FAQs

Urogynaecology is a subspecialty of gynaecology dedicated to the diagnosis, treatment, and management of female pelvic floor disorders and lower urinary tract dysfunction. It focuses on conditions related to the pelvic organs - bladder, uterus, and bowel - and the supporting tissues, including injuries that occur after childbirth.  It includes:

• Pelvic organ prolapse where weakness in the pelvic floor cause organs to bulge into or out of the vagina - includes prolapse of the vagina or bladder or rectum
• Recurrent urinary tract infections
• Bladder pain and leaking problems e.g. incontinence

Potential treatments and services include:

• Non-surgical: Pelvic floor muscle therapy/physiotherapy, bladder training, vaginal pessaries (device to support prolapse), and lifestyle/dietary changes.
• Medical: Medications for overactive bladders (e.g., Mirabegron) and topical oestrogens for vaginal health.
• Minimally invasive procedures: Botox injections to the bladder
• Surgery: Vaginal repair, surgical ‘sling’ procedures for incontinence, and vaginal hysterectomy. 

Urogynaecologists often work within multidisciplinary teams involving specialist nurses, physiotherapists, colorectal surgeons, and urologists to manage complex cases.