Why Does Post-natal Incontinence Happen?

In many cases incontinence is something which occurs during pregnancy, but for some mums the issue can linger long after childbirth. Post-natal incontinence is actually very common among mums, especially for women who have delivered their baby vaginally.

It is estimated that incontinence following pregnancy and childbirth affects up to 50 percent of women. Although most problems resolve themselves within a year of giving birth, there are many women who suffer with lingering issues. Fortunately, there are treatment options available to solve the issue, including sacrohysteropexy surgery and intensive courses of physiotherapy from a qualified pelvic floor physiotherapist.

Why do some women suffer from post-natal incontinence?

Incontinence is caused either by an increased urge to urinate or through stress from laughing, sneezing, coughing, running or jumping. In the third trimester of pregnancy the growing uterus starts to put increased pressure on the bladder, the body also begins to release hormones to improve the elasticity of joints for delivery. Together these changes in the body reduce the support provided to the bladder, so occasionally it can begin to leak.

Many of the women who suffer from stress incontinence also suffer from urge incontinence, which is caused by an overactive bladder. Those who are over 35 or obese are at a greater risk of developing both stress and urge incontinence during pregnancy. But, following childbirth the most likely sufferers are those who have delivered vaginally or suffered with uterine prolapses, especially following delivery interventions such as forceps which can damage pelvic muscles.

When should treatment be sought?

Incontinence is something which can interfere very quickly with your daily life, impacting everything from your career to your love life. If you notice even a small amount of urine leaking while coughing or sneezing, it is worth talking to your doctor as it’s rare that the issue will cure itself.

How do the pelvic floor muscles work?

The first step to curing incontinence is to establish the cause, which in most cases is weakened pelvic floor muscles. The pelvic floor is a set of muscles which are located in the pelvis between the frontal pubic bone and the base of the spine. The muscles create a hammock to hold the uterus, vagina, bowel and bladder in place, and they also provide control to the bladder during urination. During urination the muscles relax to release urine, they then tighten to re-close the bladder.

What are the treatment options?

For those who suffer from stress incontinence due to uterine prolapse or pelvic floor weakness, it may seem like there are no options. In mild cases, many professionals will recommend working on behaviour and lifestyle choices, such as examining your activities and losing weight if you BMI is higher than it should be. In all cases, physiotherapy is always recommended this can positively impact the pelvis floor muscles. In the first three months post delivery, it is always beneficial to seek help with pelvic floor physiotherapy.

If after three months of daily physiotherapy, there seems to be little difference, then this is the time to come and see Mr Broome. He is a gynaecologist specialising in pelvic floor repair and has had many ladies visit him due to incontinence after delivery. He can advise a way forward to regain your quality of life. Nobody wants to be young, with young children and suffering from incontincence. Mr Broome, at a consultation, will examine you for the causes of your incontinence and also check to see if uterine prolapse  might be a factor. If so, he will talk through the prospect of having sacrohysteropexy surgery, which is a permanent solution to repositioning the uterus and subsequently enabling other organs in the abdomen to realign.

What is sacrohysteropexy surgery?

Sacrohysteropexy surgery is a highly effective solution for those who have suffered a uterine prolapse. As it is such a delicate procedure it is essential that patients choose a qualified and experienced surgeon. There are many women who fear the only option is to undergo a hysterectomy, but Mr Broome has enabled many young women to have more children with no further prolapses or incontinence issues.

The procedure involves using a strip of synthetic mesh to hold and lift the uterus in place. This is NOT vaginally inserted but instead carefully inserted via tiny keyhole wounds in the stomach wall as it is a keyhole procedure. Sacrohysteropexy surgery has significantly less side effects as a consequence and Mr Broome will be happy to talk these through with you. During the procedures, Mr Broome will attach one end of the mesh to the sacral bone, with the other end attached to the cervix or top of the vagina.

How can a physiotherapist help?

By working on strengthening the pelvic floor muscles, the root cause of post-natal incontinence can often be removed. It is very common for women to perform pelvic floor exercises at home, but for many people there is a lack of knowledge which can prevent results. A qualified physiotherapist will have the skills needed to assess, treat and educate women so they are cured of post-natal incontinence.

The sessions would start with an initial consultation to establish whether the patient is ready to begin a physiotherapy programme. The physiotherapist will then assess strength, flexibility and posture, which could all have an impact on muscle control following pregnancy. A programme will then be established which teaches the patient how to perform exercises which safely and effectively improve pelvic floor strength.

