Urogynaecology

Urogynaecology

Overview

Urogynaecology is the diagnosis and treatment of conditions of the vagina and bladder in females.

Upon referral from your GP, you will be triaged to the most appropriate setting. You will be seen by a member of the urogynaecology team. Your appointments may be at any of the 3 sites at the Mid Yorkshire NHS Trust, however, we will endeavour to book appointments face to face at the site closest to where you live.

To enable us to assess your symptoms effectively you will be sent information to complete prior to your first appointment.

About the service

Conditions treated include:

  • prolapse
  • overactive bladder
  • stress incontinence
  • frequency, urgency and nocturia (getting up at night)
  • incomplete bladder emptying
  • painful bladder syndrome
  • recurrent UTI

Investigations:

  • urodynamics
  • pelvic and vaginal examination
  • vaginal swabs
  • bladder scan
  • pelvic and renal scans
  • anorectal manometry
  • outpatient cystoscopy

Treatments

  • conservative therapies, diet and fluid advice, bladder re-education, pelvic floor exercises
  • physiotherapy
  • medication for an overactive bladder
  • surgery to repair a prolapse
  • surgery to treat stress incontinence
  • treatment for overactive bladder (i.e. Botox)
  • trial without catheter
  • teaching clean intermittent catheterisation
  • insertion of a vaginal pessary

We offer a Urogynaecology service across all 3 sites.

Pontefract Urogynaecology department is located on level D in gynaecology outpatients. It has:

  • three clinic rooms
  • a urodynamics suite
  • own toilet for teaching clean intermittent self-catheterisation
  • consultant led and specialist nurse led clinics are run from this department
  • nurse led pessary clinic
  • Trial Without Catheter (TWOC) and Clean Intermittent Self-Catheterisation Training Clinic (CISC)
  • Bladder instillation appointments
  • a dedicated waiting area with drinks machine

Dewsbury Urogynaecology department is located on level 1 in the Bronte Tower building. It is within gynaecology outpatients and is a shared area with antenatal clinic. It has:

  • four clinic rooms
  • a urodynamics suite
  • consultant and  specialist nurse clinics are run from this department
  • nurse led pessary clinic
  • trial without catheter (TWOC) and clean intermittent self catheterisation (CISC) training clinic
  • bladder instillation clinic
  • a shared waiting area

Pinderfields Urogynaecology department is based on Gate 8B. It is within gynaecology outpatients and is a shared area with general outpatients. It has:

  • four clinic rooms
  • a treatment room for outpatient cystoscopy (diagnostic and intravesical Botox treatment)
  • consultant and specialist nurse clinics run from this department
  • nurse led pessary clinic
  • trial without catheter (TWOC) and clean intermittent self catheterisation (CISC) training clinic
  • bladder instillations
  • a shared waiting area

We currently have a team of two consultant urogynaecologists and a clinical nurse specialist who work across all sites to provide the best possible care.

Where is surgery performed?

Surgery takes place at Dewsbury and Pinderfields Hospitals, your follow-up and initial consultation may be held at any of the Mid Yorkshire Hospitals but we will endeavor to make your appointment close to your home.

Useful resources

Bladder and Bowel UK https://www.bbuk.org.uk/

Information on Pelvic Organ Prolapse (POP) https://www.nhs.uk/conditions/pelvic-organ-prolapse/

Information on Urinary incontinence https://www.nhs.uk/conditions/urinary-incontinence/

Information on bladder procedures from BAUS (British Association of Urological Surgeons) https://www.baus.org.uk/patients/information_leaflets/