Procedures

Treatment options

Wherever possible we begin with conservative, non-surgical treatment. Where surgery is indicated, modern techniques are minimally invasive with short recovery.

Conservative

Non-surgical
treatment

A single eucalyptus stem casting a soft shadow on warm cream paper

Exercising the pelvic floor

Pelvic floor exercises are an important and relatively easy way to improve bladder control. Done correctly, they build up and strengthen the muscles that help you hold urine. The pelvic floor is made up of muscles stretched like a hammock from the pubic bone through to the bottom of the backbone; these firm supportive muscles hold the bladder, womb and bowel in place and close the bladder outlet and the back passage. Stronger muscles can also enhance sexual satisfaction for both partners.

Electrical stimulation

Electrical stimulation is the application of an electrical current to stimulate the pelvic muscles or their nerve supply, directly improving pelvic muscle strength and assisting bladder control. It may also be used to inhibit an overactive bladder. Tibial and sacral nerve stimulation are proving to be highly effective treatment modalities used by the unit.

Other treatment methods

Medication, hormonal ointments, dietician input and Pilates exercises form part of a broader conservative programme, tailored to each patient.

Surgical

Minimally invasive surgery

Minimally invasive incontinence surgery

Surgery for stress incontinence has become quite minimally invasive and can often be performed either as a day-stay or overnight procedure.

Sub-urethral sling (TVT)

The most common surgical solution for stress urinary incontinence, placing a supportive sling beneath the urethra.

Correction of vault prolapse

Repair of vaginal vault prolapse after hysterectomy, restoring pelvic support.

Patient education material is available from NuAngle, distributor of Coloplast.

Discuss your options

Every treatment plan is decided by the team after a full diagnostic work-up.

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