• women with UI who have any of the following should receive an urgent referral :
  • microscopic haematuria if aged 50 years and older
  • visible haematuria
  • recurrent or persisting UTI associated with haematuria if aged 40 years and older
  • suspected malignant mass arising from the urinary tract
    
    
• in women with UI, further indications for consideration for referral to a specialist service include:
  • persisting bladder or urethral pain
  • clinically benign pelvic masses
  • associated faecal incontinence
  • suspected neurological disease
  • symptoms of voiding difficulty
  • suspected urogenital fistulae
  • previous continence surgery
  • previous pelvic cancer surgery
  • previous pelvic radiation therapy

Reference:

1. NICE (October 2006). Urinary incontinence - The management of urinary incontinence in women