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Professional perspectives on impacts, benefits and disadvantages of changes made to Community Continence Services during the COVID-19 pandemic: findings from the EPICCC-19 national survey (2022)
Journal Article
Palmer, C., Richardson, D., Rayner, J., Drake, M. J., & Cotterill, N. (2022). Professional perspectives on impacts, benefits and disadvantages of changes made to Community Continence Services during the COVID-19 pandemic: findings from the EPICCC-19 national survey. BMC Health Services Research, 22(1), 783. https://doi.org/10.1186/s12913-022-08163-3

Background: The COVID-19 pandemic required changes to the organisation and delivery of NHS community continence services which assess and treat adults and children experiencing bladder and bowel difficulties. Although strong evidence exists for the p... Read More about Professional perspectives on impacts, benefits and disadvantages of changes made to Community Continence Services during the COVID-19 pandemic: findings from the EPICCC-19 national survey.

Practitioner suggestions for improving continence care in hospitals (2022)
Journal Article
Percival, J., Cotterill, N., Cramp, F., & McCabe, C. (2022). Practitioner suggestions for improving continence care in hospitals. Nursing Times, 118(4),

Difficulties with bladder control affect one in five people in the UK and bowel problems affect one in ten. The quality of continence care can be poor and is then associated with increased admission to nursing or residential homes. Our study, which... Read More about Practitioner suggestions for improving continence care in hospitals.

The importance of overcoming the challenges in delivering the Proper Understanding of Recurrent Stress Urinary Incontinence Treatment (PURSUIT) study (2022)
Journal Article
Pope, C., Cotterill, N., Drake, M. J., Fitzgerald, B., Greenwell, T., Jha, S., …White, A. (2022). The importance of overcoming the challenges in delivering the Proper Understanding of Recurrent Stress Urinary Incontinence Treatment (PURSUIT) study. Continence, 1, https://doi.org/10.1016/j.cont.2022.100020

There is insufficient data to assess the effects of any of the different management strategies for recurrent or persistent stress urinary incontinence in women after failed interventional treatment. The evidence base lacks well-designed randomised tr... Read More about The importance of overcoming the challenges in delivering the Proper Understanding of Recurrent Stress Urinary Incontinence Treatment (PURSUIT) study.

CONfidence: developing an app to promote bladder and bowel health (2022)
Journal Article
Cotterill, N. (2022). CONfidence: developing an app to promote bladder and bowel health. Nursing Times, 118(4), 26-27

Through a series of events with healthcare staff, patients and members of the public in Bristol, we identified a need for more easily accessible information for bowel and bladder incontinence. This was particularly important for the many people who d... Read More about CONfidence: developing an app to promote bladder and bowel health.

Assessment and treatment of nocturia in neurological disease in a primary care setting: Systematic review and nominal group technique consensus (2022)
Journal Article
van Merode, N. A., Dawson, S., Coulthard, E., Henderson, E. J., Rice, C. M., Rees, J., …Drake, M. J. (2022). Assessment and treatment of nocturia in neurological disease in a primary care setting: Systematic review and nominal group technique consensus. European Urology Focus, 8(1), 33-41. https://doi.org/10.1016/j.euf.2021.12.012

Context: Neurological disease can affect the rate of urine production and bladder storage function, increasing nocturia severity, with additional risks if mobility or cognition is impaired. Objective: To conduct a systematic review (SR) of nocturia i... Read More about Assessment and treatment of nocturia in neurological disease in a primary care setting: Systematic review and nominal group technique consensus.

Assessment and treatment of nocturia in endocrine disease in a primary care setting; systematic review and nominal group technique consensus (2022)
Journal Article
Dawson, S., Duncan, L., Ahmed, A., Gimson, A., Henderson, E. J., Rees, J., …Andrews, R. (2022). Assessment and treatment of nocturia in endocrine disease in a primary care setting; systematic review and nominal group technique consensus. European Urology Focus, 8(1), 52-59. https://doi.org/10.1016/j.euf.2021.12.008

Context: Salt and water homeostasis is regulated hormonally, so polyuria can result from endocrine disease directly or via secondary effects. These mechanisms are not consistently considered in primary care management of nocturia. Objective: To condu... Read More about Assessment and treatment of nocturia in endocrine disease in a primary care setting; systematic review and nominal group technique consensus.

