Evaluation and treatment of Urinary Incontinence

1 in 3 women experience some degree of urinary incontinence at some stage in their life. A number of men also experience this problem particularly after prostate surgery.

The practice offers a wide range of treatment options for these problems as well as pelvic floor assessment and a comprehensive urodynamics facility.

Treatments offered include physiotherapy, medical treatment, minimally invasive surgery such as tape surgery (TVT, TVT O, SPARC, MONARC, ADVANCE) and the laparoscopic burch culposuspension.

More invasive surgery would include an autologous pubo-vaginal sling, an open burch culposuspension, an artificial urinary sphincter or urinary diversion.

Evaluation and treatment of pelvic organ prolapse

Many women experience pelvic organ prolapse, particularly after childbirth. It is not uncommon for women with pelvic organ prolapse to also experience urinary incontinence.

The problem occurs because the pelvic floor has been injured during the process of childbirth.

There are many procedures available to restore the function of the pelvic floor. Most of these procedures are performed vaginally, but some are performed abdominally by open or key-hole surgery. Some repairs involve sutures only and others involve the laying of tissue or mesh.

Evaluation and treatment of recurrent urinary tract infections

Many women experience recurrent urinary tract infections. There are set protocols for the investigation and treatment of this problem. These protocols usually require x-rays to be taken, urine tests to be performed and occasionally an endoscopic inspection of the bladder (cystoscopy) to be undertaken. The practice provides the full range of investigations and necessary treatments.

 
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