Urogynaecology

About us

The Urogynaecology Unit offers assessment and treatment of women with a wide range of pelvic floor and lower urinary tract problems.

We provide specialist treatment (non-surgical and surgical) for conditions such as:

• Vaginal prolapse
• Urinary incontinence
• Overactive bladder
• Recurrent urinary tract infections
• Painful bladder syndrome
• Difficulty passing urine
• Third and fourth degree obstetric anal sphincter tears (OASI)

The unit has a multi-disciplinary team approach to patient care. The clinical team is consultant led with two Consultant Urogynaecologists, a Urogynaecology Consultant Nurse, Two Urogynaecology Advanced Practitioners, Two Urogynaecology Nurses, Specialist Pelvic Health Physiotherapists and a dedicated administration team.

As a specialist service, we aim for you to see the best person for you at your first appointment. This may be a consultant, resident doctor, nurse consultant, or advanced practice nurse or physiotherapist specialised in urogynaecology.

This makes the most of your first appointment and helps to shorten the pathway of your care where possible. All available urogynaecology services can be organised and accessed by each clinician. 

We work closely together to ensure a holistic approach to care, holding weekly multi-disciplinary team (MDT) meetings and monthly MDT meetings with other specialist departments within the Trust including urology, colorectal, geriatrics and the community continence teams. We also work closely with the maternity department supporting women during and after childbirth.

We are actively involved in research, operate within national guidelines (including NICE and BSUG) and adopt the latest evidence-base practice with all aspects of urogynaecology.

We are an accredited unit and therefore you may be asked to complete questionnaires about your care.

We offer a wide range of treatments and investigations:

Non-surgical management

• Urogynaecology nurse led clinic 
• Pelvic health physiotherapy clinic including pelvic floor muscle training
• Vaginal pessary management
• Percutaneous tibial nerve stimulation (PTNS)
• Bladder instillations
• Intermittent self catheterisation
• Bowel function clinic

Investigations

• Urodynamic studies including ambulatory and video
• Flexible cystoscopy
• Uroflowmetry
• Endoanal ultrasound and anal manometry
• Bladder scans

Surgical management

• Botox including in outpatients
• Incontinence procedures
• Prolapse repair surgery including for recurrence

Physiotherapy service

There is a team of Pelvic Health Physiotherapists specialising in pelvic health who work closely with a variety of departments within Kingston Hospital.

They treat a range of conditions including urinary urgency and incontinence, faecal urgency and incontinence, pelvic organ prolapse and pelvic pain.

They also see patients who are suffering from pregnancy related musculoskeletal issues such as pelvic girdle pain, lower back pain and carpal tunnel. Our treatment approach for all conditions is holistic and patient centred.

Useful resources

• Bladder Health UK
• Bladder and Bowel Community
• getUBetter - Women's Pelvic Health
• International Urogynaecology Association
• Patient Decision Aids (NICE)
• Pelvic Obstetric Gynaecological Physiotherapists
• Royal College of Obstetricians and Gynaecologists

Urogynaecology team