Mr Jonathan Broome is a highly regarded surgeon who regularly carries out pelvic floor repairs through physiotherapy and Sacrohysteropexy. To find out more about how Mr Broome can help you with your incontinence problem, please contact our team.


vaginal mesh surgery

No Vaginal Mesh Surgery in Sacrohysteropexy!

Regarding Vaginal Mesh Surgery and Sacrohysteropexy

Very sadly, there has been considerable adverse news concerning vaginal mesh surgery in the United Kingdom. Women’s lives have been affected and there has been discussion about why this happened and the risks concerned. Understandably there is much concern surrounding the outcomes and increasingly, there are articles in the press that are not necessarily clear and specific about the types of uterine prolapse surgery affected. This is a primary concern for ladies trying to work out the best course of action to take and very worrying for those who have already had surgery.

Following the recent press coverage of potential litigation regarding vaginal mesh implants:-

Mr Broome would like to reassure all his patients who have undergone or are due to have a sacrohysteropexy operation for utero-vaginal prolapse that there is absolutely no risk of vaginal mesh erosion following this procedure.

Unlike vaginal mesh surgery implants a sacrohysteropexy prolapse repair is an abdominal procedure (usually keyhole) whereby mesh is used as a sling to support the womb permanently. There are no vaginal incisions and the sling is attached between the cervix and sacral bone at the back of the pelvis. The mesh will never erode through these attachments and will never come into contact with the vagina.

Mr Broome has undertaken over 2000 sacrohysteropexy procedures over the past 14 years and has had no cases of vaginal mesh erosion and he is confident that this will remain the case in the future due to the very different anatomical approach used when compared to vaginal mesh implants.

safe sacrohysteropexy

Is a uterine prolapse causing your symptoms?

Although a prolapse isn’t uncommon, it can take an inordinate amount of time for patients to obtain the correct diagnosis. Despite numerous women suffering from uterine prolapse, the path to treatment can be slow and, in some cases, ineffective.

Unfortunately, this delay can lead to a worsening of a patient’s symptoms. As well as dealing with pain and discomfort, women may find that they experience incontinence due to the increased pressure on their bladder. With the uterus unsupported, the additional pressure on the surrounding areas can result in both urge and stress incontinence.

Clearly, these symptoms can be very distressing for patients. Upon receiving a diagnosis, however, many are told that a hysterectomy is the only viable option. Whilst many are reluctant to commit to such invasive surgery, a significant number of women suffering from prolapse symptoms want to have children in the future. Due to this, a hysterectomy is not the right option for them.

Treating prolapse symptoms without a hysterectomy

A sacrohysteropexy is a form of prolapse surgery which is far less invasive than a traditional hysterectomy. In addition to this, it doesn’t prevent women from carrying a child, so is suitable for women who wish to conceive in the future.

Rather than removing the uterus, sacrohysteropexy surgery for prolapse problems simply supports the uterus and prevents it from placing undue pressure on the surrounding muscles and tissues. Although this form of prolapse surgery is not well-known, it is an extremely effective form of prolapse surgery.

Whether women are suffering from a prolapsed uterus after childbirth or are experiencing a prolapse due to naturally weak muscles, a sacrohysteropexy can provide a permanent solution to the problem. Having performed over 1000 procedures with a 100% success rate, Consultant Gynaecologist, Mr Jonathan Broome, is able to diagnose and treat uterine prolapses quickly and effectively.

As a sacrohysteropexy is a far less invasive procedure than a hysterectomy, patients generally find that they recover more quickly and are able to return to their normal routines within a matter of days. To find out if a sacrohysteropexy is the right treatment option for you, contact The Pelvic Clinic on 01204 772400.

prolapsed uterus

Is a hysterectomy the right treatment for me?

If you’ve suffered a difficult labour with your children, you may be suffering symptoms of a prolapsed uterus. This can often be very uncomfortable, and prevent you from doing activities that you’d normally enjoy. In some cases, it could prevent you from having more children. Often, doctors will recommend a hysterectomy to remove the uterus, but this isn’t your only option.

Why your doctor may have recommended a hysterectomy

A prolapsed uterus can result in some nasty symptoms, ranging from mildly uncomfortable to very painful and sometimes debilitating. Some women may experience a constant feeling of pressure on the pelvis or a dull backache. Other symptoms include spotting or bleeding from the vagina, or even bladder leakage, which can often be embarrassing and stop you doing sports or enjoying intercourse. When these symptoms are present, a doctor may diagnose a prolapsed uterus. They may suggest removing the uterus – and sometimes the ovaries – using a surgical procedure called a hysterectomy.

