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Faecal incontinence

All NICE products on Faecal incontinence. Includes any guidance, advice, NICE Pathways and quality standards.

Faecal incontinence in adults: management (CG49)

This guideline covers assessing and managing faecal incontinence (any involuntary loss of faeces that is a social or hygienic problem) in people aged 18 and over. It aims to ensure that staff are aware that faecal incontinence is a sign or a symptom, not a diagnosis.

Clinical guideline Published June 2007

Faecal incontinence

Everything NICE has said on managing faecal incontinence in adults in an interactive flowchart

NICE Pathway Published February 2013 Last updated January 2019

Injectable bulking agents for faecal incontinence (IPG210)

Evidence-based recommendations on injectable bulking agents for treating faecal incontinence (bowel or anal incontinence)

Interventional procedures guidance Published February 2007

Sacral nerve stimulation for faecal incontinence (IPG99)

Evidence-based recommendations on sacral nerve stimulation for treating faecal incontinence

Interventional procedures guidance Published November 2004

Percutaneous tibial nerve stimulation for faecal incontinence (IPG395)

Evidence-based recommendations on percutaneous tibial nerve stimulation (PTNS) for faecal incontinence

Interventional procedures guidance Published May 2011

Stimulated graciloplasty for faecal incontinence (IPG159)

Evidence-based recommendations on stimulated graciloplasty for faecal incontinence (creating a new anal sphincter muscle)

Interventional procedures guidance Published March 2006

Faecal incontinence in adults (QS54)

This quality standard covers managing faecal (bowel) incontinence in adults (aged 18 and over) in the community (at home and in care homes) and in all hospital departments. It includes assessment of bowel control problems, advice and support, and treatment options. It describes high-quality care in priority areas for improvement.

Quality standard Published February 2014

Transabdominal artificial bowel sphincter implantation for faecal incontinence (IPG276)

Evidence-based recommendations on transabdominal artificial bowel sphincter implantation for faecal incontinence

Interventional procedures guidance Published November 2008

Endoscopic radiofrequency therapy of the anal sphincter for faecal incontinence (IPG393)

Evidence-based recommendations on endoscopic radiofrequency therapy of the anal sphincter for faecal incontinence

Interventional procedures guidance Published May 2011

MIB66: Secca System for faecal incontinence

Advice on the use of the Secca system for treating faecal incontinence to aid local decision-making

Medtech innovation briefing Published May 2016

Insertion of a magnetic bead band for faecal incontinence (IPG483)

Evidence-based recommendations on the insertion of a magnetic bead band for faecal (bowel) incontinence

Interventional procedures guidance Published March 2014

MIB164: Axonics sacral neuromodulation system for overactive bladder and faecal incontinence

Advice on the use of Axonics sacral neuromodulation system (SNM) for overactive bladder and faecal incontinence to aid local decision-making

Medtech innovation briefing Published December 2018

Artificial anal sphincter implantation (IPG66)

Evidence-based recommendations on artificial anal sphincter implantation for treating faecal incontinence

Interventional procedures guidance Published June 2004

Behavioural and cognitive interventions with or without other treatments for the management of faecal incontinence in children

Evidence shows that biofeedback for treating functional faecal incontinence is not effective in children and should not be used. NICE...

Cochrane Topic Published April 2017 Last updated 

Peristeen transanal irrigation system for managing bowel dysfunction (MTG36)

Evidence-based recommendations on the Peristeen transanal irrigation system for people with bowel dysfunction

Medical technologies guidance Published February 2018

Constipation in children and young people: diagnosis and management (CG99)

This guideline covers diagnosing and managing constipation in children and young people up to 18. It provides strategies to support the early identification and timely, effective treatment of constipation which will help improve outcomes for patients. It does not cover constipation caused by a specific condition.

Clinical guideline Published May 2010 Last updated July 2017

Metastatic spinal cord compression in adults: risk assessment, diagnosis and management (CG75)

This guideline covers detecting and managing metastatic spinal cord compression in adults with cancer that has spread to the spine. It aims to improve quality of life by promoting early detection and management, and reducing spinal cord damage and disability.

Clinical guideline Published November 2008

Stapled transanal rectal resection for obstructed defaecation syndrome (IPG351)

Evidence-based recommendations on stapled transanal rectal resection (STARR) for obstructed defaecation syndrome

Interventional procedures guidance Published June 2010

Irritable bowel syndrome in adults: diagnosis and management (CG61)

This guideline covers diagnosing and managing irritable bowel syndrome (IBS) in people aged 18 and over. It details how to accurately diagnose IBS, and aims to improve the quality of life for adults with IBS by promoting effective management using dietary and lifestyle advice, pharmacological therapy and referral for psychological interventions.

Clinical guideline Published February 2008 Last updated April 2017

MIB105: Permacol for treating anal fistulae

Advice on the use of Permacol for treating anal fistulae (fistula) to aid local decision-making

Medtech innovation briefing Published May 2017

Laparoscopic ventral mesh rectopexy for internal rectal prolapse (IPG618)

Evidence-based recommendations on laparoscopic ventral mesh rectopexy for internal rectal prolapse in adults

Interventional procedures guidance Published June 2018

MIB102: VAAFT for treating anal fistulae

Advice on the use of VAAFT for treating anal fistulae to aid local decision-making

Medtech innovation briefing Published April 2017

Urinary incontinence in women: management (CG171)

This guideline covers the care and treatment of women aged 18 years and older with urinary incontinence (stress, urgency or mixed urinary incontinence, or overactive bladder). It aims to improve the physical, psychological and social wellbeing of women who have urinary incontinence.

