All Outputs (51)

The role of community pharmacy in the promotion of continence care: A systematic review (2024)
Journal Article
Uren, A., Dawson, S., Cotterill, N., Williams, A., McLeod, H., Chandler, D., & Watson, M. (in press). The role of community pharmacy in the promotion of continence care: A systematic review. Research in Social and Administrative Pharmacy,

Objectives Community pharmacies are convenient healthcare settings which provide a wide range of services in addition to medicine supply. Continence care is an area where there is an opportunity for the implementation of new innovations to improve c... Read More about The role of community pharmacy in the promotion of continence care: A systematic review.

Lower urinary tract symptoms in men: The TRIUMPH cluster RCT (2024)
Journal Article
Worthington, J., Frost, J., Sanderson, E., Cochrane, M., Wheeler, J., Cotterill, N., …Drake, M. J. (2024). Lower urinary tract symptoms in men: The TRIUMPH cluster RCT. Health Technology Assessment, 28(13), 1-162. https://doi.org/10.3310/GVBC3182

Conservative therapies are recommended as initial treatment for male lower urinary tract symptoms. However, there is a lack of evidence on effectiveness and uncertainty regarding approaches to delivery. The objective was to determine whether or not a... Read More about Lower urinary tract symptoms in men: The TRIUMPH cluster RCT.

CONfidence: Developing an App to promote bladder and bowel health (2024)
Journal Article
Cotterill, N., & Schroeder, K. (in press). CONfidence: Developing an App to promote bladder and bowel health. (00) Journal Not Listed,

The CONfidence app was developed to address an unmet need for access to self-help advice and information for bladder and bowel incontinence. The app was developed by the Bladder and Bowel CONfidence Health Integration Team and Expert Self Care and th... Read More about CONfidence: Developing an App to promote bladder and bowel health.

Cost-effectiveness of a primary healthcare intervention to treat male lower urinary tract symptoms: The TRIUMPH cluster randomised controlled trial (2024)
Journal Article
Cochrane, M., Drake, M. J., Worthington, J., Frost, J., Cotterill, N., Fader, M., …Noble, S. (2024). Cost-effectiveness of a primary healthcare intervention to treat male lower urinary tract symptoms: The TRIUMPH cluster randomised controlled trial. BMJ Open, 14(1), Article e075704. https://doi.org/10.1136/bmjopen-2023-075704

Objectives To estimate the cost-effectiveness of a primary care intervention for male lower urinary tract symptoms (LUTS) compared with usual care. Design Economic evaluation alongside a cluster randomised controlled trial from a UK National Health S... Read More about Cost-effectiveness of a primary healthcare intervention to treat male lower urinary tract symptoms: The TRIUMPH cluster randomised controlled trial.

Treatment of lower urinary tract symptoms in men in primary care using a conservative intervention: Cluster randomised controlled trial (2023)
Journal Article
Drake, M. J., Worthington, J., Frost, J., Sanderson, E., Cochrane, M., Cotterill, N., …Lane, J. A. (2023). Treatment of lower urinary tract symptoms in men in primary care using a conservative intervention: Cluster randomised controlled trial. BMJ, 383, Article e075219. https://doi.org/10.1136/bmj-2023-075219

Objective: To determine whether a standardised and manualised care intervention in men in primary care could achieve superior improvement of lower urinary tract symptoms (LUTS) compared with usual care. Design: Cluster randomised controlled trial. Se... Read More about Treatment of lower urinary tract symptoms in men in primary care using a conservative intervention: Cluster randomised controlled trial.

Development and first-in-human testing of FLUME urinary catheter with protected tip and relocated drainage holes (2023)
Journal Article
Drake, M., Anderson, K., Gammie, A., Morris, N., Timlin, T., Cotterill, N., …Havard, J. (2023). Development and first-in-human testing of FLUME urinary catheter with protected tip and relocated drainage holes. Continence, 8, Article 101054. https://doi.org/10.1016/j.cont.2023.101054

Evaluation of a catheter design which protects its tip with the retaining balloon when inflated, and has eyeholes at the base of the balloon to improve drainage. Preclinical tests included assessment of retaining balloon performance, and microbiologi... Read More about Development and first-in-human testing of FLUME urinary catheter with protected tip and relocated drainage holes.

