Department Information

Urogynaecology clinics run within both Darent Valley Hospital on a Monday, Tuesday, Wednesday and Friday, and Queen Mary’s Hospital every Thursday.

For more information please contact The British Society of Urogynaecology (BSUG)


What is Urogynaecology?

Urogynaecoloy is a subspecialty with in gynaecology. Here at Darent Valley and Queens Marys Hospital, the service provides dedicated clinical assessments to women who have a complaint of lower urinary dysfunction, vaginal prolapse and associated problems including urinary incontinence.


Who is in the Urogynaecology team?

The urogynaecology service is consultant led with a dedicated team of nurse specialists, and physiotherapists. We offer upto date evidenced based intervention and treatments. Although your GP has referred you to the consultant who has overall responsibility for your care you may not always see them personally. You will be seen by one of our dedicated Urogynae team members:

Abi GuptaI am a Consultant Gynaecologist and Urogynaecology Lead consultant. I have undergone my Specialist training in South-East London Rotation.  I also have a special interest in minimal access surgery and have completed my advance training skills module (RCOG) in vaginal surgery, urogynaecology and abdominal surgery:

Our Urogynaecology department is the 11th unit in the country, 2nd in the South East and has been assessed and formally accredited by the British Society of Urogynaecology. I am also a member of the governance committee for the British Society of Urogynaecology.   

Mr MacDermott

I qualified from Leeds University in 1984 and received my post-graduate training in Yorkshire. I took up my post at Darent Valley in 2000. I have a special interest in the management of women with urinary incontinence and prolapse, running a multi-disciplinary clinic with a Specialist Nurse and a Physiotherapist. I also provide care for women with general gynaecological problems, offering minimally invasive treatments for a range of gynaecological conditions including heavy periods and endometriosis. I am the lead clinician for gynaecological cancers and run a weekly "Rapid Access Clinic" for women with symptoms suggestive of possible gynaecological cancer.

Miss Zakaryan

 

Steph Edmonds

I am a specialist pelvic health physio who is dedicated to improving the quality of life of my patients.

I graduated with a Bsc(Hons) in physiotherapy from Keele University in 2009. My passion for pelvic health started when I completed a rotation in women’s health physio and continued when I became a specialist musculoskeletal physiotherapist, where I was responsible for treating the patients with pregnancy related pain. I have completed several postgraduate courses in pelvic health, which has improved my knowledge and skills further in this area.

Having specialised in pelvic health for over 9 years, I am the Clinical Lead Physiotherapist for Pelvic Health at Darent Valley Hospital. On a daily basis, I work with male and female patients to improve their quality of life. I treat patients with bladder and bowel continence issues, prolapses, pelvic pain, difficulties with intercourse and pregnancy related pelvic girdle pain.

Helen Gray

Siji

I completed my Nursing in India in 2000 and worked as a staff nurse for four years mainly in the medical and surgical departments. I moved to the UK in 2005 and after completing my Adaptation Programme, worked in a nursing home for six years. I started my career in the NHS in 2012 at Medway Maritime Hospital and also worked at the Oxford University Hospital. As a registered nurse, I have worked in different speciality wards and started as a Clinical Urogynaecology Nurse Practitioner at DVH in 2022. 

I am very passionate about nursing and therefore I am excited in my new role and very happy being a Urogynaecology Nurse Practitioner. 

Darent Valley Hospital Secretaries:

RiannaContact Details:

Email: dgn-tr.gynaesecretaries@nhs.net

Tel: 01322 428100 + ext 4329

 

 

 

CathyContact Details:

Email: dgn-tr.gynaesecretaries@nhs.net

Tel: 01322 428222

 

 

 

NikkiContact Details

Email: dgn-tr.gynaesecretaries@nhs.net

 

 

 

 

Queen Mary's Hospital Secretaries:

Contact Details:

Email: dgn-tr.qmhgynaeteam@nhs.net

Contact Details:

Email: dgn-tr.qmhgynaeteam@nhs.net


Why am I being referred?

You have been referred by your GP or other gynaecology consultants, because you would have either reported symptoms of frequency and/or urgency of passing urine, this maybe with sudden need to pass urine, but may leak urine before you reach the toilet. This is referred to as Urge incontinence / Overactive Bladder.

You may have reported being incontinent of urine, leaking when you cough, sneeze or exercise, this is known as Stress Incontinence.

You have noticed a lump in your vaginal, which is causing you discomfort or a dragging sensation. Known as a Vaginal Prolapse

You may get up several times throughout the night to pass urine, also known as Nocturia.

You may have difficulty in passing urine or fully emptying your bladder or you have a painful bladder on passing urine.

Whatever your reason we have the expertise to help treat or mange your bladder complaint.


Most commonly treated conditions include:

Urinary Stress incontinence

Overactive bladder

Vaginal prolapse

Recurrent cystitis

Nocturia

Painful bladder syndrome

Voiding difficulty


What tests will I be required to do?

You may be asked to complete the following test depending on your symptoms:

· Bladder Diary

· Pelvic Floor Exercises.

· Urodynamic Studies.

· Urinalysis

· Scan


What treatments will be available?

Treatments will be depending on your symptoms and management plan:

  • Bladder Retraining
  • Fluid Management
  • Lifestyle changes
  • Vaginal Pessaries
  • Physiotherapy
  • Acupuncture
  • Bladder Instillation
  • Urethral Bulking
  • Bladder Botox
  • Flexi-cystoscopy
  • Surgical options

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