De 'KNGF-richtlijn Stress (urine)incontinentie 2011' vormt een leidraad voor het fysiotherapeutisch handelen bij volwassen mannen en vrouwen met stress (urine-)incontinentie (SUI) en vervangt de 'KNGF-richtlijn Stress urine-incontinentie' uit 1998.¹ Deze richtlijn vormt een onderdeel van een richtlijnenpakket betreffende het fysiotherapeutisch handelen bij volwassen patiënten met urine- en/of fecale incontinentie (of stoornissen in de continentie). Om pragmatische redenen is bij de ontwikkeling van de richtlijnen onderscheid gemaakt in urine-incontinentie (uiteenvallend in richtlijnen voor SUI, urgency (urine-)incontinentie en gemengde urine-incontinentie) en fecale incontinentie.

De 'KNGF-richtlijn Stress urine-incontinentie' uit 1998 beschreef uitsluitend het fysiotherapeutisch handelen bij volwassen vrouwen met SUI. De huidige richtlijn richt zich op het fysiotherapeutisch handelen bij volwassen patiënten met SUI en met gemengde incontinentie met SUI als dominante vorm van incontinentie.

Op dit moment zijn er in Nederland monodisciplinaire richtlijnen voor de diagnostiek en behandeling van urine-incontinentie beschikbaar voor huisartsen, urologen en gynaecologen, respectievelijk de 'NHG-standaard Incontinentie voor urine' (M46) van het Nederlands Huisartsengenootschap (NHG),² de Richtlijn Stress-incontinentie bij de vrouw (Nr. 15) van de Nederlandse Vereniging voor Urologie (NVU)³ en de Richtlijn Urine incontinentie (Nr. 55) van de Nederlandse Vereniging voor Obstetrie en Gynaecologie (NVOG).⁴ Deze richtlijnen hebben grotendeels dezelfde boodschap.

Tijdens het actualiseren van deze richtlijn is er door een werkgroep bestaande uit leden van het NHG en het KNGF de Landelijke Eerstelijns SamenwerkingsAfspraak (LESA) Incontinentie voor urine opgesteld, die richtlijnen geeft voor samenwerking van huisartsen en fysiotherapeuten bij het verlenen van zorg aan patiënten met klachten van onvrijwillig verlies van urine. Voor het formuleren van de aanbevelingen is deze werkgroep uitgegaan van de NHG-standaard Incontinentie voor urine en het concept van deze geactualiseerde 'KNGF-richtlijn Stress (urine-)incontinentie'.⁵

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