Continence care

Continence problems are common and affect people of all ages. Spire Hartswood Hospital’s continence service provides assessment, clinical advice and treatment for those with bladder or bowel needs. Incontinence can have distressing social consequences on those affected but, with the right care, can be better managed, improved or even cured, allowing the patient to retain their independence and dignity.

To book an appointment please call 01277 266 766, or 01277 266761 if you do not have private medical insurance.

Stress urinary incontinence (SUI) and urge incontinence can often occur as a result of pelvic floor muscle weakness or damage. The pelvic floor muscle, which attaches to your pubic bone at the front and your coccyx (tailbone) at the back, can be weakened by pregnancy, childbirth, hormonal changes, constipation, strenuous lifting and being overweight. Strengthening the pelvic floor muscles and making simple lifestyle changes,
could greatly improve or even cure symptoms
experienced. Read more about physio.

PTNS is a form of neuromodulation. A small, slim needle electrode is temporarily inserted near the tibial nerve close to the ankle. This is then connected to a battery-powered stimulator. The stimulator’s impulses will travel through the tibial nerve and to the sacral nerve plexus, the nerves that control bladder and sphincter function. 
Read more about PTNS.

Urodynamics assessment
This is a test for finding out how your bladder, sphincter (the muscle around the neck of your bladder) and urethra (the tube that carries urine out of the body) are working. The test can help find out the cause of incontinence or difficulty in passing urine. 
A urodynamic study is usually done as an out-patient procedure if other tests are inconclusive or if other treatments have failed. The test may include X-rays to help your consultant make a diagnosis. Read more about urodynamics assessments.

Vaginal tape surgery
A tension-free vaginal tape (TVT or TOT) may be used to support the urethra (the tube that carries urine from your bladder). This can help keep your bladder closed or support it so that it doesn’t leak under pressure. Both TVT and TOT techniques gave similar results however your surgeon will be able to explain the differences between the two methods in more detail. Read more about surgery for incontinence.

Periurethral bulking agents
Periurethral bulking agents are designed to "tighten" the urethra to treat urinary incontinence. Some patients can benefit from this procedure which does not involve any surgery. Read more about periurethral bulking agents.

Urodynamics Nurse, Jo Ingram

Read more about urodynamics here.

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