Urinary Control and Pelvic Prolapse

Urinary control and pelvic support rely on the pelvic floor, a network of muscles and connective tissues that hold the bladder, womb and bowel in place. When these structures weaken or become overactive, women may experience urinary leakage, sudden urges to pass urine, or a sensation of pressure or bulging in the vagina. These conditions are common after childbirth, during the menopause, or as part of the natural ageing process, but they are not something you have to live with.

These conditions often involve the following:

Urinary incontinence: involuntary leakage of urine, which may occur when coughing, sneezing, exercising (stress incontinence), or with a sudden urge to pass urine (urge incontinence). Some women experience a combination of both types (mixed incontinence).

Overactive bladder: characterised by a sudden, frequent need to urinate, sometimes accompanied by leakage, often disrupting daily life and sleep.

Pelvic organ prolapse: occurs when the bladder, womb or bowel descends into the vagina due to weakened pelvic floor support, causing a feeling of heaviness, bulging or discomfort.

London Gynaecology’s Urogynaecological Services

We offer consultant-led urogynaecology clinics specialising in urinary control and pelvic floor disorders. Our team provides expert assessment, personalised care plans, and advanced treatment options.

We treat each patient individually, taking a holistic, evidence-based approach that may include lifestyle and bladder management advice, medication, minimally invasive procedures, or surgery. Our goal is to restore comfort, confidence, and quality of life, empowering you to manage your symptoms effectively.

Your consultation will include a thorough assessment, practical advice, treatment recommendations, and ongoing support for managing urinary and pelvic floor health at every stage of life.

How is urinary incontinence diagnosed?

What is stress incontinence?

Can urinary incontinence be treated without surgery

Is surgery necessary for overactive bladder or prolapse?

When should I see a urogynaecologist?

Are these conditions common?

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"Many females quietly struggle with prolapse or other pelvic concerns, but they don’t have to. I’ve cared for thousands with these issues, helping them regain comfort and confidence in daily life."

Ms Mittal Patel
Consultant Urogynaecologist
London Gynaecology

Book your appointment online

Our urogynaecology consultation provides expert assessment, diagnosis, and personalised treatment plans from management to minimally invasive procedures, often discussed and started within the same appointment.

Treatments

Bladder Training & Medication

  • Bladder retraining for overactive bladder
  • Medications to calm an overactive bladder or improve bladder control

Supportive Devices (Pessaries)

  • Removable vaginal devices to support prolapsed organs
  • Can relieve pressure, bulging and improve continence without surgery

Minimally Invasive Procedures & Surgical Treatments

  • Urethral bulking injections for stress incontinence
  • Botox injections for overactive bladder
  • Nerve stimulation (e.g., sacral neuromodulation)
  • Sling procedures or tape for stress urinary incontinence
  • Surgical repair of prolapse using native tissue or mesh (if appropriate)
  • Aim is to restore bladder, womb or bowel support and improve symptoms

Book Your Appointment

If you wish to explore the treatments for any of the conditions listed above, please book an appointment with our specialists, Ms Mittal Patel or Ms Shikha Kapur

Richmond London Gynaecology Nurse

Where can I find out more information or access any useful support services?

If you wish to learn more about our consultation pricing, view our fee page

For more information about urinary incontinence, overactive bladder, and pelvic organ prolapse, these trusted sources provide helpful guidance and self-care advice: