Treatments
Treatments and procedures
The right treatment depends on you. We always start with the simplest option that is likely to work.
Every procedure has benefits and risks. I will go through these with you, give you written information, and give you time to decide. Nothing on this page is a promise of a result.
First steps
Assessment
A full history, an examination and, where needed, a scan, a urine test or a bladder diary.
Pelvic floor physiotherapy
Supervised exercises with a specialist physiotherapist help many women with leaks and with prolapse.
Lifestyle changes and bladder training
Medicines
Including tablets for an overactive bladder, vaginal oestrogen and treatments for heavy periods.
Bladder treatments
Cystoscopy
A look inside the bladder with a fine camera.
Bladder Botox
Injections into the bladder wall for an overactive bladder that has not improved with tablets.
Urethral bulking (Bulkamid)
An injection of gel around the bladder outlet for stress incontinence. It is a short procedure with a quick recovery.
Colposuspension
An operation for stress incontinence that lifts and supports the neck of the bladder.
Prolapse treatments
Vaginal pessary
A soft device that sits in the vagina and holds the prolapse up. Many women use one for years and avoid an operation.
Pelvic floor repair
An operation through the vagina that repairs the front wall, the back wall or both.
Vaginal hysterectomy
Removal of the womb through the vagina when the womb itself has dropped.
Sacrospinous fixation
Stitches that support the top of the vagina or the womb, done through the vagina.
Periods and the womb
Hysteroscopy
A fine camera passed through the cervix to look inside the womb. Polyps and some fibroids can be removed at the same time.
Endometrial ablation (NovaSure)
A treatment that thins the womb lining to make periods lighter. It is for women who have completed their family.
Medical treatments
For heavy periods.
Myomectomy
Removal of fibroids while keeping the womb.
Hysterectomy
Removal of the womb, by keyhole surgery, through the vagina or through a cut in the abdomen, depending on your situation.
Keyhole surgery
Keyhole surgery, also called laparoscopy, uses small cuts and a camera. Recovery is usually faster than after open surgery.
I use it:
- to investigate pelvic pain
- to treat endometriosis
- to remove ovarian cysts
- for some hysterectomies
Book
Making an appointment
You can refer yourself or come with a letter from your GP. Email info@jeywomenshealth.com and we will reply with the next available times.
