Urinary Control and Pelvic Prolapse
Urinary control and pelvic support rely on the pelvic floor, a network of muscles and connective tissues that hold the bladder, womb and bowel in place. When these structures weaken or become overactive, women may experience urinary leakage, sudden urges to pass urine, or a sensation of pressure or bulging in the vagina. These conditions are common after childbirth, during the menopause, or as part of the natural ageing process, but they are not something you have to live with.
These conditions often involve the following:
Urinary incontinence: involuntary leakage of urine, which may occur when coughing, sneezing, exercising (stress incontinence), or with a sudden urge to pass urine (urge incontinence). Some women experience a combination of both types (mixed incontinence).
Overactive bladder: characterised by a sudden, frequent need to urinate, sometimes accompanied by leakage, often disrupting daily life and sleep.
Pelvic organ prolapse: occurs when the bladder, womb or bowel descends into the vagina due to weakened pelvic floor support, causing a feeling of heaviness, bulging or discomfort.
London Gynaecology’s Urogynaecological Services
We offer consultant-led urogynaecology clinics specialising in urinary control and pelvic floor disorders. Our team provides expert assessment, personalised care plans, and advanced treatment options.
We treat each patient individually, taking a holistic, evidence-based approach that may include lifestyle and bladder management advice, medication, minimally invasive procedures, or surgery. Our goal is to restore comfort, confidence, and quality of life, empowering you to manage your symptoms effectively.
Your consultation will include a thorough assessment, practical advice, treatment recommendations, and ongoing support for managing urinary and pelvic floor health at every stage of life.
Diagnosis typically involves a detailed medical history, a bladder diary, and a pelvic examination. Tests may include urine dipstick tests, ultrasound to assess residual urine, cystoscopy, and urodynamic studies to evaluate bladder function.
It is a urinary leak caused by an increase in the abdomen under stress. It is the common type of urinary incontinence and can occur on physical activity such as coughing, sneezing, laughing or lifting. Treatment includes supervised pelvic floor exercises, peri-urethral bulking, or more surgically invasive sling procedure.
Yes, many cases can be managed with conservative treatments such as pelvic floor exercises (Kegel exercises), bladder training, lifestyle modifications (like reducing caffeine intake), and medications. A urogynaecologist can tailor a treatment plan to individual needs.
Surgery is generally considered when conservative treatments fail. Options may include procedures like bladder Botox injections, nerve stimulation therapies, or surgical repair of prolapse using native tissue or mesh. The choice depends on the severity of symptoms and individual health factors.
If you're experiencing symptoms like urinary leakage, frequent urges to urinate, or a sensation of pelvic heaviness, it's advisable to consult a urogynaecologist. They specialise in diagnosing and treating pelvic floor disorders and can offer tailored treatment options.
Yes, urinary incontinence and pelvic organ prolapse are prevalent, especially among women over 50. However, they are often underreported due to embarrassment. Seeking help can lead to effective management and improved quality of life.
"Many females quietly struggle with prolapse or other pelvic concerns, but they don’t have to. I’ve cared for thousands with these issues, helping them regain comfort and confidence in daily life."
Ms Mittal Patel
Consultant Urogynaecologist
London Gynaecology
Book your appointment online
Our urogynaecology consultation provides expert assessment, diagnosis, and personalised treatment plans from management to minimally invasive procedures, often discussed and started within the same appointment.
Treatments
Bladder Training & Medication
- Bladder retraining for overactive bladder
- Medications to calm an overactive bladder or improve bladder control
Supportive Devices (Pessaries)
- Removable vaginal devices to support prolapsed organs
- Can relieve pressure, bulging and improve continence without surgery
Minimally Invasive Procedures & Surgical Treatments
- Urethral bulking injections for stress incontinence
- Botox injections for overactive bladder
- Nerve stimulation (e.g., sacral neuromodulation)
- Sling procedures or tape for stress urinary incontinence
- Surgical repair of prolapse using native tissue or mesh (if appropriate)
- Aim is to restore bladder, womb or bowel support and improve symptoms
Book Your Appointment
If you wish to explore the treatments for any of the conditions listed above, please book an appointment with our specialists, Ms Mittal Patel or Ms Shikha Kapur.
Where can I find out more information or access any useful support services?
If you wish to learn more about our consultation pricing, view our fee page
For more information about urinary incontinence, overactive bladder, and pelvic organ prolapse, these trusted sources provide helpful guidance and self-care advice:
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NHS – Urinary Incontinence in Adults: https://www.nhs.uk/conditions/urinary-incontinence/
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NHS – Pelvic Organ Prolapse: https://www.nhs.uk/conditions/pelvic-organ-prolapse/
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Continence Foundation (UK): https://www.continence-foundation.org.uk/
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Bladder & Bowel UK: https://www.bladderandbowel.org/
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POGP – Pelvic, Obstetric and Gynaecological Physiotherapy: https://pogp.csp.org.uk

