Urogynaecology Clinic

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Here at Orthoderm we provide urogynaecology appointments for a range of different urinary, bladder and pelvic issues, offering expert care and treatment options to our patients.

Urogynaecology is a subspecialty of gynaecology which concerns the pelvic floor. It covers problems of the lower female urinary tract and genital tract.

In many cases prolapse of the pelvic floor organs, including the womb and bowel, can affect your bladder. This can lead to an overactive bladder and urinary and faecal incontinence.

In a lot of cases, symptoms can be relieved with specific medication, physiotherapy, pessaries and, in some cases, surgery.

The Cause of Urogynaecology Conditions

Many women who attend a private urogynaecology appointment will have experienced some form of bladder control issues. This is usually related to every day activity like walking, running, other exercises or even sneezing and coughing.

Bladder over activity, also known as frequency or urgency, which can prove to be very debilitating on a day-to-day basis, causing anxiety, stress and sometimes depression as some people feel unable to leave their homes.

Other women might suffer from related problems such as genital tract prolapse, vaginal dysfunction and recurrent urinary tract infections.

There are two main types of incontinence.

-Stress incontinence - These are leaks that happen when we laugh, cough, sneeze, or exercise.

-Urge incontinence - These are leaks that happen when we feel a strong urge to empty our bladder, but we don’t make it to the toilet on time.

Physiotherapy and Pelvic Floor Exercises

Fortunately, most women can improve or cure their urogynaecology conditions with physiotherapy and pelvic floor exercises.

The pelvic floor muscles are a group of muscles that sit at the bottom of the pelvis. They run from the pubic joint at the front and attach into the coccyx bone at the back.

There are many muscles in the pelvic floor and are found in different layers. These muscles all work together to keep us continent and support our pelvic organs.

There are 3 openings in the pelvic floor:

-Urethra at the front – this is the opening for the bladder where urine passes through

-The vagina in the middle

-The back passage at the back

These muscles also support the pelvic organs, the bladder, the womb and the bowel.

The Causes of a Weaken Pelvic Floor

Many factors can lead to a weaken our pelvic floor, including:

-Pregnancy and childbirth

-Constipation/ straining when trying to go to the toilet

-Menopause

-Surgery

-Heavy lifting

-A weak pelvic floor

If these muscles become weak, it can lead to urinary incontinence and can affect up to 1 in 3 women in their life.

It is a very common condition but often not talked about, leading to many women suffering in silence.

If you want to book an appointment with our urogynaecology team, get in touch here or call us on 028 9268 0940.

Diagnosing Urogynaecology Related Problems

When it comes to urogynaecology conditions getting a diagnosis is the first step to treatment. Here at our expert urogynaecology clinic we offer a variety of treatment options to best suit each individual patient.

When you receive your diagnosis you will be able to discuss your condition with your urogynaecology specialist and gynaecologist. They will be able to give you all the information you need regarding your diagnosis.

This will include the name of your conditions, the potential causes and triggers, along with explaining your best treatment options. This could include medications, pessaries, physiotherapy or surgery and will depend on your condition and its severity. If you are a man and are experiencing bladder and incontinence issues then our Urology clinic can help.

Women's urinary incontinence treatment

-For vaginal, uterine, and rectal prolapse your Consultant may suggest physiotherapy, pessaries, or surgery. We can also liaise with our colorectal consultant for rectal prolapse and arrange further appointments for this in our sister clinic, Hillsborough Private Clinic.

-For recurrent urinary tract infections your Consultant may suggest medication, voiding techniques or intermittent self-catheterisation if you have a residual bladder.

-For bladder pain your Consultant may suggest physiotherapy, offer bladder retaining advice or prescribed medications.

-For incontinence, both stress and urge, your Consultant may give bladder retraining and pelvic floor advice, suggest Botox to the bladder, or refer you for Physiotherapy.