Qualitative assessment of the conservative management of nocturia with standardised written materials for Lower Urinary Tract Symptoms in men treated in primary care (2022)
Journal Article
Olaniyi, P., Cotterill, N., Drake, M. J., Frost, J., Lane, J. A., Ridd, M., …Wheeler, J. (2022). Qualitative assessment of the conservative management of nocturia with standardised written materials for Lower Urinary Tract Symptoms in men treated in primary care. European Urology Focus, 8(1), 75-80. https://doi.org/10.1016/j.euf.2022.01.003

Background: Many men prefer conservative treatment of lower urinary tract symptoms (LUTS) but education and self-help guidance are limited in primary care. Objective: To report qualitative interview findings for men reporting nocturia in a primary ca... Read More about Qualitative assessment of the conservative management of nocturia with standardised written materials for Lower Urinary Tract Symptoms in men treated in primary care.

Nocturia and chronic kidney disease: Systematic review and nominal group technique consensus for primary care assessment and treatment (2022)
Journal Article
Ridgway, A., Cotterill, N., Dawson, S., Drake, M. J., Henderson, E. J., Huntley, A. L., …Udayaraj, U. (2022). Nocturia and chronic kidney disease: Systematic review and nominal group technique consensus for primary care assessment and treatment. European Urology Focus, 8(1), 18-25. https://doi.org/10.1016/j.euf.2021.12.010

Context: Reduced renal function impairs salt and water homeostasis, which can drive nocturnal or 24-h polyuria. Nocturia can arise early in chronic kidney disease (CKD). Evidence-based recommendations can facilitate management outside nephrology clin... Read More about Nocturia and chronic kidney disease: Systematic review and nominal group technique consensus for primary care assessment and treatment.

Implications of cardiovascular disease for assessment and treatment of nocturia in primary care; systematic review and nominal group technique consensus (2022)
Journal Article
Reyes, P. B. G., Butcher, K., Cotterill, N., Drake, M. J., Gimson, A., Gogola, L., …Dawson, S. (2022). Implications of cardiovascular disease for assessment and treatment of nocturia in primary care; systematic review and nominal group technique consensus. European Urology Focus, 8(1), 26-32. https://doi.org/10.1016/j.euf.2021.12.014

Context: Heart conditions affect salt and water homeostasis as a consequence of the underlying condition, compensatory processes, and therapy, and can result in nocturnal polyuria. These processes need to be identified as part of a full evaluation of... Read More about Implications of cardiovascular disease for assessment and treatment of nocturia in primary care; systematic review and nominal group technique consensus.

Association of sleep disorders with nocturia: A systematic review and nominal group technique consensus on primary care assessment and treatment (2022)
Journal Article
Papworth, E., Dawson, S., Henderson, E. J., Eriksson, S. H., Selsick, H., Rees, J., …Drake, M. J. (2022). Association of sleep disorders with nocturia: A systematic review and nominal group technique consensus on primary care assessment and treatment. European Urology Focus, 8(1), 42-51. https://doi.org/10.1016/j.euf.2021.12.011

Context: Sleep disorders affect responsiveness to sensory information and can cause nocturnal polyuria and reduced sleep depth; hence, these are potentially influential in understanding the mechanism of nocturia. Objective: To report the systematic r... Read More about Association of sleep disorders with nocturia: A systematic review and nominal group technique consensus on primary care assessment and treatment.

