Whitehorse Pelvic Floor and Continence Service
I established this Service to assist women suffering problems of prolapse and bladder incontinence. The philosophy is provision of comprehensive care using the best techniques available to assist them to return to as normal a lifestyle as possible without the stigma and discomfort associated with:
- Urinary incontinence
- Urinary urgency & frequency
- Waking up at night to void frequently
- Vaginal prolapse
- Bowel Dysfunction
Investigations into these problems involve:
- Urodynamic studies looking at bladder function
- Bladder utrasound to check bladder support
Treatment options vary depending on the individual problem. commonly they involve
- Pelvic Floor Physiotherapy
- Bladder training
- Medications
- Magnetic therapy
- Surgery. I perform a range of complex pelvic reconstructive surgery like sacro colpopexy,
vaginal hysterectomy and repair, through to insertion of mid urethral slings for stress
incontinence
A pre pregnancy pelvic floor assessment service is also available for all women.. This enables
- evaluation of a woman’s pelvic floor integrity and strength
- active management with pelvic floor exercises if weakness detected
- planning for managment in a future pregnancy including mode of delivery if required
- a woman the opportunity to consider options to reduce her risk of future pelvic problems
A similar program is also offered to women in pregnancy.
Managing these problems require a multidisciplinary approach with other specialty services. Working in conjunction with Pelvic Floor physiotherapists, and if required, a Colorectal surgeon for bowel dysfunction problems, a holistic plan can be offered to women affected by these problems.