Urogynaecology

About

Our urogynaecology clinics provide assessment, investigations and treatment for women with urinary incontinence, vaginal prolapse, recurrent urinary tract infections, bladder pain and pelvic floor injury after childbirth including faecal incontinence.

We are the largest urogynaecology centre in west London, seeing over 5,000 patients with urogynaecological problems and performing more than 1,000 urodynamic investigations each year. We have performed over 500 major operations for urinary incontinence and prolapse. 

Conditions and treatments

Our urogynaecology service treats a number of issues in women, including urinary incontinence, vaginal prolapse, recurrent urinary tract infections, bladder pain and pelvic floor injury after childbirth and faecal incontinence. Treatments can involve physiotherapy, advice, surgery and more interventions, including:

• Vaginal prolapse: Physiotherapy, ring pessary, surgery
• Recurrent UTI: Medication, voiding technique advice, clean intermittent self-catheterisation (CISC) if the patient has a residual bladder
• Faecal incontinence: Biofeedback, physiotherapy, surgery
• Bladder pain: Physiotherapy, installations, bladder retraining advice, medication
• Urinary incontinence: Bladder retraining advice, physiotherapy, medication, Botox to the bladder, percutaneous tibial nerve stimulation (PTNS)

Additional information

Education and elective placements

We have visiting doctors from abroad from time to time. Please contact consultants for advice about a placement. We run the certificate in urodynamic course three times a year. This can be accessed through the Bristol Urological Institute.

Further online resources

• Bladder and Bowel Foundation
• NHS Choices – Urinary incontinence
• NHS Choices – Pelvic organ prolapse
• NHS Choices – Urinary tract infection
• Nice guidelines: the management of urinary incontinence in women