Is a hysterectomy right for me?

Making the decision to have a hysterectomy needs to be taken very seriously. Although a fairly common surgical procedure, it will take you a little while to recover and you may feel tired and unwell for some time afterwards. The biggest thing to consider is whether or not you would like to have more children, as a hysterectomy will leave you unable to conceive.

What are my other options?

You may have been told by your doctor that a hysterectomy is your only option, but here at The Pelvic Clinic, we can offer you the chance to choose a treatment to suit you. Our Consultant Gynaecologist Mr Broome is an experienced surgeon who can perform a variety of minor surgical procedures that may relieve your symptoms. You could choose to have a sacrohysteropexy, which is performed via low-risk keyhole surgery and allows you to keep your uterus, or even vaginal wall repair. Our experts are here to advise you on a procedure that is right for you. At The Pelvic Clinic, a hysterectomy is not your only choice when it comes to surgery for your prolapse.

no to hysterectomy for prolapse

Do I need a hysterectomy after a prolapse?

Uterine prolapse occurs when the tissue around the pelvic organs becomes weak and the uterus and vagina are pushed down. Childbirth commonly causes this and around 50% of cases occur this way. Weakening ligaments as someone ages, or factors which cause stress, such as constipation or coughing, can also trigger a prolapse.

To understand it, simply imagine the pelvic organs are housed in a large bag. If there was a hole in the bottom of the bag, then things could slip out and fall down. The strength of the bag – or the muscles in the pelvic floor – are the deciding factor in avoiding a prolapse.

Once a prolapse occurs the traditional method of treatment would be to go straight to a hysterectomy. However, a prolapsed uterus after childbirth or other conditions requiring prolapse surgery can be effectively managed with a sacrohysteropexy performed by an expert.

What is a sacrohysteropexy?

This is a laproscopic (or keyhole) operation which is not well known among the general public. As a result, women who may still have fertile years ahead of them choose to have their reproductive organs removed. This need not be the case and women can go on to have further, or initial pregnancies.

During a sacrohysteropexy procedure, small cuts are made in the stomach and around the bikini line before a telescope and instruments are inserted to look around the pelvis. Once they are properly positioned, a mesh is inserted and fixed to the cervix and backbone with metal staples to support the pelvic organs. This is a much cleaner way to insert mesh rather than through the vagina.

Because there are no more than four small cuts used to insert the mesh, recovery time is fast. Patients would usually need to stay for just one night in hospital.

This is a highly specialised procedure and can only be completed by highly skilled surgeons. Mr Jonathan Broome, Consultant Gynaecologist at The Pelvic Clinic, is one of the leading surgeons in the sacrohysteropexy procedure in Britain. He has performed over 1,000 of these operations and has a 100% success rate. Contact us today for more information on how you can avoid a hysterectomy following prolapse.


What is a sacrohysteropexy?

Sacrohysteropexy is a medical procedure for dealing with uterine prolapse. Although the procedure has been around for many years, it is still relatively unheard of by many women. However, it can be an effective way of treating prolapse, and most importantly, it is far less invasive than undergoing a full hysterectomy.

One of the main problems with having a hysterectomy (apart from the intense trauma and long recovery period) is that in up to 50% of cases, it results in urinal incontinence. This is due to the close proximity of the bladder to the uterus. Uterus removal also takes away any support the bladder has and as a result, can interfere with bladder function.

Uterine prolapse is a widely experienced condition

A prolapse of the uterus is something that many women experience. It can happen because of childbirth, as a result of the enormous stretching of the muscle tissue. Also, in later life, when women go through the menopause, the lack of oestrogen that typifies menopause, results in the floor of the pelvis losing its elastic strength.

Although uterine prolapse is not dangerous, it is extremely uncomfortable. When the womb descends, it will rub on any underwear and this can result in the area becoming infected and an ulcer forming on the cervix.

A sacrohysteropexy is far less invasive than a hysterectomy.

While a hysterectomy is an effective prolapse surgery procedure, it is very invasive. It leaves patients very weak and they can take months to fully recover. A sacrohysteropexy, on the other hand, is a laparoscopic procedure which, because it is far less invasive, has a fast recovery time – as quick as two weeks.

The sacrohysteropexy operation involves the insertion of a small piece of flexible mesh which is used to raise the uterus and hold it firmly in position so that it cannot drop.

