urogynaecology

Pelvic floor

One in three women will suffer from incontinence and statistics suggest that as high as 50% of women will have pelvic organ prolapse. Symptoms of pelvic floor dysfunction are as follows:

  • Heaviness or dragging sensation -Sensations of “something coming down” vaginally

  • Stress Incontinence - Involuntary urine leakage experienced with coughing, sneezing, running, laughing, lifting etc

  • Urge Incontinence

  • Urinary leakage experienced when one is unable to get to the toilet in time

  • Urinary urgency symptoms - When you bladder isn’t giving you enough notice to get to the toilet in time

  • Urinary frequency symptoms - Frequent visits to the bathroom to open your bladder

  • Overactive Bladder / Mixed Urinary Incontinence - Urinary frequency and sudden urgency (detailed history needed to confirm symptoms)

Pelvic floor physiotherapy is first line (gold standard) treatment as evidence supports that when done effectively and under physiotherapy supervision, symptoms can improve significantly. Often patients tell me they’ve “done pelvic floor muscle exercises for years” and that “they don’t work.” Studies have proven that as many as 73% of women perform pelvic floor muscle exercises wrong, which is why it is so important to see a specialist.

A specialist assessment will ensure that you are recruiting the right muscles, working the muscles to fatigue and progressing appropriately to achieve an improvement in strength and endurance. Three months of regular, supervised pelvic floor muscle exercises is the average length of time my patients take to improve and gain their confidence back.