Use of the International Consultation on Incontinence Questionnaires bladder diary (ICIQ-BD) in men seeking therapy for lower urinary tract symptoms (LUTS) (2022)
Journal Article
Ito, H., Abrams, P., Lewis, A., Young, G., Blair, P., Cotterill, N., …Drake, M. (2022). Use of the International Consultation on Incontinence Questionnaires bladder diary (ICIQ-BD) in men seeking therapy for lower urinary tract symptoms (LUTS). European Urology Focus, 8(1), 66-74. https://doi.org/10.1016/j.euf.2021.12.009

Background: Completion rates and correspondence to other measures need to be established for the International Consultation on Incontinence Questionnaire (ICIQ) bladder diary (ICIQ-BD) in the assessment of male lower urinary tract symptoms (LUTS). Ob... Read More about Use of the International Consultation on Incontinence Questionnaires bladder diary (ICIQ-BD) in men seeking therapy for lower urinary tract symptoms (LUTS).

Female urgency, trial of urodynamics as routine evaluation (FUTURE study): A superiority randomised clinical trial to evaluate the effectiveness and cost-effectiveness of invasive urodynamic investigations in management of women with refractory overactive (2021)
Journal Article
Abdel-fattah, M., Chapple, C., Guerrero, K., Dixon, S., Cotterill, N., Ward, K., …Norrie, J. (2021). Female urgency, trial of urodynamics as routine evaluation (FUTURE study): A superiority randomised clinical trial to evaluate the effectiveness and cost-effectiveness of invasive urodynamic investigations in management of women with refractory overactive bladder symptoms. Trials, 22(1), https://doi.org/10.1186/s13063-021-05661-3

Background: Overactive bladder (OAB) syndrome is a symptom complex affecting 12–14% of the UK adult female population. Symptoms include urinary urgency, with or without urgency incontinence, increased daytime urinary frequency and nocturia. OAB has a... Read More about Female urgency, trial of urodynamics as routine evaluation (FUTURE study): A superiority randomised clinical trial to evaluate the effectiveness and cost-effectiveness of invasive urodynamic investigations in management of women with refractory overactive.

The development of the Cystectomy-Pathway Assessment Tool (C-PAT): a concise tool to assess the quality of care in the cystectomy pathway (2021)
Journal Article
Uren, A., Cotterill, N., Abrams, P., Catto, J., Patel, B., McGrath, J., …Rowe, E. (2022). The development of the Cystectomy-Pathway Assessment Tool (C-PAT): a concise tool to assess the quality of care in the cystectomy pathway. BJU International, 129(6), 708-717. https://doi.org/10.1111/bju.15539

Objectives: To develop and test the psychometric properties of a concise, patient-reported questionnaire, designed to assess key aspects of the radical cystectomy (RC) patient pathway that are important to both patients and clinicians. Patients and M... Read More about The development of the Cystectomy-Pathway Assessment Tool (C-PAT): a concise tool to assess the quality of care in the cystectomy pathway.

‘We tend to get pad happy’: A qualitative study of health practitioners’ perspectives on the quality of continence care for older people in hospital (2021)
Journal Article
Percival, J., Abbott, K., Allain, T., Bradley, R., Cramp, F., Donovan, J. L., …Cotterill, N. (2021). ‘We tend to get pad happy’: A qualitative study of health practitioners’ perspectives on the quality of continence care for older people in hospital. BMJ Open Quality, 10(2), https://doi.org/10.1136/bmjoq-2021-001380

Bladder and bowel control difficulties affect 20% and 10% of the UK population, respectively, touch all age groups and are particularly prevalent in the older (65+ years) population. However, the quality of continence care is often poor, compromising... Read More about ‘We tend to get pad happy’: A qualitative study of health practitioners’ perspectives on the quality of continence care for older people in hospital.

Outcomes of a noninferiority randomised controlled trial of surgery for men with urodynamic stress incontinence after prostate surgery (MASTER) (2021)
Journal Article
Abrams, P., Constable, L. D., Cooper, D., MacLennan, G., Drake, M. J., Harding, C., …Glazener, C. (2021). Outcomes of a noninferiority randomised controlled trial of surgery for men with urodynamic stress incontinence after prostate surgery (MASTER). European Urology, 79(6), 812-823. https://doi.org/10.1016/j.eururo.2021.01.024

Background Stress urinary incontinence (SUI) is common after radical prostatectomy and likely to persist despite conservative treatment. The sling is an emerging operation for persistent SUI, but randomised controlled trial (RCT) comparison with the... Read More about Outcomes of a noninferiority randomised controlled trial of surgery for men with urodynamic stress incontinence after prostate surgery (MASTER).