Although there has been some adverse publicity in recent weeks, the insertion of a mesh sling is a procedure that is supported by the MHRA (Medicines and Healthcare products Regulatory authority). It is a cleaner entry method, entered abdominally and not vaginally. It is especially relevant to women who have pelvic problems but still wish to have babies.

It’s important to find the right clinic and use a top surgeon

Finding the right clinic and the right surgeon to carry out the procedure is important. Many women choose to use the services The Pelvic Clinic; a clinic where Mr Jonathon Broome has carried out in excess of 1,000 successful sacrohysteropexies. To find out more about how we can help you or the women in your life, contact us today.


causes of prolapse

What causes a uterine prolapse?

Generally, a uterine prolapse occurs because the muscles which support the uterus lose strength. As these muscles weaken, they are unable to support the uterus effectively and, as a result, a prolapse occurs.

Prolapse staging allows medical professionals to determine the severity of the condition and provide an appropriate treatment plan. Patients with a grade 1 uterine prolapse may have milder symptoms, whereas patients suffering with a grade 3 prolapse may have a more severe condition and suffer more pronounced symptoms.

Many women suffer a prolapsed uterus after childbirth and it’s not uncommon for them to seek treatment for the condition. Whilst childbirth is a leading cause of uterine prolapse, it is not the only cause. Women without children can still experience a prolapse if there are other causes of muscle weakness present.

What are the most common prolapse symptoms?

Symptoms can vary between patients but some of the most common uterine prolapse symptoms are pain, discomfort and incontinence. As the uterus lacks support, increased pressure is placed on the surrounding areas and symptoms become apparent.

Although a uterine prolapse can be successfully treated, some women find the condition embarrassing and are somewhat reluctant to access medical assistance. Unfortunately, the symptoms can have a devastating impact on the patient and may restrict their activities considerably.

Is prolapse surgery available?

Hysterectomies are often offered to women as a form of prolapse surgery but they do have permanent consequences. Women will be unable to carry a child following a hysterectomy, for example. Due to this, it is an unsuitable form of treatment for many patients.

Fortunately, there is alternative surgery for prolapse problems. A sacrohysteropexy is less invasive than a hysterectomy and involves using medical mesh (introduced through keyhole ports and NOT vaginally) to support the uterus, rather than removing it.

As a leading surgeon, Mr. Jonathan Broome has performed over 1000 of these prolapse surgeries with a success rate of 100%. As a sacrohysteropexy provides a permanent solution to uterine prolapse and enables the patient to have children in the future, if they wish to do so, it is a more suitable form of treatment for many patients.

To find out more about the effectiveness of prolapse repair surgery, contact The Pelvic Clinic today on 01204 772400.

uterus pain

Dealing with uterus pain

For many women, uterus pain is a well-known symptom and something which often turns into an ongoing problem. Whilst a significant number of women do seek medical help for uterus problems, a solution isn’t always forthcoming.

Unfortunately, many women experience uterus pain for a long period of time before they are fully diagnosed or offered any treatment. As a result, their condition may have worsened before they receive treatment and they may be experiencing an increased number of side effects.

Does uterine prolapse pain always occur?

Uterine prolapse pain is certainly not uncommon but you won’t necessarily suffer pain if you’re experiencing a prolapse. Patients may present with side effects, such as discomfort or bleeding, but not report a significant amount of pain.

As every patient differs, not everyone will experience the same symptoms. Incontinence, for example, is a common symptom of a uterine prolapse but not every patient will suffer from this. Whilst many patients may experience uterine prolapse pain, the absence of significant pain shouldn’t exclude the possibility of a prolapse being the cause of your issues.

Undergoing prolapsed uterus surgery

If you’ve already been diagnosed with a prolapsed uterus, you may have been offered a hysterectomy. Whilst this is a viable form of treatment, many women are unaware that there is an alternative, less invasive treatment available.

A sacrohysteropexy, or prolapse repair, is a better form of treatment for many women, particularly if they would like to have children in the future. Whilst a hysterectomy removes the possibility of carrying a child, a sacrohysteropexy does not prevent the patient from conceiving or carrying a child.

Is a prolapse repair permanent?

When conducting a prolapse repair, the surgeon effectively repositions the uterus and ensures that it is held in place with a form of surgical mesh. Performed by a laparoscopic procedure, this offers women a permanent solution to a uterine prolapse. Important point to mention: Mr Broome inserts his mesh via tiny keyhole ports which is a clean method. Please do not confuse this with other ways of mesh introduction

Despite its success rate, many patients are still unaware that a sacrohysteropexy is a viable treatment option and many medical practitioners may not even be familiar with the procedure. As a less invasive form of treatment, with permanent results and a high success rate, however, a sacrohysteropexy is ideal for numerous women.

