General Information

The Home of Pelvic Floor & Bladder Control Problems in South Australia

ADELAIDE SPECIALIST INCONTINENCE SERVICES

Specific problem —General

Stress Incontinence

Overactive Detrusor

Lower Urinary Tract Symptoms

Prolapse

Neuromodulation

Click below on the specific problem for more detail on that problem.

GENERAL INFORMATION

Various disorders of the pelvic floor are also extremely common.

· Refer anytime if there are concerns.

As many as 50% of women who have experienced vaginal deliveries will have a degree of prolapse and 30% - 40% of those women will require some form of surgical repair.

Continence issues, however, are not necessarily related to childbirth or prolapse.

Much can be done at primary care level [i.e. GP or Family Practice Level]

Suggestions for Primary Care

With the frequency and significance of incontinence, much can and should be done at primary care level.

A simple approach is:

· Obtain frequency/volume chart and MSSU for microscopy & culture [and cytology if symptoms have recent onset or have deteriorated].

· Is the urine output too great [>2litres/24hrs]? - obtain a urinary diary and if there is excessive urine output, exclude diabetes .

· Is the bladder able to store the urine?—small frequent voids + urgency = overactive bladder. Treat with anti-cholinergic medications if urine clear + pelvic floor physiotherapy.

· Normal frequency/volume but stress incontinence symptoms?—send for pelvic floor physiotherapy.

· Local Oestrogen creams or pessaries if the vaginal tissues are atrophic.

· Check medications—could they be responsible?

· Sudden onset of symptoms, moderate to severe symptoms, haematuria, recurrent UTI’s or failed conservative treatment? - refer for further more detailed assessment.

Fee Structure:

The fees charged are those recommended by the Australian Medical Association and there will be a gap to be paid.

Payment can be made by cash, cheque, credit card or eftpos.

Patients requiring surgery will receive a quote for the anticipated cost of their surgery.

A reduction in fees is available for pensioners/health care card holders.

Disorders of bladder and urethral function are extremely common with over 3 million Australians suffering from incontinence.

Phone: [08] 8332 1111

Fax: [08] 8332 5586

E-mail:

info@incontinence-sa.com.au

To contact us:

Suite 2, 128 Fullarton Road