Our service supports women of the western suburbs of Melbourne to manage problems with bladder function, pelvic organ prolapse and associated bowel dysfunction, at any stage of life, as well as providing management of pelvic floor problems during pregnancy and after birth.
A formal referral from a health practitioner with a provider number is required.
We accept referrals for the diagnosis, advice and management of the following conditions:
The bladder has two roles:
- To comfortably and securely hold urine until it is convenient to go to the toilet at a normal bladder volume.
- To easily and completely void urine.
A range of treatable conditions can result when the normal storage or voiding functions are disturbed, including:
- Stress - Involuntary loss of urine with physical activity e.g. coughing, sneezing, lifting, exercise, standing.
- Urgency - Involuntary loss of urine associated with a sudden need to pass urine that can't be delayed.
- Mixed - a combination of stress and urgency incontinence
- Other - continuous, intercourse-associated or unsure of cause of loss.
Bladder storage, pain or sensory symptoms
- Increased need to empty (more than 7 times per day and/or once per night) or with urgency
- Reduced or absent sensation to empty
- Pain with bladder filling or emptying in the absence of urinary tract infections
Proven or Symptoms of recurrent Urinary Tract Infections (UTI)
- Three or more proven or medically diagnosed UTIs in the last 12 months
- Persistent burning with urination
Pelvic Organ Prolapse
Descent of the vaginal walls or uterus may cause symptoms of a bulge or protruding skin at or beyond the vaginal entrance which is often worse with exercise or at the end of the day.. This descent may require women to manually push the prolapse back inside to pass urine and/or bowel motions, It may also cause difficulties with exercise, intercourse or result in bleeding and discharge.
Obstetric Pelvic Floor Trauma
A vaginal delivery can be associated with significant physical trauma to the vagina and pelvic organs including the bladder and bowel. This trauma may cause complications such as wound infections, scarring and difficulties with function including continence, pain and prolapse.
Pelvic pain following vaginal reconstructive procedures
Persistent vaginal pain either unprovoked or associated with activity or intercourse,
If you have any queries regarding the suitability of referrals, please don't hesitate to contact us.
Haylen, B. T., Ridder, D., Freeman, R. M., Swift, S. E., Berghmans, B., Lee, J., … Schaer, G. N. (2009). An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. International Urogynecology Journal, 21(1), 5–26