Pelvic Floor Dysfunction Clinic at Progress

Pelvic floor problems are known to affect one in three women and one in 10 men. The symptoms can range from loss of bladder and/or bowel control to pelvic organ prolapse and pelvic pain.

Current research suggests that around 32% of women and 13% of men in the UK have a bladder control problem and 11% of the population have a bowel control problem. Also, there are many women and men who have problems with intercourse, which may be related to other medical problems already being treated. For some women intercourse can be too painful (dyspareunia), whilst some men are unable to achieve or maintain an erection (erectile dysfunction).

Sadly a large percentage of these adults suffer in silence, not aware that they can be helped.

What problems can be associated with pelvic floor dysfunction?

  • Leakage of urine during certain sporting activities, or when coughing or sneezing
  • An overriding need to use the toilet urgently and not always getting there in time
  • Dribbling small amounts of urine without knowing it
  • Bedwetting in adults and children
  • Getting up too many times (more than twice) in the night
  • Soiling from the bowel (back passage)
  • Difficulty with intercourse
  • Chronic constipation

At Progress, the Pelvic Floor Dysfunction Clinic offers a holistic approach to managing and often resolving these problems.

Post-operative rehabilitation is also available for those patients who have undergone gynaecology, urology or colorectal surgery.

What to expect:
On the first visit we assess your problem, discuss your lifestyle, medical and surgical history and conduct a physical examination. We may use an ultrasound scanner to analyse your problem more fully as necessary. The first visit usually takes an hour. You will be treated with respect and dignity at all times, and all information will be kept strictly confidential.

Following the assessment, your physiotherapist will discuss the findings, explain your problem, recommend possible treatments, and design a specific treatment plan. Your Consultant and/or GP will be kept informed of your progress. If necessary, and with your consent, our physiotherapist can seek advice from one of our Consultants, and if appropriate, organise a consultation for you to see them as well.

What should I do next?

  • Insured Patients
    Simply visit your GP and ask them to refer you to Kathryn Levy at Progress. Your GP will write a letter of referral and then you can contact us on 01223 200580 to arrange your first appointment. Please check with your insurer that treatment will be covered under your policy.
  • Self-Pay Patients
    For self-pay treatments, simply call us on 01223 200580 to request a guide price or to discuss your personal situation. Kathryn accepts self-referrals without the need to visit your GP.

References
NICE Clinical Guideline 40: October 2006; Urinary Incontinence – the management of urinary incontinence in women

NICE Clinical Guideline 97: May 2010; Lower Urinary Tract Symptoms – the management of lower urinary tract symptoms in men