Urogynaecology
Index:
- What is urogynaecology?
- What are pelvic floor disorders?
- What causes pelvic floor disorders?
- What are symptoms related to issues with the pelvic floor?
- When should you visit a urogynaecologist?
What is urogynaecology?
Urogynaecology is a subspeciality of gynaecology that assesses, investigates and treats a woman’s pelvic floor issues as one. A urogynaecologist is a gynaecologist who has specialised in urology.
What are pelvic floor disorders?
A urogynaecologist treats pelvic floor issues. The pelvic floor is a band of muscles, that both men and women have, that supports the bladder, the rectum and other pelvic organs. If this band of muscles becomes weak, the organs that ‘lie’ on the muscles (bladder, bowel and uterus in women) are not correctly supported and pelvic floor issues may arise. These issues may be:
• Stress and urge urinary incontinence
• Pelvic organ prolapses, like vaginal prolapse
• Genitourinary Fistula (abnormal passage between the urinary and genital structures)
• Recurrent urinary tract infections (UTIs)
• Bladder pain
• Pelvic floor injury after childbirth
• Faecal incontinence
• Obstetric and Sphincter injuries (OASIS)
What causes pelvic floor disorders?
Common causes of weakened pelvic floor muscles include:
• Childbirth
• Obesity
• Pelvic surgery or radiation
• Aging
• Heavy lifting
• Genes
What are the symptoms related to issues with the pelvic floor?
Symptoms that can be signs of pelvic floor issues include:
• An overactive bladder
• Loss of control over the bladder
• Leaking urine when coughing, sneezing and exercising
• Urinary incontinence
• Constant feeling of needing to relieve the bladder
• Recurring or chronic UTIs (urinary tract infection)
• Chronic constipation
• Bowel problems
• Pelvic pain
• Pelvic pressure
• A full, heavy, pricking or pulling sensation in the vagina that worsens over the course of the day
• Pain during sexual intercourse
• Decreased sexual desire
When should you visit a urogynaecologist?
For the most part these are not life threatening, medical emergencies. They do, however, greatly impact a person’s quality of life. Many women are embarrassed by these symptoms. If you are experiencing any of the above symptoms, you should first visit your GP. GPs will refer you to a urogynaecologist if there is a complex issue that needs specialist treating.


Diagnosing vaginal prolapse: Is your quality of life being affected?
By Professor Stergios Doumouchtsis
2022-06-22
Chronic infections and disruption to the bladder's normal functioning can result from vaginal prolapse. Fortunately, there are a variety of forms of treatment available for women looking to resolve troublesome symptoms of the condition. Leading consultant obstetrician and gynaecologist Professor Stergios Doumouchtsis gives expert insight on how vaginal prolapse is diagnosed and treated in this illuminating article. See more
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Professor Vik Khullar
Obstetrics & gynaecologyExpert in:
- Pelvic floor
- Vaginal prolapse
- Urinary incontinence
- Pelvic pain
- Bladder problems
- Urogynaecology
-
Mr Azar Khunda
Obstetrics & gynaecologyExpert in:
- Stress incontinence
- Urogynaecology
- Urinary tract infection
- Vaginal prolapse
- Overactive bladder
- Bladder problems
-
Miss Ivilina Pandeva
Obstetrics & gynaecologyExpert in:
- Urogynaecology
- Urinary incontinence
- Urinary tract infection
- Laparoscopy
- Vaginal prolapse
- Sexual dysfunction
-
Dr Alison Wright
Obstetrics & gynaecologyExpert in:
- Childbirth
- High-risk pregnancy
- Urogynaecology
- Bladder problems
- Menopause
-
Mr Rami Atalla
Obstetrics & gynaecologyExpert in:
- Recurrent miscarriage
- Urogynaecology
- Gynaecological examination
- Fertility Preservation
- Vaginal prolapse
- Menopause
- See all

Westminster Gynaecology
Westminster Gynaecology
Westminster Consulting Rooms, Guys and St Thomas’ Hospital, Westminster Bridge Rd
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ObGyn Matters London
ObGyn Matters London
The Portland Hospital, 212 Great Portland Street, W1W 5QN
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Gynaecare Ltd
Gynaecare Ltd
25 Harley Street, Marylebone, W1G 9QW
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Top Doctors
-
Westminster Gynaecology
Westminster Consulting Rooms, Guys and St Thomas’ Hospital, Westminster Bridge Rd, Central LondonExpert in:
- Cancer screening clinic
- Obstetrics and Gynaecology
-
ObGyn Matters London
The Portland Hospital, 212 Great Portland Street, W1W 5QN, Central LondonExpert in:
- Maternity care
- Diagnostic Imaging
- Endometriosis
- Fibroids
- Obstetrics and Gynaecology
- Women’s health
-
Gynaecare Ltd
25 Harley Street, Marylebone, W1G 9QW, Central LondonExpert in:
- Minimal access surgery (keyhole surgery)
- Ultrasound
- Fertility
- Obstetrics and Gynaecology
- Urinary Incontinence
- Women’s health
- See all