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Incontinence & Prolapse
Incontinence and prolapse are conditions which are commonly thought of as only affecting older women and those who have had children. This isn’t the case, and in fact the incidence of prolapse and incontinence is greater than we realise. However, many women delay presenting to their doctor with these concerns due to feeling self conscious or embarrassed.
Your Evoca GP will work with you to create a tailored plan to treat your diagnosis, considering your future pregnancy plans, lifestyle, symptoms and treatment choices
Urinary Incontinence
Urinary incontinence affects one in three women of all ages1 . It causes significant distress and can impact your quality of life. More than 40% of women 2 will also experience sexual dysfunction because of these symptoms however 70% 3 of women won’t seek help. Whether you’re experiencing a slight leak when you cough, jump or run or you’re really struggling to hold on when you need to go, we offer treatment options for all. Recurrent urinary tract infections and problems passing urine are also common problems which can be linked to sexual and general gynaecological health, and can be assessed and treated by your Evoca GP.4 Common conditions which may apply and can be addressed include:
- Stress incontinence – leaking urine when coughing, sneezing, running, jumping or laughing
- Urge incontinence – leaking with the urge to pass urine, not being able to hold on, and often triggered by seeing or listening to running water, or even putting your key in the front door
- Mixed urinary incontinence – a combination of stress and urge urinary incontinence
- Detrusor instability – a condition of overactivity of the bladder whereby the urge to pass urine occurs before the bladder reaches what should be full capacity, resulting in urgent and frequent bathroom trips to pass urine more than 8 times daily and waking in the night as well
- Post coital UTIs – urinary tract infections related to intercourse
- Interstitial cystitis and painful bladder syndrome – chronic pain in the bladder area and on passing urine but in the absence of bacterial urine infections often underdiagnosed and over treated with antibiotics
Vaginal Prolapse
Vaginal prolapse is a common condition not restricted to post-menopausal life. It can occur during and after pregnancy, and when left untreated can have significant impacts on your health and wellbeing, including:
- Problems with bladder and bowel function
- Sexual dysfunction
- Lower pelvic/vaginal dragging pains
- Lower back pain
In your consultation with your GP, your pelvic floor and vagina will be assessed for strength and tone, and your prolapse will be diagnosed, graded and a treatment plan created. This plan will be tailored to you, considering your future pregnancy plans, lifestyle, symptoms and treatment choices.
References
1 https://www.continence.org.au/incontinence/understanding-incontinence
2 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8437582/#:~:text=More%20than%2040%25%20of%20women,during%20penetration%20and%20during%20orgasm.
3 https://www.continence.org.au/about-us/our-work/key-statistics-incontinence#:~:text=statistics%20on%20Urinary%20incontinence&text=65%25%20of%20women%20and%2030,from%20a%20health%20professional3.