Clinical guideline Published September 2013 Last updated November 2015

MIB33: Episcissors-60 for guided mediolateral episiotomy

Advice on the use of the Episcissors-60 for guided mediolateral episiotomy to aid local decision-making

Medtech innovation briefing Published July 2015

Percutaneous endoscopic colostomy (IPG161)

Evidence-based recommendations on percutaneous endoscopic colostomy (PEC)

Interventional procedures guidance Published March 2006

ESNM11: Acute diarrhoea in adults: racecadotril

Summary of the evidence on racecadotril for treating acute diarrhoea in adults to inform local NHS planning and decision-making

Evidence summary Published March 2013

Stroke rehabilitation in adults (CG162)

This guideline covers stroke rehabilitation for adults and young people aged 16 and over who have had a stroke with continuing impairment, activity limitation or participation restriction. It aims to improve rehabilitation for people who have had a stroke by specifying how stroke units and multidisciplinary stroke teams should be organised. It makes detailed recommendations on assessments and interventions for the functional difficulties caused by stroke.

Clinical guideline Published June 2013

ESUOM22: Bile acid malabsorption: colesevelam

Summary of the evidence on colesevelam for treating bile acid malabsorption (BAM) to inform local NHS planning and decision-making

Evidence summary Published October 2013

Urinary incontinence in neurological disease: assessment and management (CG148)

This guideline covers assessing and managing urinary incontinence in children, young people and adults with neurological disease. It aims to improve care by recommending specific treatments based on what symptoms and neurological conditions people have.

Clinical guideline Published August 2012

Dementia: assessment, management and support for people living with dementia and their carers (NG97)

This guideline covers diagnosing and managing dementia (including Alzheimer’s disease). It aims to improve care by making recommendations on training staff and helping carers to support people living with dementia.

NICE guideline Published June 2018

Haemorrhoidal artery ligation (IPG342)

Evidence-based recommendations on haemorrhoidal artery ligation for treating haemorrhoids (piles)

Interventional procedures guidance Published May 2010

Ulcerative colitis: management (CG166)

This guideline covers the care and treatment of adults, children and young people who have ulcerative colitis (UC). It aims to help professionals to provide consistent high-quality care and it highlights the importance of advice and support for people with ulcerative colitis.

Clinical guideline Published June 2013

Constipation in children and young people (QS62)

This quality standard covers the diagnosis and management of constipation of unknown cause in babies, children and young people (from birth to 18 years). It describes high-quality care in priority areas for improvement.

Quality standard Published May 2014

Lower urinary tract symptoms in men

Everything NICE has said on managing lower urinary tract symptoms in men in an interactive flowchart

NICE Pathway Published October 2012 Last updated January 2019

Transanal total mesorectal excision of the rectum (IPG514)

Evidence-based recommendations on transanal total mesorectal excision of the rectum for malignant or benign disease of the rectum (including rectal cancer)

Interventional procedures guidance Published March 2015

Urinary incontinence in women

Everything NICE has said about managing urinary incontinence in women in an interactive flowchart

NICE Pathway Published September 2013 Last updated January 2019

Percutaneous electrothermal treatment of the intervertebral disc annulus for low back pain and sciatica (IPG544)

Evidence-based recommendations on percutaneous electrothermal treatment of the intervertebral disc annulus for low back pain and sciatica

Interventional procedures guidance Published January 2016

Multiple sclerosis in adults: management (CG186)

This guideline covers diagnosing and managing multiple sclerosis in people aged 18 and over. It aims to improve the quality of life for adults with multiple sclerosis by promoting symptom management, comprehensive reviews and effective relapse treatment.

Clinical guideline Published October 2014

Inflammatory bowel disease (QS81)

This quality standard covers diagnosing and managing inflammatory bowel disease (Crohn’s disease and ulcerative colitis) in adults, young people and children. It describes high-quality care in priority areas for improvement.

Quality standard Published February 2015

Irritable bowel syndrome in adults

Everything NICE has said on diagnosing and managing irritable bowel syndrome in adults in primary care in an interactive flowchart

NICE Pathway Published October 2012 Last updated October 2017

Postnatal care up to 8 weeks after birth (CG37)

This guideline covers the routine postnatal care women and their babies should receive for 6–8 weeks after the birth. It includes advice given on breastfeeding, and the management of common and serious health problems in women and their babies after the birth.

Clinical guideline Published July 2006 Last updated February 2015

Medical Technologies Advisory Committee members

Information Authority Public Reference Group, was a member of the NICE Faecal Incontinence Guideline Development Group, and on the...

Published January 2019

Autism spectrum disorder in under 19s: recognition, referral and diagnosis (CG128)

This guideline covers recognising and diagnosing autism spectrum disorder in children and young people from birth up to 19 years. It also covers referral. It aims to improve the experience of children, young people and those who care for them.

Clinical guideline Published September 2011 Last updated December 2017

Constipation

Everything NICE has said on constipation in an interactive flowchart

NICE Pathway Published January 2013 Last updated January 2019

Multiple sclerosis (QS108)

This quality standard covers diagnosing and managing multiple sclerosis (MS) in adults. It includes care, support and review for people with MS. It describes high-quality care in priority areas for improvement.

Quality standard Published January 2016

Pressure ulcers (QS89)

This quality standard covers preventing, assessing and managing pressure ulcers (bed sores) in adults, young people and children. It includes risk assessment and support to prevent pressure ulcers. It applies to all settings, including hospitals, care homes (with and without nursing care) and people’s own homes.

Quality standard Published June 2015

Being monitored and out of remit procedures

radiofrequency treatment of bladder neck and urethra for stress urinary incontinence Monitor - no CE marked devices 1476 / 1 Targeted...

Published May 2018