Urinary incontinence & vaginal prolapse

Research tells us that between 60-80% of urinary incontinence problems can be improved with conservative measures. Vaginal prolapse also responds very well to conservative strategies with research showing that it should be the first line of treatment offered. The earlier you are aware that you have a small amount of bladder leakage or even slight vaginal wall laxity, the more that can be done to prevent this from getting worse and requiring surgery.

Pelvic floor muscle training and learning the knack or bracing (tightening the pelvic floor muscles before increased intra-abdominal pressure due to cough, sneeze, lifting, pushing trolleys, getting in and out of bed, going from sit to stand and bending); understanding good bladder and bowel habits; learning the correct position for defaecation; and understanding the importance of pelvic floor safe exercising will help treat urinary leakage and prevent the prolapse from worsening.

Pessaries of various forms such as ring or cube pessaries for prolapse (in a pre-menopausal woman) or a Contiform® pessary for stress incontinence can be fitted for an extra fee on top of the initial or subsequent consultation. Sue and Martine fit pessaries. You need to make a half hour appointment and then you go for a walk for half an hour minimum and then come back for a short 15 minute appointment to ensure it has stayed in position and then to train you how to put it in and out.

Pessary Ring

Pessary Ring

 

Contiform

Contiform