Surveillance decision

Surveillance decision

We will plan an update of the guideline. An extension to the scope will be needed to include pelvic organ prolapse.

Reason for the decision

Surveillance of this guideline did not review evidence for the section on '1.10 Surgical approaches for stress urinary incontinence', pending NICE Interventional Procedures review.

Evidence was searched for in the following clinical areas:

1.1 Assessment and investigation

1.2 Lifestyle interventions

1.3 Physical therapies

1.4 Behavioural therapies

1.5 Neurostimulation

1.6 Alternative conservative management options

1.7 Pharmacological treatment

1.8 The multidisciplinary team (MDT)

1.9 Invasive procedures for OAB

1.11 Maintaining and measuring expertise and standards for practice

We found 45 new studies through surveillance of this guideline. None of the new evidence considered in surveillance of this guideline was thought to have an effect on current recommendations.

The NHS England Mesh Working Group interim report (December 2015) has raised a number of concerns on the safety and efficacy of surgery for stress urinary incontinence (SUI) and pelvic organ prolapse (POP) using mesh devices. There is a need for NICE to update guidance on complications arising from surgery for Stress Urinary Incontinence (SUI) and extend the scope to include pelvic organ prolapse.

Overall decision

After considering all the new evidence, views of topic experts and the NHS England Mesh Working Group Interim Report (December 2015), we decided that a partial update with an extended scope is necessary for this guideline.

See how we made the decision for further information.


This page was last updated: 10 March 2016