Welcome to the Urogynaecology and Pelvic Floor Medicine Centre
The Urogynaecology and Pelvic Floor Medicine Centre provides a wide range of services for patients including those with problems relating to overactive bladder, urinary incontinence, voiding problems, recurrent urinary tract infections and painful bladder syndrome.
Pelvic floor medicine includes dealing with all aspects of prolapse such as obstructed defaecation and faecal incontinence.
Our services are highly specialised and the unit offers a wide variety of conservative and surgical treatment options.
• One-stop assessment of pelvic floor symptoms with investigation and treatment planning clinics
• Specialist incontinence and prolapse clinics for planning surgery
• Specialist joint clinics for bowel dysfunction with colorectal surgeon(OASIS)
• Joint clinic with urologist for complex urogynaecology cases
• One stop nurse led urogynaecology clinics
• Community continence clinics (with Physiotherapy)
• Joint Care of the Elderly clinics
• Percutaneous tibial nerve stimulation clinic
• Perineal clinic
• Nurse led catheter care
• Inpatient bladder retraining
Most of the staff are involved in research for patient benefit and some of the projects here are at the forefront of research into all areas of urogynaecology. As a result the treatment options available to patients may be unavailable elsewhere. All new procedures are followed up and outcomes are strictly monitored to ensure that treatments offered are of proven quality. We offer a wide range of investigations and carry out some surgery as an ambulatory or day case or outpatient procedure.
Consultant led Urogynaecology Clinic
Those clinics are designed to assess and manage patients with complex urinary incontinence and pelvic floor dysfunction problems. Our Consultant Urogynaecologists who run the services are: Mr Toozs-Hobson (Clinical Director), Mr Parsons and Dr Latthe. These clinics are supported by the nursing staff as well as the specialist research fellows and a subspecialty trainee.
OASIS Clinic (Obstetric Anal Sphincter Injuries)
We run a joint colorectal clinic with surgeon Mr Simon Radley, his team and a perineal care midwife once a month. We review women who have sustained injuries during vaginal birth and ensure appropriate investigations and management. Patients are also reviewed with bowel dysfunction (faecal incontinence, constipation and obstructive defaecation).Complex cases are offered surgical involvement jointly with Colorectal surgeons.
The Perineal Clinic
This is a dedicated monthly one-stop clinic run by Professor Ismail who has a special interest in perineal care. Patients who sustained perineal trauma during birth could directly referred here by their community midwives. Patients with non-birth related perineal problems also are being reviewed and offered different types of treatment (physiotherapy, surgery etc).
Pelvic Floor Leaflet
There are currently a wide range of incontinence and prolapse surgery. The unit currently has three all day operating lists per week allowing for a range of urogynaecological operations to be performed. Outcomes of all surgical procedures are audited prospectively in our unit in accordance with the requirements of the British Society of Urogynaecology. Please follow the following links to leaflets about surgical procedures:
Vaginal Hysterectomy and Vaginal Repair
Cytoscopy and Bladder Biopsy
Botox Injections into the Bladder
Vaginal Mesh Repair
Bladder Neck Bulking Injection
Leaflets provided by the British Society of Urogynaecologists
Please visit the patient information section of the website for a selection of leaflets