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Uro-gynaecology

Location

Maternity & gynaecology, Royal Derby Hospital
(best entrance - 20)

About

Uro-gynaecology deals with the diagnosis and treatment of urinary incontinence and dysfunction of the pelvic floor. The pelvic floor includes muscles, ligaments, and connective tissue that help to support the womb, vagina, bladder and rectum.

It can be damaged by a number of conditions such as pregnancy, childbirth, chronic disease, surgery and repeated heavy lifting. Some problems due to pelvic floor dysfunction and their symptoms include:

  • incontinence: loss of bladder or bowel control
  • prolapse: descent of pelvic organs (bladder, womb, vagina or rectum)
  • emptying disorders: difficulty urinating or moving bowels
  • overactive bladder: frequent need to pass urine
  • bladder pain
  • recurrent urinary tract infections (cystitis)


The uro-gynaecology department offers high quality specialised care to women of all ages in a friendly, welcoming environment. There are three uro-gynaecological consultants and a specialist nurse who are highly trained to offer an individualised, patient focused service from referral to discharge. We understand that patients can be worried or anxious at the thought of attending the hospital, which is why the consultant or specialist nurse will allow time to put you at ease, answer your questions and offer support throughout your visit.

In almost all cases, disorders of the pelvic floor and incontinence can be treated in some way, allowing you to regain your quality of life and return to an active lifestyle.

Services

We provide a wide range of diagnostic testing services which include; bladder ultrasound, complex uro-dynamic testing and cystoscopy (camera examination of the bladder).

A variety of treatments are available to cure or relieve your symptoms including both conservative (non surgical) or advanced surgical procedures depending on the severity of your condition and your general health.

Out-patient services include:

  • uro-gynaecology consultant clinics

  • uro-gynaecology specialist nurse clinics

  • assessment of urinary incontinence

  • uro-dynamic and video uro-dynamic clinics

  • pad weighing tests

  • bladder scanning

  • pelvic floor physiotherapy

  • non surgical treatment of prolapse


In-patient services include:

  • surgery for incontinence and prolapse

  • insertion of mesh’s for recurrent and complicated pelvic organ prolapse


Day case procedures include:

  • TVT (Tension Free Transvaginal Tape)

  • TOT (Transobturator Sling)

  • cystoscopy


Diagnostic tests include:

  • video and saline fill uro-dynamics

  • ultrasound and x-ray of bladder

  • cystoscopy

Other Information

Patients are generally referred by their GP to the appropriate consultant within the uro-gynaecology team.

It would be advisable to bring along a sample of your urine to your first outpatient appointment as well as a list of your current medication, especially if you are taking medication for your bladder symptoms.