Doctor Doctor

09 July 2018

I suffer from leakage of urine (urinary incontinence)

Urinary incontinence or leakage of urine is extremely common; however many women are reluctant to seek help.

Leakage of urine during coughing, laughing or exercise is due to weakness of the pelvic floor muscles and is called stress incontinence. Leakage of urine can also be associated with urgency (needing to rush to the toilet), frequently needing the toilet  and waking up several times at night to pass urine. These symptoms may be due to an overactive bladder.

What treatments are available for urinary incontinence?

Initial treatment may involve physiotherapy and medications. If they don’t work, you may be offered further tests and various surgical options to treat the condition as appropriate.

Does the treatment involve use of mesh?

Mesh or tape surgery is only one of the options to treat stress incontinence, other options are available; all of which will be discussed with you.


I think I have a prolapse

Pelvic organ prolapse is bulging of one or more of the pelvic organs (uterus, bladder, bowel) into the vagina. This may cause a sensation of a bulge or something coming down or out of the vagina, which sometimes needs to be pushed back.

Which prolapse do I have?

The Consultant will examine you to determine which type of prolapse is present.

The types are:

  • Cystocele - involving the bladder
  • Rectocele - involving the rectum/back passage
  • Uterine prolapse - involving the uterus/womb
  • Vault prolapse - involving the top of the vagina(if you have had a hysterectomy)

How is prolapse treated?

Depending of the severity of your condition and the effect it has on your quality of life, you may be able to leave things alone. You may be offered vaginal ring pessaries or surgery to treat the prolapse.

To see Miss Roopa Nair at Spire London East Hospital, call us on 020 8709 7817 or send an enquiry.

Private clinic times: Friday PM

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