4 https://www.continence.org.au/types-incontinence/urinary-incontinence
How to prepare for your visit
Be able to give us an idea of your daily fluid intake, how much and what kind of fluids
If you have incontinence think about the circumstances in which this occurs
Think about your bowel function as well as your bladder function
Sexual function can be affected by prolapse, so consider if sex feels different and if so how
Dr Alicia Altson
General Practitioner
Highett, VIC 3190
Dr Alison Clarke
General Practitioner
Norwood SA 5067
Dr Amatun Rashid
General Practitioner
Craigieburn, VIC 3064
Dr Arthikka Kirupal
General Practitioner
Blacktown NSW 2148
Dr Aseel Marioud
General Practitioner
Fairfield, NSW 2165
Dr Beverly Brookes
General Practitioner
Charlestown, NSW 2290
Dr Brenda Nathanson
General Practitioner
Bondi Junction, NSW 2022
Dr Danise Theron
General Practitioner
Rockingham, WA 6168
Dr Donna Nobleta
General Practitioner
Moonee Ponds VIC 3039
Dr Elahe Arbabiaval
General Practitioner
Werribee, VIC 3030
Dr Faiza Mehfooz
General Practitioner
Ballarat, VIC 3350
Dr Farisha Begum
General Practitioner
Blacktown NSW 2148
Dr Garry McInerney
General Practitioner
Highett, VIC 3190
Dr Gayathri Kosaka
General Practitioner
Oxley QLD 4075
Dr Grace Abdukeyum
General Practitioner
Charlestown, NSW 2290
Dr Jenny He
General Practitioner
Maroubra, NSW 2035
Dr Jessica Murphy
General Practitioner
Leichhardt, NSW 2040
Dr Jolly Dutta
General Practitioner
Blacktown NSW 2148
Dr Loba Haque
General Practitioner
Ballarat, VIC 3350
Dr Mahua Sharmin Huq
General Practitioner
Ballarat, VIC 3350
Dr Mar Mar Thet
General Practitioner
Highett, VIC 3190
Dr Mark Green
General Practitioner
Brookvale, NSW 2100
Dr Myra Kamene Mpungu
General Practitioner
Werribee, VIC 3030
Dr Olivia Waturuocha
General Practitioner
Springfield, QLD 4300
Dr Rahul Verma
General Practitioner
Werribee, VIC 3030
Dr Rashida Perveen
General Practitioner
Springfield, QLD 4300
Dr Rita Almohty
General Practitioner
Campsie, NSW 2194
Dr Salina Ahmed
General Practitioner
Charlestown, NSW 2290
Dr Samantha Taylor
General Practitioner
Springfield, QLD 4300
Dr Sanda Bonchis
General Practitioner
Springfield, QLD 4300
Dr Shoma Chowdhury
General Practitioner
Narre Warren, VIC 3805
Dr Sid Viswanath
General Practitioner
Rockingham, WA 6168
Dr Sidra Imtiaz
General Practitioner
Ballarat, VIC 3350
Dr Sophie Vavladelis
General Practitioner
Bondi Junction, NSW 2022
Dr Sudhish Sudhan
General Practitioner
Craigieburn, VIC 3064
Dr Sue-Ann Steer
General Practitioner
Highett, VIC 3190
Dr Susan Pan
General Practitioner
Chatswood, NSW 2067
Dr Sushma Chaparala
General Practitioner
Melton VIC 3337
Dr Sushma Chaparala
General Practitioner
Moonee Ponds VIC 3039
Dr Swati Sharma
General Practitioner
Springfield, QLD 4300
Dr Syeda Bushra
General Practitioner
Blacktown NSW 2148
Dr Tania Altaf
General Practitioner
Belconnen, ACT 2617
Dr Thandar san
General Practitioner
Frankston VIC 3199
Dr Thomas Shashian
General Practitioner
Narre Warren, VIC 3805
Dr Vecerka Skovrlj
General Practitioner
Brookvale, NSW 2100
Dr Zulaiha Ghazaly
General Practitioner
Werribee, VIC 3030
Dr. Caroline van der Vlugt
General Practitioner
Robina, QLD 4226
Dr. Farhat Jehan
General Practitioner
Caringbah, NSW 2229
Dr. Fatima Elnaggar
General Practitioner
