Our services
Urogynaecology
Overview
Expert care for bladder, bowel and pelvic floor problems in women. Urinary and prolapse problems are common among women and can cause embarrassing or distressing symptoms. At Minerva Women's Healthcare, our specialist team treats problems of the pelvic floor in women, with discretion and compassion. At the first sign of new or unusual urinary or vaginal symptoms, schedule an appointment with us by phone or online.
At a glance
- Urogynaecology is the care of women with pelvic floor problems, including bladder control issues and prolapse
- These conditions are common, they are not something to be embarrassed about, and they can be treated
- Symptoms include leaking urine, a frequent or urgent need to urinate, and a bulge or heaviness in the vagina
- Many women improve with simple measures such as pelvic floor exercises and lifestyle changes
- Medicines, devices and surgery are available when needed
What is urogynaecology?
Urogynaecology is the area of women's health that diagnoses and treats pelvic floor disorders. It covers conditions of the female reproductive and urinary tracts and the muscles and tissues that support the bladder, uterus and bowel. These conditions are often related to pregnancy, childbirth, ageing, menopause or previous pelvic surgery.
Which conditions do we treat?Which conditions do we treat?
We can diagnose and treat conditions in women including:
- Overactive bladder
- Urinary incontinence
- Faecal incontinence
- Pelvic organ prolapse
- Uterine prolapse
- Prolapse after hysterectomy
- Vaginal fistulas
- Urinary tract infections (UTIs)
- Differences in the structure of the reproductive tract
We can also help you manage problems linked to earlier prolapse or incontinence surgery, to reduce your risk of serious complications.
What are the symptoms?
You may benefit from urogynaecology care if you have:
- Heaviness, pulling or fullness in the vagina
- A bulge coming from the vagina
- Discomfort or straining during bowel movements
- Difficulty emptying your bladder completely
- Problems passing urine
- An urgent or frequent need to urinate
- Frequent UTIs
- Leaking urine, for example when you cough, sneeze or exercise, or when you cannot reach the toilet in time
These symptoms may feel embarrassing, but they can also point to a problem that needs prompt treatment. See us at the first sign of new or unusual symptoms.
What causes pelvic floor problems?
The muscles and tissues of the pelvic floor can weaken or become damaged. Common risk factors include:
- Pregnancy and vaginal childbirth
- Menopause and falling oestrogen levels
- Getting older
- Long-term coughing, constipation or straining
- Being overweight
- Heavy lifting
- Previous pelvic surgery, including hysterectomy
What should I expect during my appointment?
At your visit, we check your vital signs and review your symptoms and medical history. We carry out a physical examination, including a pelvic exam, and may recommend tests such as a urine test, a scan or urodynamics. Urodynamic tests assess how well your bladder stores and empties urine and whether it contracts properly.
When we have the results, we will go through your treatment options with you, which may include:
- Lifestyle changes
- Pelvic floor exercises and physiotherapy
- Medicines, including local oestrogen treatment where suitable
- Supportive devices, such as a pessary, to support prolapsed organs
- Minor procedures or surgery where appropriate
Each treatment is tailored to the severity of your condition, your lifestyle and your preferences, to give you the best result and improve your quality of life.
Common questions
Is leaking urine normal after childbirth?
It is common, but it is not something you have to live with. Pelvic floor exercises and other treatments can often help.
Will I need surgery for prolapse?
Not always. Many women manage well with pelvic floor exercises, lifestyle changes or a pessary. Surgery is considered when other options are not enough, or if you prefer it.
Are pelvic floor exercises effective?
Yes, when done correctly and regularly. We can teach you how, and refer you to a pelvic floor physiotherapist if needed.
When should I see a doctor urgently?
Please seek prompt care if you cannot pass urine, have blood in your urine, fever or back pain with urinary symptoms, or if a prolapse becomes painful or ulcerated.
Ready to get help?
Do not live with uncomfortable or embarrassing urinary or gynaecological problems when help is within reach. Schedule an appointment with Minerva Women's Healthcare online or by calling our office. It takes about a minute, and no account is needed.
