish their treatment needs. General practitioners should be aware of the many different incontinence products available, in order to select the most appropriate system for each patient.

* The appropriateness of the product, and of the quantities required, should be reviewed regularly. This will ensure that the changing needs of patients are met and wastage is minimised. However, older users may be happy with established treatments and systems should not be changed unnecessarily.

* Interventions such as pelvic floor exercises, together with rational use of pads and bed covers, may reduce inappropriate catheterisation. The availability of pads and covers varies across the country and should be confirmed with the local continence adviser.

* Prescriptions should include full details of the required product to ensure that the correct size, type and quantity are provided. The brand and/or manufacturer should be specified to ensure continuity of supply.

* The use of 'OP' to indicate quantity should be avoided. Pack sizes often differ between products, and patients may receive inappropriate amounts if the quantity required is not stated.

* Patients with long-term catheters should be aware of the need for strict hygeine. Patients and their carers should be trained in appropriate techniques.

* Available evidence suggests that the widespread use of antiseptic bladder instillations is unjustified. Bladder patency solutions should be used according to guidance from the local Continence Advisory Service.