Victoria Point, QLD 4165
Dr. Frances Pengelly
General Practitioner
Rouse Hill, NSW 2155
Dr. Gagandeep Kundal
General Practitioner
Rockingham, WA 6168
Dr. Hana Sandrik
General Practitioner
Maroubra, NSW 2035
Dr. Jennifer Cortez
General Practitioner
Robina, QLD 4226
Dr. Jin Gao
General Practitioner
Preston, VIC 3072
Dr. Jody Waters
General Practitioner
Victoria Point, QLD 4165
Dr. Kalyanie Kuruppuarachchi
General Practitioner
Maroubra, NSW 2035
Dr. Liyana Jayaweera
General Practitioner
Chatswood, NSW 2067
Dr. Palmyra de Banks
Clinical Director - VIC
General Practitioner
Preston, VIC 3072
Dr. Rekha Jayaram Rao
General Practitioner
Campsie, NSW 2194
Dr. Shilpi Wahi
General Practitioner
Victoria Point, QLD 4165
Dr. Sneha Wadhwani
General Practitioner
National Clinical Director – Evoca women’s health
Bondi Junction, NSW 2022
Dr. Sneha Wadhwani
General Practitioner
Rouse Hill, NSW 2155
Dr. Vidya Prabhu
General Practitioner
Epping Plaza, VIC 3076
Enas Al Shahabi
General Practitioner
Phillip, ACT 2606
Hannah Topp
Physiotherapist
Women’s health
Rouse Hill, NSW 2155
Hannah Topp
Physiotherapist
Women’s health
Bondi Junction, NSW 2022
Dr Tania Altaf
General Practitioner
Belconnen, ACT 2617
Enas Al Shahabi
General Practitioner
Phillip, ACT 2606
Dr Arthikka Kirupal
General Practitioner
Blacktown NSW 2148
Dr Aseel Marioud
General Practitioner
Fairfield, NSW 2165
Dr Beverly Brookes
General Practitioner
Charlestown, NSW 2290
Dr Brenda Nathanson
General Practitioner
Bondi Junction, NSW 2022
Dr Farisha Begum
General Practitioner
Blacktown NSW 2148
Dr Grace Abdukeyum
General Practitioner
Charlestown, NSW 2290
Dr Jenny He
General Practitioner
Maroubra, NSW 2035
Dr Jessica Murphy
General Practitioner
Leichhardt, NSW 2040
Dr Jolly Dutta
General Practitioner
Blacktown NSW 2148
Dr Mark Green
General Practitioner
Brookvale, NSW 2100
Dr Rita Almohty
General Practitioner
Campsie, NSW 2194
Dr Salina Ahmed
General Practitioner
Charlestown, NSW 2290
Dr Sophie Vavladelis
General Practitioner
Bondi Junction, NSW 2022
Dr Susan Pan
General Practitioner
Chatswood, NSW 2067
Dr Syeda Bushra
General Practitioner
Blacktown NSW 2148
Dr Vecerka Skovrlj
General Practitioner
Brookvale, NSW 2100
Dr. Farhat Jehan
General Practitioner
Caringbah, NSW 2229
Dr. Frances Pengelly
General Practitioner
Rouse Hill, NSW 2155
Dr. Hana Sandrik
General Practitioner
Maroubra, NSW 2035
Dr. Kalyanie Kuruppuarachchi
General Practitioner
Maroubra, NSW 2035
Dr. Liyana Jayaweera
General Practitioner
Chatswood, NSW 2067
Dr. Rekha Jayaram Rao
General Practitioner
Campsie, NSW 2194
Dr. Sneha Wadhwani
General Practitioner
National Clinical Director – Evoca women’s health
Bondi Junction, NSW 2022
Dr. Sneha Wadhwani
General Practitioner
Rouse Hill, NSW 2155
Hannah Topp
Physiotherapist
Women’s health
Rouse Hill, NSW 2155
Hannah Topp
Physiotherapist
Women’s health
Bondi Junction, NSW 2022
Dr Gayathri Kosaka
General Practitioner
Oxley QLD 4075
Dr Olivia Waturuocha
General Practitioner
Springfield, QLD 4300
Dr Rashida Perveen
General Practitioner
Springfield, QLD 4300
Dr Samantha Taylor
General Practitioner
Springfield, QLD 4300
Dr Sanda Bonchis
General Practitioner
Springfield, QLD 4300
Dr Swati Sharma
General Practitioner
Springfield, QLD 4300
Dr. Caroline van der Vlugt
General Practitioner
Robina, QLD 4226