To find out more about prolapse repair surgery, contact The Pelvic Clinic today.

avoid hysterectomy for prolapse

Avoid a hysterectomy after a severe uterine prolapse

If you’re suffering from uterus problems or a uterine prolapse, you may have already consulted your GP or sought medical advice. In most instances, patients are advised that a hysterectomy is the only viable solution. Whilst a hysterectomy may alleviate uterus pain and provide an effective surgical solution to uterine prolapse pain, it certainly isn’t the only option available.

As many women are hesitant about undergoing a hysterectomy, they can be left with prolapse problems or uterine prolapse bleeding for months, or even years. With symptoms such as pain, discomfort and incontinence occurring because of a prolapse, the condition can affect every part of a patient’s life.

Are you a candidate for prolapse repair surgery?

Before considering a hysterectomy, why not look into the possibility of prolapse repair or sacrohysteropexy? Designed to deliver complete freedom from prolapse symptoms and uterine prolapse pain, a sacrohysteropexy is an extremely effective alternative.

Rather than undergoing a significant operation, as in the case of hysterectomies, prolapse repair surgery can be carried out laparoscopically. Generally, this means that the procedure itself takes a shorter amount of time and recovery time is significantly reduced.

Does a sacrohysteropexy offer a permanent solution?

As a form of prolapsed uterus surgery, a sacrohysteropexy provides an effective and permanent solution to prolapse problems. To date, Mr. Jonathan Broome, Consultant Gynaecologist at The Pelvic Clinic, has performed well over 1000 prolapse repair surgeries and has a 100% success rate.

For women who have spent years dealing with uterus pain, incontinence and discomfort, this type of prolapse repair surgery offers a new lease of life and a lifestyle free from pain.

Can you have children after a sacrohysteropexy?

When women of childbearing age are told a hysterectomy is the only way to alleviate prolapse symptoms, they can be left with an impossible choice. If they wish to conceive in the future, a hysterectomy clearly isn’t a viable solution to their medical condition.

Following a sacrohysteropexy, however, women will still be able to conceive and carry a child safely. As the uterus is stabilised, rather than removed, there is no barrier to conception or pregnancy. In fact, this form of prolapse repair surgery can even prevent a recurrence of the condition following childbirth.

To find out more about prolapse repair surgery, contact The Pelvic Clinic today on 01204 772400.

uterine pain

Can prolapse surgery provide freedom from uterine pain?

Although abdominal pain, incontinence and weakness of the pelvic floor are extremely common problems, many women find it difficult to access help for them. Often, they spend months, or even years, trying to access the appropriate diagnosis and treatment. As a result, symptoms, such as uterus pain and stress incontinence, can worsen over time.

In many cases, these issues are caused by a uterine prolapse. When the tissues, muscles and ligaments which support the uterus become weak, it can cause the uterus to be displaced. When the uterus drops, a prolapse occurs and women may suffer a range of symptoms.

Is a hysterectomy the only treatment for a uterine prolapse?

When patients present with uterus problems or a severe uterine prolapse, they are sometimes told that a hysterectomy is the only remedy available to them. However, a hysterectomy is not the right option for everyone and there are alternative surgical procedures available.

A sacrohysteropexy, or prolapsed uterus surgery, is an effective form of prolapse repair and negates the need for a hysterectomy. By repositioning the uterus and using flexible mesh to support it, the uterus is held in place.

The additional support provided by the mesh ensures that issues, such as weak pelvic floor muscles or nerve damage, no longer result in a prolapse occurring. Furthermore, the presence of the supportive mesh provides a permanent solution to prolapse problems and the associated symptoms.

Who can undergo a sacrohysteropexy?

As this type of prolapsed uterus surgery is performed laparoscopically by Mr Jonathan Broome, Consultant Gynaecologist, it is suitable for the majority of women with uterine prolapse symptoms. As the uterus remains in place, rather than being removed, it is particularly appropriate for women who wish to have children in the future.

Despite having a 100% success rate, sacrohysteropexies are only performed by a small number of surgeons in the UK. With many GPs still unfamiliar with the procedure, patients aren’t always made aware of its availability.

To learn more about the benefits of sacrohysteropexy for uterus pain and prolapse, contact The Pelvic Clinic today on 01204 772400.