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What is urogynaecology?

Urogynaecology, a gynaecology subspecialty, is dedicated to diagnosing and treating urinary incontinence and female pelvic floor disorders. It offers comprehensive services for conditions like urinary incontinence, vaginal prolapse, recurrent urinary tract infections (UTIs), bladder pain, and pelvic floor injuries post-childbirth. Our Urogynaecologists are Gynaecologists with specialised training in urology.

At Benenden Hospital, we’re committed to delivering discreet, personalised care. Our experienced team of Urogynaecologists and Specialist Nurses will work with you to devise a treatment plan that aligns to your unique needs and lifestyle.

Understanding urogynaecology: women’s pelvic health explained

In this enlightening video, we delve into the world of urogynaecology with expert insights from Jan Chaseley, Jan Chaseley our highly experienced Clinical Nurse Specialist in Continence Care. Watch as we explore essential topics related to women’s pelvic health.

Video transcript

So, urogynaecology is a subspecialty in gynaecology. And it's particularly focusing on women who have problems with their bladder. And that can either be stress incontinence, leaking with coughing, sneezing exercise or overactive bladder where you get a lot of urgency, you can sometimes leak with that urge and often associated with that is a lot of night time symptoms, getting up a lot in the night to pass urine.

And also it covers pelvic organ prolapse and that is where either the bladder, the bowel or even the uterus can drop down into the vagina. And that can give symptoms of a heaviness, a dragging, a feeling of a vaginal lump or some patients can even see a vaginal lump. The most common things that we see are definitely the stress incontinence and overactive bladder. Again at Benidorm, we will see patients for prolapse.

And I think if you're coming along or if you think you've got some symptoms of prolapse, come along and have a proper assessment in the Urogynaecology team, get some advice around pelvic floor exercises and all of the advice that the specialist nurses can give you. One of the most important things is obviously the pelvic floor exercises that we've always talked about. You want to avoid doing too much heavy lifting, too much carrying big pots of compost and garden pots down the garden. Don't be a smoker and have a chronic cough because that increases abdominal pressure. Try not to have things like chronic constipation. Again, anything that's going to involve bearing down straining can make symptoms of prolapse worse.

If you've got a urinary incontinence, it may just be that you've picked up these symptoms because you've had three children and large babies, difficult deliveries which has slightly weakened your pelvic floor. So, you know, some of these symptoms, actually, you probably can't prevent, but there's a lot of positive things you can do to treat them. We're really lucky at Benenden. We have three urogynecologists that work here, two male consultants and one female. They work very closely with the four specialist nurses so that we can give you a complete holistic multidisciplinary approach to your care.

I have a question about treatment for urogynaecology conditions

What is the difference between gynaecology and urogynaecology?

Gynaecologists are experts in women’s health, focusing on the female reproductive system which includes the uterus, cervix, vagina, and ovaries. They provide care for a range of conditions including pregnancy, menstruation, menopause, and infertility.

Urogynaecologists, on the other hand, are a special kind of gynaecologist. They have additional training in pelvic disorders and are the go-to experts for conditions related to the pelvic floor. This includes urinary incontinence, pelvic floor disorders, and injuries after childbirth. While Gynaecologists can handle mild cases of prolapse and incontinence, Urogynaecologists are equipped to manage more complex situations.

What conditions can I be treated for?

We provide a range of treatments and services, including pelvic floor exercises, vaginal pessaries, and surgical procedures to mend vaginal wall weakness or remove a prolapsed uterus. Our Consultants provide comprehensive care for a wide range of conditions, including but not limited to:

We also cater to overactive bladder conditions, offering fluid advice, bladder retraining, pelvic floor exercises, and medications like solifenacin and mirabegron.

What can I expect during my first urogynaecology appointment?

In your first appointment with your Consultant, you can expect a thorough discussion about your medical history, symptoms, and any previous treatments you’ve had. This could be followed by a physical examination to help determine the best course of action.

What are the non-surgical treatment options for urinary incontinence?

For urinary incontinence, we offer a range of non-surgical treatments. These include pelvic floor exercises and bladder training, which can often be incorporated into your daily routine, lifestyle changes that might help alleviate symptoms, and medications that can help control incontinence.

How can we help?

A woman cooking in the kitchen

Navigating common bladder issues

We explore key bladder issues every woman should be aware of, and ways to address them.

Navigating common bladder issues
Our guide to pelvic floor exercises

Pelvic floor exercises

Urinary incontinence can have a massive impact on our everyday lives. We’ve put together a guide of tried and tested exercises to improve your pelvic floor muscles.

Our guide for pelvic floor exercises
Bulkmaid for stress incontinence

What is stress urinary incontinence?

If you cough, sneeze, lift weights or change posture, the pressure on your tummy muscles increase which in turn puts pressure on your bladder. This then causes leaks.

Introducing Bulkamid: A solution that works
Woman with two young children

Managing your wellness after childbirth

If you're looking for help with pelvic and general wellness after childbirth, our guide can help.

Managing your wellness after childbirth
Woman drinking a cup of tea

Common myths about bladder and pelvic floor disorders

Mr Abhishek Gupta guides you through the facts and fiction surrounding bladder and pelvic floor conditions.

Common myths about bladder and pelvic floor disorders – Debunked
Dive into our archive of empowering female health webinars

Explore our female health webinar archive

Dive into our inclusive, expert-led archive of empowering female health webinars.

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Benenden Hospital female health hub

Supporting your health, every step of the way

As you move through the different stages of your life – from coping with periods to pregnancy to menopause and beyond - your needs might change.

Taking care of your body and mind at work or in your personal life is important and our female health hub is here to provide you further information and signposting to help.

Our Consultant (Uro)gynaecologists

Mr Connell

Rowan James Connell

Consultant Gynaecologist

Mr Connell's specialties include prolapse, incontinence, vaginal reconstruction surgery and MonaLisa Touch.

Mr Gupta

Abhishek Gupta

Consultant Gynaecologist

Mr Gupta's specialties include urinary incontinence, uterine and vaginal prolapse and heavy or painful periods.

Ahmed Khalil

Consultant Gynaecologist

Mr Khalil's specialties include diagnostic laparoscopy, myomectomy and hysterectomy.

Miss Anahit Zakaryan

Anahit Zakaryan

Consultant Gynaecologist

Miss Zakaryan specialises in general gynaecology, including bleeding problems, vulval problems, contraception, HRT, fibroids and vaginal prolapse.

Contact us about private urogynaecology procedures

It's easy to book online or by giving us a call.