Urogynaecology is the diagnosis, treatment and management of a wide range of pelvic floor disorders including urinary tract infections and urinary incontinence in women. At New Victoria Hospital, we pride ourselves on providing comprehensive care and personalised treatment plans for Urogynaecological conditions in London to improve patients' quality of life and help them regain comfort, control and overall well-being.
Our experienced urogynecology specialists use the latest technology and techniques to treat a broad spectrum of conditions, including urinary tract infections, pelvic organ prolapse, urinary incontinence and childbirth injury. Where appropriate, we also offer advanced pelvic floor surgery, always delivered with care and compassion.
What is Urogynaecology?
Urogynaecology is a speciality that combines both urology and gynaecology and is focused on addressing conditions that affect the pelvic organs including the vagina, bladder, uterus. A urogynecology consultant at New Victoria Hospital diagnoses the conditions listed below, treating them using non-surgical procedures and pelvic floor surgery when needed.
Our urogynecologists diagnose and treat:
Pelvic organ prolapse
This refers to descent of the womb, bladder, or bowel from its normal position into the vagina, leading to pain and discomfort. While lifestyle changes and pelvic floor exercises may help alleviate a prolapse, pelvic floor surgery or vaginal support pessaries may be advised.
There are several types of pelvic organ prolapse:
- Anterior wall or Cystocele - the front wall of the vagina protrudes allowing the bladder to come down into the vagina. Or the bladder protrudes into the vagina
- Posterior wall or Rectocele - the rectum bulges into the vagina
- Small Bowel or Enterocele - the small intestine bulges into the vagina
- Uterine Prolapse - the uterus comes down into the vagina
- Vault Prolapse- the top of the vagina (after a hysterectomy) slides into the vagina
Childbirth injury
During childbirth it is common for women to experience physical injury or trauma. The injuries can include prolapse and vaginal and perineal tears. This can happen naturally during childbirth or can result from medical interventions, such as an episiotomy - a procedure where the vagina or perineum is cut to make space for the baby.
Lower urinary tract symptoms (LUTS)
These conditions include various difficulties related to urination, such as urinary urgency, frequency, Overactive bladder, incontinence, cystitis and voiding difficulties - where the bladder never fully empties. Might be good to mention overactive bladder (OAB) as this is a term that might be searched for.
Pelvic pain syndromes / Bladder pain syndrome
This condition is an ongoing pain in the bladder, urethra, vagina, or perineum. The pain can vary in intensity, from mild to severe, and frequency, from constant to periodic. A Urogynaecologist can access and manage these symptoms, evaluating treatment plans.
Treatment of Urogynaecology conditions at New Victoria Hospital
At New Victoria Hospital our expert Urogynecologists provide a wide range of treatments. Using the latest methods and technology, they help patients suffering from a range of urogynecological conditions, from initial diagnosis to after-care.
When a patient first arrives at our Hospital, they will be invited for a consultation with one of our expert Urogynaecologist to discuss their symptoms and any concerns they may have. Our specialists will then examine a patient to find out the cause of the problem and the best course of treatment, this can be done in several ways which may include:
- Flexible Cystoscopy: This is a medical procedure using a flexible tube with a light and camera to examine the inside of the bladder and urethra. It allows surgeons to visually assess their condition and diagnose any abnormalities or conditions.
- Urodynamic testing: This involves measuring various urinary functions, such as bladder pressure, urine flow rate, and the ability to store and empty urine. Urodynamic testing helps in diagnosing conditions related to the lower urinary tract.
Once our expert Urogynaecologists have diagnosed the condition, depending on its type and severity, they will then recommend the best treatment plan. Our multidisciplinary team may recommend pelvic floor exercises to strengthen the muscles in the pelvic area. They can also prescribe medications to manage symptoms or suggest lifestyle changes such as adjustments to diet, or manage prolapse using vaginal support pessaries.
In some cases, Urogynecologists may perform minimally invasive procedures using specialised tools to help treat certain conditions. These procedures can provide relief with less discomfort and faster recovery than more invasive procedures. If necessary, they may also perform pelvic floor surgery to repair or correct pelvic organ problems.
Urogynaecology at New Victoria Hospital
Although most urogynaecological conditions are not life-threatening they can greatly impact an individual’s day-to-day life and be very stressful to deal with. Our leading treatments provided by our urogynaecologists help patients regain a good quality of life and improve their overall well-being with the best equipment and technology available. We manage every aspect of a patient's care journey, from initial assessment and treatment to follow-up care, with the utmost care and expertise. Our friendly and compassionate teams here at our specialist Women’s Health hospital in London is dedicated to providing the best in unrivaled, patient-focused care.
Consultants and Clinic Times
Professor Stergios Doumouchtsis
Specialities
Mr Demetri Panayi
Specialities
