Urogynaecology

Urogynaecology treats women for the following:

• Urinary incontinence, including urinary frequency and urgency - See link to left: Stress Urinary Incontinence and Overactive bladder
• Follow-up of women who have had third or fourth degree tears with or without bowel symptoms - See link to left: Third and Fourth Degree Perineal Tears
• Pelvic organ prolapse, which may give women symptoms of dragging in the pelvic area, difficulty emptying bladder or bowel, general discomfort in the vaginal area - See link to left: Pelvic organ prolapse

We recognise the huge impact that pelvic floor dysfunction has on women’s daily lives and encourage women to seek help in a friendly environment where we hope to make you feel at ease.

We offer a comprehensive service for women of all ages who suffer with bladder and bowel incontinence and prolapse of the genital organs, working in tandem with the Wirral Integrated Continence Service.

We provide a multidisciplinary approach involving doctors, nurse specialists and dedicated women’s health physiotherapy with links to urology and colorectal teams to offer patients the best treatment options.

We provide a tertiary level service for women with recurrent prolapse and offer laparoscopic (key hole) surgery for both the management of stress incontinence and prolapse.

We work with Manchester University NHS Foundation Trust’s Mesh Complication Centre.

The two most common issues that we have found in women with pelvic floor dysfunction are being overweight and symptom of constipation. Please see links to left:

• Obesity - Effect on the pelvic floor
• Risk for surgery and Constipation

Your referral will be reviewed by our team and you will be directed to the most appropriate pathway.

A bladder diary may be recommended to provide us with further important information. Please see link to left:

• Bladder diary

Your first appointment will include a number of questions to establish the extent of the problem and usually an internal examination will be performed to help us guide your management options.

If there is thought to be a bladder problem urodynamics investigations may be performed by a specialist nurse. Please see link to left:

• Urodynamics

Possible treatments involve pelvic floor exercises and bladder and bowel training, carried out by the physiotherapist and clinical nurse specialist either on an individual basis or in group settings. There are a number of different medications and in some cases surgery may provide the solution to your problem. Please see links to left:

• Bladder training
• Pelvic floor exercises
  
  

How to contact us:

For general enquiries please contact Clinical Nurse Specialists 0151 604 7212

or the Wirral Integrated Continence Service via your G.P.

Where are we based?

Clinics are held in the women’s outpatient department on the ground floor of the Wirral Women and Children’s Hospital and urodynamics investigations are performed in the Gynaecology Treatment Centre (GTC) on the first floor.

Key Staff

Our consultants: Mr Mark Doyle, Mr Jeremy Weetch, Ms Marie-Clare Longworth
Our Clinical Nurse Specialists: Ms Carol Dean, Ms Jenny McCarthy

Additional information can be found to left of this page as follows:

• Pelvic floor leaflets
• British Society of Urogynaecology Information for Patients
• Gynaecology Theatre procedures