Continence services

Incontinence has many causes and can affect the bladder, bowel or both. Research has shown that conservative methods can improve or sometimes cure symptoms of incontinence in the majority of people.

Our Physiotherapy Unit provides a comprehensive service to hospital inpatients, as well as providing a wide range of outpatient treatments. Our specialist Urology Unit and Wellwoman Clinic can also help treat incontinence in both men and women.

Continence services

Incontinence has many causes and can affect the bladder, bowel or both. Research has shown that conservative methods can improve or sometimes cure symptoms of incontinence in the majority of people. Conservative treatment can often postpone, or even prevent, the need for drugs or surgery for what can be very embarrassing and uncomfortable symptoms.

What does a physiotherapy assessment entail?

The initial physiotherapy assessment lasts for an hour and a detailed history of the problem is taken.  Bladder and bowel habits and any relevant medical history is noted and discussed in order to categorise the type of incontinence.

If consent is obtained, a digital vaginal examination or a rectal examination will take place to enable a more specific pelvic floor exercise programme to be given should this be indicated.  This would occur on either the first or second appointment.  It allows us to check the skin condition, muscle strength and to assess the position and condition of some internal structures.  By strengthening the pelvic floor muscles you are providing an added support system to the bladder and the urethra.

What treatments are offered?

  • Pelvic floor exercises and home programme
  • Bladder/ bowel training
  • Continence aids and pelvic floor trainers
  • Biofeedback and electrical muscle stimulation (via electromyography and home treatment units)
  • Bowel sensitivity training
  • Constipation advice/management

When should you be seen by a physiotherapist?

New guidelines to improve the care and treatment of women suffering with incontinence in silence has been launched and the National Institute for Health and Clinical Excellence (NICE) and the National Collaborating Centre for Women’s and Children’s Health have published clinical guidelines on the best ways to manage urinary incontinence in women.

These guidelines make the following recommendations:

  • That a trial of supervised pelvic floor muscle training of at least 3 months duration should be offered as a first line treatment to women with stress or mixed urinary incontinence.
  • That there is good evidence to show that daily pelvic floor exercises continued for 3 months is a safe and effective treatment for stress and mixed urinary incontinence.
  • That pelvic floor exercises should be offered as a preventative measure to all women in their first pregnancy.
  • In treating urge incontinence at least 6 weeks of bladder training should be offered first.
  • The use of multichannel cystometry, ambulatory urodynamics or video-urodynamics is not recommended before starting conservative treatment.

It is hoped that in these guidelines health professionals will become more informed about what treatment options are available to their patients providing them with the best possible care.

Opening hours

  • Monday to Friday: 8.00am – 7.00pm
  • Saturday: 9.00am – 2.00pm
ENT Consultants

Urology Clinic

Our private urology clinic in London uses the latest techniques to give you the best diagnosis, intervention and aftercare for any urology problem you may be suffering from, allowing you to get back to your normal life as soon as possible.  We provide our urology Consultants with the most modern diagnostic equipment, so they can quickly find out what’s wrong. They also have four operating theatres at their disposal to carry out procedures, which cuts waiting times.

A patient speaking to a receptionist

Patient information

Our Hospital is renowned for providing exemplary levels of care across more than 90 services. From orthopaedics, to urology, our private GP practice and Urgent Care Clinic, our services are led by some of London’s leading Consultants. For more information, and to find a service suitable for your care, find out more about the services that we offer.

Make an enquiry

If you have any questions relating to treatment options or pricing information, get in touch with us by filling out one of our contact boxes or giving us a call on 020 7432 8297.

Our Appointments Team have a dedicated and caring approach to finding you the earliest appointment possible with the best specialist.

If you are self-paying you don’t need a referral from your GP for a consultation. You can simply refer yourself* and book an appointment.

If you have health insurance (e.g. Bupa, Axa Health, Aviva), you will need to contact your insurer to get authorisation before any treatment, and in most cases you will also require a referral letter from your GP.

If you are not registered with a GP, we have an in-house private GP practice you can use. Alternatively, we can suggest the most appropriate course of action for you to take, given your location and individual circumstances.

*Please note – for investigations such as X-rays and MRIs, a referral will be required. However, we may be able to arrange this for you through our on-site private GP.

    Make an enquiry

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