Women's Health Service

Womenís Health Physiotherapy and Continence

Women of all ages can suffer from embarrassing urinary and/or faecal incontinence symptoms. It is estimated 1 in 4 women experience these problems at some point in their lifetime. These symptoms can vary in severity.

These problems are often as a result of weakening of the pelvic floor muscles during pregnancy and childbirth and later in life due to the hormonal changes around the menopause, as well as lifestyle and other factors.

There is usually a combination of causes, but all are associated with a weakening of the pelvic floor muscles. The pelvic floor muscles support the pelvic organs and also help to control urinary and faecal continence. If damaged or stretched, they may no longer work properly and/or may no longer hold up the bladder, vagina and back passage. The pelvic floor muscles may be weak, damaged or not being used properly. Some women donít know where their pelvic floor muscles are or how to use them. Some women may think they can do pelvic floor muscle exercises, but are not doing them correctly. Others may have a strong pelvic floor, but are not using it when they should.

Many women may be too embarrassed to talk about their problem. It can cause great stress and can impact on a womanís quality of life, health and wellbeing.

Often all it takes is some specialist physiotherapy advice to resolve their problem.

Specialist Womenís Health Physiotherapy is recommended by the Department of Health as the first line treatment for these problems and for many is highly successful. Research has shown that physiotherapy can be effective in the treatment of incontinence and pelvic organ prolapse, to the point where women can postpone or avoid the need for surgery or other interventions (up to 79% of women suffering from stress urinary incontinence).

Conditions Treated:
  • Stress urinary incontinence (loss of urine when coughing, laughing, sneezing, changing position)
  • Urinary urgency (a sudden strong need to empty your bladder)
  • Urgency incontinence (a leak if you donít get to the toilet in time)
  • Frequency (passing urine too often during the day and/or night)
  • Pelvic Organ Prolapse (mild to moderate)
  • Leaking of urine during sexual intercourse
  • Faecal incontinence
  • Sexual discomfort
  • Weak pelvic floor muscles following childbirth
Possible treatments
  • Pelvic floor muscle training
  • Bladder retraining
  • Advice
  • Electrical stimulation
  • Biofeedback
  • Vaginal cones
Assessment

When you make an appointment to see our Specialist Womenís Health Physiotherapist, Suzanne Willacy, we will post or email you some information explaining what to expect at your initial assessment.

We recognise that a lot of women can be a very sensitive and embarrassed about their problem and would like to assure you that we maintain the highest professional standards at all times.

All information received and any treatment given remains strictly confidential.

Your initial assessment will take approximately 1ľ hours. You will be asked general questions and other questions specific to your problem.

Tests that may be performed:
  • Urinalysis - a small sample of your urine is tested to check for signs of infection, blood or glucose, to ensure that there are no other problems with your general health or bladder that may be causing your symptoms.

  • Bladder diary - a simple 3 day diary. It gives valuable information about what and when you drink and how often you pass urine and the volumes of urine you pass.

  • Examination - Research shows the only effective way to assess how well your pelvic floor muscles are working is by vaginal examination. When you book your appointment, we will post or email information fully explaining this examination. Of course, if you do not want this examination you can decline, but it will limit the treatment and advice given.

After your assessment your physiotherapist will discuss this with you and decide on options. Some women may only need 2 or 3 physiotherapy sessions, some will need more.

To book an appointment with our Specialist Womenís Health Physiotherapist, Suzanne Willacy, please telephone the clinic on 015395 64727

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