Dr. Fatima Elnaggar
General Practitioner
Victoria Point, QLD 4165
Dr. Jennifer Cortez
General Practitioner
Robina, QLD 4226
Dr. Jody Waters
General Practitioner
Victoria Point, QLD 4165
Dr. Shilpi Wahi
General Practitioner
Victoria Point, QLD 4165
Dr Alison Clarke
General Practitioner
Norwood SA 5067
Dr Alicia Altson
General Practitioner
Highett, VIC 3190
Dr Amatun Rashid
General Practitioner
Craigieburn, VIC 3064
Dr Donna Nobleta
General Practitioner
Moonee Ponds VIC 3039
Dr Elahe Arbabiaval
General Practitioner
Werribee, VIC 3030
Dr Faiza Mehfooz
General Practitioner
Ballarat, VIC 3350
Dr Garry McInerney
General Practitioner
Highett, VIC 3190
Dr Loba Haque
General Practitioner
Ballarat, VIC 3350
Dr Mahua Sharmin Huq
General Practitioner
Ballarat, VIC 3350
Dr Mar Mar Thet
General Practitioner
Highett, VIC 3190
Dr Myra Kamene Mpungu
General Practitioner
Werribee, VIC 3030
Dr Rahul Verma
General Practitioner
Werribee, VIC 3030
Dr Shoma Chowdhury
General Practitioner
Narre Warren, VIC 3805
Dr Sidra Imtiaz
General Practitioner
Ballarat, VIC 3350
Dr Sudhish Sudhan
General Practitioner
Craigieburn, VIC 3064
Dr Sue-Ann Steer
General Practitioner
Highett, VIC 3190
Dr Sushma Chaparala
General Practitioner
Melton VIC 3337
Dr Sushma Chaparala
General Practitioner
Moonee Ponds VIC 3039
Dr Thandar san
General Practitioner
Frankston VIC 3199
Dr Thomas Shashian
General Practitioner
Narre Warren, VIC 3805
Dr Zulaiha Ghazaly
General Practitioner
Werribee, VIC 3030
Dr. Jin Gao
General Practitioner
Preston, VIC 3072
Dr. Palmyra de Banks
Clinical Director - VIC
General Practitioner
Preston, VIC 3072
Dr. Vidya Prabhu
General Practitioner
Epping Plaza, VIC 3076
Dr Danise Theron
General Practitioner
Rockingham, WA 6168
Dr Sid Viswanath
General Practitioner
Rockingham, WA 6168
Dr. Gagandeep Kundal
General Practitioner
Rockingham, WA 6168
FAQ’s
- Do nothing – if the prolapse is not causing significant problems then treatment may not be required
- Vaginal pessary – supportive removable devices inserted in the vagina which hold up the prolapse. These can be fitted by your Evoca doctor, and should be changes 6 monthly. Pessaries are usually used as a temporary measure but may be used as a more permanent option.
- Pelvic floor physiotherapy – can help with mild or moderate prolapse to reduce severity and improve symptoms
- Surgery – a variety of surgical options are available depending on the type and severity of prolapse.
- Vaginal delivery
- Family history of prolapse
- Menopause
- Chronic cough (for example, asthma)
- Obesity
- Family history of vaginal prolapse
- Neurological diseases
- Forceps delivery
1 Reference: https://www.nhs.uk/conditions/pelvic-organ-prolapse/#:~:text=Pelvic%20organ%20prolapse%20is%20when,can%20cause%20pain%20and%20discomfort.
- A lump or bulge felt in the vagina
- Pressure feeling in the vagina
- Dragging sensation in the vagina
- Sense of something falling out
- Urinary incontinence
- Difficulty passing urine
- Difficulty opening bowels
- Faecal incontinence
- Low back pain
- Discomfort or lack of sensation during intercourse
1 Reference: https://www.nhs.uk/conditions/pelvic-organ-prolapse/#:~:text=Pelvic%20organ%20prolapse%20is%20when,can%20cause%20pain%20and%20discomfort.
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