Thulium laser transurethral vaporesection of the prostate versus transurethral resection of the prostate for men with lower urinary tract symptoms or urinary retention (UNBLOCS): A randomised controlled trial (2020)
Journal Article
Hashim, H., Worthington, J., Abrams, P., Young, G., Taylor, H., Noble, S. M., …Lane, J. A. (2020). Thulium laser transurethral vaporesection of the prostate versus transurethral resection of the prostate for men with lower urinary tract symptoms or urinary retention (UNBLOCS): A randomised controlled trial. Lancet, 396(10243), 50-61. https://doi.org/10.1016/S0140-6736%2820%2930537-7

Background: Transurethral resection of the prostate (TURP) is the standard operation for benign prostatic obstruction. Thulium laser transurethral vaporesection of the prostate (ThuVARP) is a technique with suggested advantages over TURP, including r... Read More about Thulium laser transurethral vaporesection of the prostate versus transurethral resection of the prostate for men with lower urinary tract symptoms or urinary retention (UNBLOCS): A randomised controlled trial.

The International Consultation on Incontinence Questionnaires (ICIQ): An update on status and direction (2020)
Journal Article
Uren, A. D., Uren, A., Cotterill, N., Pardoe, M., & Abrams, P. (2020). The International Consultation on Incontinence Questionnaires (ICIQ): An update on status and direction. Neurourology and Urodynamics, 39(6), 1889-1896. https://doi.org/10.1002/nau.24437

Aims: In its 22nd year, the International Consultation on Incontinence Questionnaire (ICIQ) project continues to promote its primary objective; the development and dissemination of patient completed questionnaires for the standardized, high-quality a... Read More about The International Consultation on Incontinence Questionnaires (ICIQ): An update on status and direction.

Grading severity and bother using the International Prostate Symptom Score and International Consultation on Incontinence Questionnaire Male Lower Urinary Tract Symptoms Score in men seeking lower urinary tract symptoms therapy (2020)
Journal Article
Ito, H., Young, G. J., Lewis, A. L., Blair, P. S., Cotterill, N., Lane, J. A., …Abrams, P. (2020). Grading severity and bother using the International Prostate Symptom Score and International Consultation on Incontinence Questionnaire Male Lower Urinary Tract Symptoms Score in men seeking lower urinary tract symptoms therapy. Journal of Urology, The, 204(5), 1003-1011. https://doi.org/10.1097/JU.0000000000001149

PURPOSE: We established severity banding ranges, bother assessment and key item content in principal patient reported outcomes measures in men seeking therapy for lower urinary tract symptoms. MATERIALS AND METHODS: Data for International Prostate Sy... Read More about Grading severity and bother using the International Prostate Symptom Score and International Consultation on Incontinence Questionnaire Male Lower Urinary Tract Symptoms Score in men seeking lower urinary tract symptoms therapy.

International Consultation on Incontinence Questionnaire-Satisfaction: psychometric testing of a new patient-reported outcome measure for the evaluation of satisfaction after urological surgery (2020)
Journal Article
Uren, A. D., Cotterill, N., Hashim, H., Worthington, J., Kapoor, D., & Abrams, P. (2020). International Consultation on Incontinence Questionnaire-Satisfaction: psychometric testing of a new patient-reported outcome measure for the evaluation of satisfaction after urological surgery. BJU International, 126(2), 286-291. https://doi.org/10.1111/bju.15091

Objectives: To evaluate the psychometric properties of a new patient-reported outcome measure (PROM), the International Consultation on Incontinence Questionnaire-Satisfaction (ICIQ-S), to assess satisfaction after urological surgery. Subjects/Patien... Read More about International Consultation on Incontinence Questionnaire-Satisfaction: psychometric testing of a new patient-reported outcome measure for the evaluation of satisfaction after urological surgery.