Common symptoms
- Stress incontinence — urine loss when coughing, sneezing, laughing, exercising
- Urge incontinence — sudden, hard-to-suppress urge
- Prolapse — pressure feeling, “something coming down”
- Sexual issues — pain, dryness, altered sensation
- Recurrent UTIs
- Faecal incontinence — rare, often unspoken
You are not aloneAbout 1 in 3 women experiences pelvic-floor issues over a lifetime. Most are very treatable — when they're talked about.
Diagnostics
History (with ICIQ/PFDI questionnaire), clinical exam with pelvic-floor function testing, transvaginal ultrasound, residual urine. If needed, urodynamic testing is carried out externally; we arrange the referral.
Conservative therapy
- Pelvic-floor physiotherapy (first choice) — referral to specialised therapists
- Pessary fitting for prolapse
- Local oestrogen for mucosal atrophy
- Medication for urge incontinence
- Behavioural & toilet training
Surgical therapy
If conservative therapy is not sufficient, minimally invasive procedures may be an option — TVT-O for stress incontinence, vaginal prolapse surgery or laparoscopic sacrocolpopexy. We do not perform these procedures ourselves. We invite you for a detailed consultation, put the findings in context and refer you to a specialist urogynaecology centre for planning and discussion of the treatment.
Prevention
- Pelvic-floor training after pregnancy & birth
- Weight management
- Treatment of chronic cough / constipation
- Postmenopausal oestrogen substitution if needed
Courage for the first appointmentWe know these topics are hard. That's exactly why we take so much time. Book online.