Urogynaecology
Visitor Information
Translation help:
To translate this page into your preferred language, click the Google Translate icon in the top-right menu and select your desired language.
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. We are also accredited by the British Society of Urogynaecology.
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 conservative treatments, physiotherapy, surgery and more interventions, including:
- Vaginal prolapse: Physiotherapy, 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), sacral nerve stimulation (SNS)
Clinics
Urogynaecology clinic at St Mary’s Hospital
Address
Urogynaecology outpatient clinic
Second floor
Winston Churchill wing
St Mary’s Hospital
Praed Street
London W2 1NY
Hours
The urogynaecology outpatient clinic is held on Monday and Tuesday and the pelvic floor clinic is held on Friday morning on the forth floor of Mary Stanford wing (urogynaecology clinic).
Additional information
Other specialist clinics are held on the fourth floor of the Mary Stanford wing at St Mary’s Hospital. Please check your appointment letter for exact times.
These clinics include:
- Urodynamic clinic: Monday mornings and afternoons, Tuesday mornings and afternoons, Wednesday mornings, Thursday mornings and afternoons.
- Flow clinic: Wednesday afternoons and Friday mornings and afternoons.
- PTNS clinic: Tuesday mornings and afternoons.
- Ambulatory urodynamic clinic: Wednesday mornings
- CISC teaching clinic: Wednesday mornings and Friday mornings and afternoons
- Telephone clinic: Tuesday afternoons, Thursday mornings and afternoons, Friday mornings and afternoons
- Bladder instillation: Wednesday afternoons and Thursday afternoons
Meet the team
Consultant obstetrician and urogynaecology subspecialists
Professor Vik Khullar, clinical lead
Mr Ruwan Fernando
Mr Alex Digesu
Ms Alka Bhide
Lead clinical nurse specialist in urogynaecology
Babylyn Ebiya
Clinical nurse specialist in urogynaecology
Charlotte Glover
Christine Magno
Healthcare assistant
Ethel Okonji
Urogynaecology coordinator
Zul Argueza
Patient information
Before your appointment
You can expect to receive an appointment six to eight weeks after we receive your referral. We occasionally offer assessments via phone prior to appointments. You are welcome to bring a relative, close friend or carer with you to your appointment. You are also welcome to ask for a chaperone and we will endeavour to provide one for you.
We suggest you wear comfortable clothing that is easy to remove to your appointment, as you may need to have an examination. You should come to your appointment with a comfortably full bladder, as a nurse will need to take a urine sample before you see the doctor. It would be helpful if you could bring the following to your appointment:
- Your full address and telephone number(s)
- Your appointment card and appointment letter
- Your GP’s name and address
- Money to pay for any prescriptions, or an exemption card
- A list of questions you may want to ask the nurse or doctor
- Any completed questionnaires and your bladder diary
During your appointment
Please check in at the self-service kiosk or reception desk and wait to be called. Waiting times are typically 30 minutes, but could be more than that. Most outpatient appointments take 10 to 15 minutes, but if you come to hospital for a urodynamic test, your appointment will take about one hour.
Please note that we are a teaching hospital, so medical students may be present for some appointments. If you do not wish to have them in the room please let the nurse or doctor know and the students will be asked to step outside.
At your first appointment you will be seen by one of the doctors in the urogynaecology team who will take a detailed history of your symptoms and examine you to assess your problem.
Sometimes we ask you to complete a validated questionnaire about your symptoms before you see the doctor. Depending on the findings and severity of your problem, the doctors will arrange for you to have some tests. This may include an ultrasound scan, MRI scan or a special bladder test called urodynamic.
After your appointment
After a consultation or test, the findings will be discussed with you, along with appropriate treatment options. We may refer you to a physiotherapist or a continence advisor for conservative management of your condition. If this is the case, a follow-up appointment will be arranged according to your investigations and condition. Occasionally, we offer phone follow-ups after appointments.
Patient information leaflets:
- Aftercare following insertion of suprapubic catheter
- Flexible cystoscopy
- Post cystoscopy BOTOX and BULKAMID
- Pelvic floor clinic
Refer to this service
GP
Please use NHS e-Referrals to refer a patient to our urogynaecology service.
For advice about referrals, please contact our booking team on 020 3313 5000
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.