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.

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.

Urinary Stress incontinence

Overactive bladder

Vaginal prolapse

Recurrent cystitis

Nocturia

Painful bladder syndrome

Voiding difficulty

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

· Bladder Diary

· Pelvic Floor Exercises.

· Urodynamic Studies.

· Urinalysis

· Scan

Treatments will be depending on your symptoms and management plan:

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

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:

Meet the Team:

Mr Gupta Consultant Gynaecologist and Urogynaecology Lead

Mr Macdermott Consultant Obstetrician and Gynaecologist

Miss Zakaryan Consultant Obstetrician and Gynaecologist

Stephanie Edmonds Women’s Health Physio

Helen Gray Urogynae Nurse Specialist

Siji Ranjith Urogynae Nurse Practitioner

Rianna Websdale Mr Gupta’s DVH Secretary

Cathy Peters Mr MacDermott’s Secretary

Nikki Miss Zakaryan’s Secretary

QMH Secretaries

Anne-mare Mackenzie

Karen Boyle

Read more in our Patient Information Leaflets

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