the medical chambers kensington

Pelvic Floor + Bladder Control (Incontinence) Care

Urinary leakage, bladder control (incontinence) and pelvic floor problems are issues that many women keep to themselves, but are in fact very widespread.  It is estimated that at least 3 million women in the UK are troubled by bladder control problems, and 1 in 2 women over 45 experience some degree of prolapse.

Living with any of these issues is difficult but in most cases treatment is straight forward and the problem can be resolved with specialist attention.  Your condition could be simple to remedy, so you don't need to experience continued anxiety, discomfort or embarrassment.  We are here to help.

Diagnosis + Care  At TMCK, Consultant Gynaecologist, Ms Claudine Domoney, provides sensitive and thorough assessment.  Ms Domoney specialises in urogynaecology, which is the branch of gynaecology devoted to the care of the urinary tract, vagina and pelvic floor.  She works within our wider team of women's healthcare specialists who are here to help should you need further support, including general practice, physiotherapy, nutrition and psychotherapy.  Ms Claudine Domoney specialises in...

Pelvic Floor Weakness

This is the loss of tone and strength in the network of muscles and ligaments that run beneath the vagina and rectum, forming a hammock that supports the organs of the pelvis.  When these muscles become weak, problems can arise causing symptoms such as incontinence or pain during sex.  This weakness may come from excessive pressure on the pelvic floor following childbirth or an operation or even other strain such as excessive coughing or heavy lifting.  This need not be permanent if you deal with it quickly.  But if weakness persists, it may lead to further problems so we urge you to come in for advice and support if you're at all concerned.

Bladder Control
Bladder control (urinary incontinence) ranges from small leakages with a cough, sneeze, laugh or when running to more severe loss of control.  It is often due to reduced pelvic floor control, but, less commonly, it can be related to a prolapse within the pelvis.  Unfortunately, women often feel embarrassed or find it difficult to admit to this problem, but because it is usually simple to remedy it really is worth visiting your Specialist and getting advice sooner rather than later.
Vaginal Prolapse
Vaginal prolapse (also called pelvic organ prolapse) occurs when other organs within the pelvis drop down and protrude into the wall of the vagina.  It is caused by weakened muscles or ligaments and may lead to discomfort, pain, spotting, difficulty urinating and occasional loss of bladder or bowel control.  If you experience any of these symptoms it is important that you visit your Doctor for treatment.

Treatment  There is no single method of treatment.  What's right for you will depend on your symptoms and the condition of the muscles, ligaments and organs in your pelvis.  Many issues can be resolved with a combination of lifestyle measures such as losing weight, exercises, physiotherapy and non-surgical gynaecological assistance to build up muscle tone.  Occasionally, a Specialist may recommend surgery, which will of course be carried out using the latest techniques.