Treating male lower urinary tract symptoms in primary healthcare using conservative interventions: The TRIUMPH cluster randomised controlled trial (2023)
Journal Article
Drake, M., Worthington, J., Frost, J., Sanderson, E., Cochrane, M., Cotterill, N., …Lane, A. (in press). Treating male lower urinary tract symptoms in primary healthcare using conservative interventions: The TRIUMPH cluster randomised controlled trial. BMJ,

Objective(s): To determine whether a standardised and manualised intervention for Lower Urinary Tract Symptoms (LUTS) achieves superior symptomatic improvement versus usual care. Design: 2-arm cluster randomised controlled trial where sites were ran... Read More about Treating male lower urinary tract symptoms in primary healthcare using conservative interventions: The TRIUMPH cluster randomised controlled trial.

Evaluation of the feasibility and acceptability of an integrative group psychological intervention for people with Multiple Sclerosis: A study protocol (2023)
Journal Article
Fragkiadaki, E., Cotterill, N., Rice, C., Smith, J., & Nizza, I. (2023). Evaluation of the feasibility and acceptability of an integrative group psychological intervention for people with Multiple Sclerosis: A study protocol. PLoS ONE, 18(7), Article e0288295. https://doi.org/10.1371/journal.pone.0288295

Multiple Sclerosis (MS) is characterised by significant symptom diversity and complexity. The unpredictability of the symptoms and the emotional and cognitive facets of the disease have a significant impact on the patients' quality of life, relations... Read More about Evaluation of the feasibility and acceptability of an integrative group psychological intervention for people with Multiple Sclerosis: A study protocol.

Hospital practitioner views on the benefits of continence education and best ways to provide training (2023)
Journal Article
Percival, J., Abbott, K., Allain, T., Bradley, R., Cramp, F., Donovan, J., …Cotterill, N. (2023). Hospital practitioner views on the benefits of continence education and best ways to provide training. Nursing Open, 10(5), 3305-3313. https://doi.org/10.1002/nop2.1582

Aim: The aim of the study was to explore practitioners' experiences and perspectives on continence training, in order to understand its relevance to practice and how take-up of, and engagement with, such training may be improved. Design: 27 qualitati... Read More about Hospital practitioner views on the benefits of continence education and best ways to provide training.

Synthetic sling or artificial urinary sphincter for men with urodynamic stress incontinence after prostate surgery: The MASTER non-inferiority RCT (2022)
Journal Article
Constable, L., Abrams, P., Cooper, D., Kilonzo, M., Cotterill, N., Harding, C., …MacLennan, G. (2022). Synthetic sling or artificial urinary sphincter for men with urodynamic stress incontinence after prostate surgery: The MASTER non-inferiority RCT. Health Technology Assessment, 26(36), 1-152. https://doi.org/10.3310/TBFZ0277

BACKGROUND: Stress urinary incontinence is common in men after prostate surgery and can be difficult to improve. Implantation of an artificial urinary sphincter is the most common surgical procedure for persistent stress urinary incontinence, but it... Read More about Synthetic sling or artificial urinary sphincter for men with urodynamic stress incontinence after prostate surgery: The MASTER non-inferiority RCT.

Proper understanding of recurrent stress urinary incontinence treatment in women (PURSUIT): A randomised controlled trial of endoscopic and surgical treatment (2022)
Journal Article
Clark, L., Fitzgerald, B., Noble, S., MacNeill, S., Paramasivan, . S., Cotterill, N., …Pope, C. (2022). Proper understanding of recurrent stress urinary incontinence treatment in women (PURSUIT): A randomised controlled trial of endoscopic and surgical treatment. Trials, 23(1), Article 628. https://doi.org/10.1186/s13063-022-06546-9

Background: Women with stress urinary incontinence (SUI) experience urine leakage with physical activity. Currently, the interventional treatments for SUI are surgical, or endoscopic bulking injection(s). However, these procedures are not always succ... Read More about Proper understanding of recurrent stress urinary incontinence treatment in women (PURSUIT): A randomised controlled trial of endoscopic and surgical treatment.

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, Article 100020. 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.

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.

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 bladder symptoms (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), Article 745. 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 bladder symptoms.

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), Article e001380. 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.