Urinary incontinence is common and, whilst not life threatening, is known to have a significant effect on quality of life. Appropriate investigation and management allows an accurate diagnosis and avoids inappropriate treatment. Whilst many forms of conservative therapy may be initiated in primary care continence surgery, and the investigation of more complex and recurrent cases of incontinence, should be performed in specialist secondary and tertiary referral units. Ultimately, an integrated pathway utilizing a multidisciplinary team approach including specialist nurses, continence advisors, physiotherapists, urologists and colorectal surgeons will ensure the best possible outcomes in terms of 'cure' and patient satisfaction.
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The first trimester is very important for the mother and the baby. For most women it is common to find out about their pregnancy after they have missed their menstrual cycle. Since, not all women note their menstrual cycle and dates of intercourse, it may cause slight confusion about the exact date of conception. That is why most women find out that they are pregnant only after one month of pregnancy.