London Gynaecology | Private Obstetrician | chrisbarnick@obgynmatters.co.uk • 02073908440 • alisonwright@obgynmatters.co.uk • 07540 128 755

OBGYN Matters

London Gynaecology & Private Obstetrician We can´t thank you enough for helping to bring our little man into this world! Your guidance and support throughout the entire pregnancy was brilliant.

Pelvic Floor Problems – Symptoms and Treatment

Definition:
The pelvic floor includes the muscles and other tissues supporting the bowel, bladder, womb and vagina. If the pelvic floor is weakened these supports do not work properly and the position of these organs may change.

Symptoms:

  • A ‘prolapse’ (known to affect up to 30% of women who have had children)
  • Changes in bladder or bowel control
  • Difficulties with sex

    Problems with the pelvic floor often deteriorate following the menopause.
    Treatment:
    We offer a sympathetic approach to these sensitive problems. Often simple lifestyle advice may lead to an enormous improvement in quality of life. We work closely with a team of specialist physiotherapists who provide an individualised programme of pelvic floor exercises to build up the weakened support mechanisms.

    When the above measures are not sufficient, we have particular expertise in pelvic floor surgery and prolapse repair, offering a wide range of surgical procedures. These include: anterior vaginal wall repair, posterior vaginal wall repair, vaginal hysterectomy, sacrospinous fixation, sacrocolpopexy, and newer techniques involving insertion of mesh reinforcement such as the Prolift vaginal repair system.

    The decision to have surgery and the exact choice of surgery requires careful consideration and planning to ensure it is appropriately tailored to the individual woman.