The team provides different types of treatment for female pelvic floor dysfunction.
Urinary symptoms and bladder diary of women will be reviewed. Continence advisors will educate and counsel women on life-style modification, if needed; and pelvic floor muscle training.
For women with overactive bladder syndrome, medical therapy may be offered.
For women confirmed urinary stress incontinence, continence surgery, in terms of tension free transvaginal tape surgery (retropubic or transobturator) or colposuspension may be offered to them.
Pelvic organ prolapse
A variety of therapeutic options are available, starting from non-surgical treatment of pelvic floor muscle training, supportive devices of vaginal pessaries, and surgical therapy.
Vaginal pessary: Generally, this is provided for women with mild prolapse or while women are waiting for surgery. If women are well on this treatment, self-replacement is encouraged. Women can learn the appropriate technique.
Different surgical approaches are provided.
• Vaginal hysterectomy and/or pelvic floor repair surgery
• Vaginal mesh repair surgery for selected women with high risk of recurrence
• Laparoscopic sacrocolpopexy for vaginal vault prolapse
• Laparoscopic hysterocolposacropexy (uterine preserving) for uterine prolapse
Concomitant continence surgery may be performed in women with co-existing urinary stress incontinence.
Specialist continence advisors are an invaluable source of practical advice for all continence problems. Continence Advisors are nurses with expertise in providing continence care and conservative management for pelvic organ prolapse. Some of the services provided by the Continence Advisors include:
• Counseling and education
• Pelvic floor muscle training
• Behavioural modification
• Bladder training
• Clean intermittent self-catheterization
• Vaginal pessary replacement
• Teaching vaginal pessary self-replacement