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Urogenital conditions

About

What is covered

This interactive flowchart covers urogenital conditions, including gynaecological, male genital and urological conditions. It also includes links to interactive flowcharts on cervical cancer, heavy menstrual bleeding, ovarian cancer, prostate cancer, kidney conditions, bladder cancer, lower urinary tract symptoms in men, urinary incontinence in neurological disease, urinary incontinence in women, urinary tract infection in children and bedwetting (nocturnal enuresis) in children and young people.
To find other information about urogenital conditions, including evidence from NICE Accredited sources, visit NICE Evidence Search.

Updates

Updates to this interactive flowchart

27 June 2017 Infracoccygeal sacropexy using mesh to repair vaginal vault prolapse (NICE interventional procedures guidance 581), infracoccygeal sacropexy using mesh to repair uterine prolapse (NICE interventional procedures guidance 582), sacrocolpopexy using mesh to repair vaginal vault prolapse (NICE interventional procedures guidance 583), and uterine suspension using mesh (including sacrohysteropexy) to repair uterine prolapse (NICE interventional procedures guidance 584) added to uterine and vaginal prolapse.
21 March 2017 Sacrocolpopexy with hysterectomy using mesh to repair uterine prolapse (NICE interventional procedures guidance 577) added to uterine and vaginal prolapse.
23 February 2016 Angioplasty and stenting to treat peripheral arterial disease causing refractory erectile dysfunction (NICE interventional procedures guidance 546) added to refractory erectile dysfunction.

Person-centred care

People have the right to be involved in discussions and make informed decisions about their care, as described in your care.
Making decisions using NICE guidelines explains how we use words to show the strength (or certainty) of our recommendations, and has information about prescribing medicines (including off label use), professional guidelines, standards and laws (including on consent and mental capacity), and safeguarding.

Your responsibility

Guidelines

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian.
Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

Technology appraisals

The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, health professionals are expected to take these recommendations fully into account, alongside the individual needs, preferences and values of their patients. The application of the recommendations in this interactive flowchart is at the discretion of health professionals and their individual patients and do not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Commissioners and/or providers have a responsibility to provide the funding required to enable the recommendations to be applied when individual health professionals and their patients wish to use it, in accordance with the NHS Constitution. They should do so in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

Medical technologies guidance, diagnostics guidance and interventional procedures guidance

The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take these recommendations fully into account. However, the interactive flowchart does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.
Commissioners and/or providers have a responsibility to implement the recommendations, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations. Nothing in this interactive flowchart should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

Short Text

Everything NICE has said on urogenital conditions in an interactive flowchart

What is covered

This interactive flowchart covers urogenital conditions, including gynaecological, male genital and urological conditions. It also includes links to interactive flowcharts on cervical cancer, heavy menstrual bleeding, ovarian cancer, prostate cancer, kidney conditions, bladder cancer, lower urinary tract symptoms in men, urinary incontinence in neurological disease, urinary incontinence in women, urinary tract infection in children and bedwetting (nocturnal enuresis) in children and young people.
To find other information about urogenital conditions, including evidence from NICE Accredited sources, visit NICE Evidence Search.

Updates

Updates to this interactive flowchart

27 June 2017 Infracoccygeal sacropexy using mesh to repair vaginal vault prolapse (NICE interventional procedures guidance 581), infracoccygeal sacropexy using mesh to repair uterine prolapse (NICE interventional procedures guidance 582), sacrocolpopexy using mesh to repair vaginal vault prolapse (NICE interventional procedures guidance 583), and uterine suspension using mesh (including sacrohysteropexy) to repair uterine prolapse (NICE interventional procedures guidance 584) added to uterine and vaginal prolapse.
21 March 2017 Sacrocolpopexy with hysterectomy using mesh to repair uterine prolapse (NICE interventional procedures guidance 577) added to uterine and vaginal prolapse.
23 February 2016 Angioplasty and stenting to treat peripheral arterial disease causing refractory erectile dysfunction (NICE interventional procedures guidance 546) added to refractory erectile dysfunction.

Sources

NICE guidance and other sources used to create this interactive flowchart.
Sacrocolpopexy using mesh to repair vaginal vault prolapse (2017) NICE interventional procedures guidance 583
Infracoccygeal sacropexy using mesh to repair uterine prolapse (2017) NICE interventional procedures guidance 582
Infracoccygeal sacropexy using mesh to repair vaginal vault prolapse (2017) NICE interventional procedures guidance 581
Sacrocolpopexy with hysterectomy using mesh to repair uterine prolapse (2017) NICE interventional procedures guidance 577
Balloon catheter insertion for Bartholin's cyst or abscess (2009) NICE interventional procedures guidance 323
Surgical repair of vaginal wall prolapse using mesh (2008) NICE interventional procedures guidance 267
Laparoscopic uterine nerve ablation (LUNA) for chronic pelvic pain (2007) NICE interventional procedures guidance 234
Laparoscopic helium plasma coagulation for the treatment of endometriosis (2006) NICE interventional procedures guidance 171
Laparoscopic retroperitoneal lymph node dissection for testicular cancer (2006) NICE interventional procedures guidance 158
Extracorporeal shockwave therapy for Peyronie's disease (2003) NICE interventional procedures guidance 29
Erectile dysfunction: alprostadil cream (2014) NICE evidence summary ESNM50
Erectile dysfunction: avanafil (2014) NICE evidence summary ESNM45
Premature ejaculation: dapoxetine (2014) NICE evidence summary ESNM40
Interstitial cystitis: oral pentosan polysulfate sodium (2014) NICE evidence summary ESUOM43

Quality standards

Quality statements

Effective interventions library

Effective interventions library

Successful effective interventions library details

Implementation

Information for the public

NICE has written information for the public on each of the following topics.

Pathway information

Person-centred care

People have the right to be involved in discussions and make informed decisions about their care, as described in your care.
Making decisions using NICE guidelines explains how we use words to show the strength (or certainty) of our recommendations, and has information about prescribing medicines (including off label use), professional guidelines, standards and laws (including on consent and mental capacity), and safeguarding.

Your responsibility

Guidelines

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian.
Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

Technology appraisals

The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, health professionals are expected to take these recommendations fully into account, alongside the individual needs, preferences and values of their patients. The application of the recommendations in this interactive flowchart is at the discretion of health professionals and their individual patients and do not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Commissioners and/or providers have a responsibility to provide the funding required to enable the recommendations to be applied when individual health professionals and their patients wish to use it, in accordance with the NHS Constitution. They should do so in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

Medical technologies guidance, diagnostics guidance and interventional procedures guidance

The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take these recommendations fully into account. However, the interactive flowchart does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.
Commissioners and/or providers have a responsibility to implement the recommendations, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations. Nothing in this interactive flowchart should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

Supporting information

Glossary

Paths in this pathway

Pathway created: June 2015 Last updated: June 2017

© NICE 2017

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