Pelvic health physiotherapy

The pelvic health physiotherapy service at the Royal Free London offers specialist assessment and rehabilitation of pelvic, bladder and bowel dysfunction, for both men and women.

Patients are often referred from obstetrics, gynaecologists and colorectal and urology surgeons for our services. Examples of patients referred to us include women in pregnancy with pain in the pelvis and men with urinary incontinence following prostate surgery.

Our aim is to diagnose a patient’s condition and set out a treatment plan with them in order to achieve the best possible outcome.

Out-patient services

Our specialist out-patient services for women include treatment for pregnancy-related pain, sexual pain, bladder or bowel problems and those with pelvic floor muscle dysfunction.

Our specialist out-patient services for men include treatment for bladder or bowel problems.

In-patient services

Our in-patient service provides support and advice on our postnatal and gynaecology wards to women who have a high risk of pelvic floor dysfunction after birth or gynaecological surgery. 

What symptoms or conditions can pelvic health physiotherapy help with?

Our experienced team of pelvic health physiotherapists provide assessment and treatment for the following problems:

• Stress urinary incontinence: Leaking urine during a run, cough or sneeze
• Urinary frequency, urgency and urge incontinence: The feeling of needing to empty the bladder frequently and/or rush to get to the toilet in time, often accompanied with loss of control of urine
• Faecal/flatus incontinence: The loss of control of bowels and/or wind
• Faecal urgency: The feeling of needing to empty the bowel with little warning
• Obstructive defecation: Difficulty emptying the bowels
• Pelvic pain/vulval pain/dyspareunia: Pain with sexual intercourse and/or chronic pain in the pelvic region
• Perineal trauma: Injury to the pelvic floor from childbirth
• Pelvic organ prolapse: Anterior or posterior vaginal wall and uterine decent
• Pregnancy and postnatal related musculoskeletal conditions: Pelvic girdle pain, back pain, coccyx pain, hip pain, rib pain and carpal tunnel syndrome
• Men's health: Bladder and bowel care after prostate surgery, pelvic floor training for erectile dysfunction, bowel care following bowel surgery, and pelvic pain

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Referral details

Royal Free Hospital

Obstetrics

• Self-referral if delivering at Royal Free London (we accept any address/GP)
• Camden CCG GPs

Gynaecology 

• Royal Free London consultant referral (we accept any address/GP)
• Camden CCG GPs

Barnet Hospital and Chase Farm Hospital

Obstetrics

• Royal Free London midwife or consultant referral
• Referrals from NCL CCG, Hertsmere CCG and West Herts CCG; please note your GP may have a local service which they may suggest you are seen at initially for care

Gynaecology

• Referral from midwife or consultant referral
• Referrals from NCL CCG, Hertsmere CCG and West Herts CCG; please note your GP may have a local service which they may suggest you are seen at initially for care

Referral forms

• RF_Consultant_referral_form
• RF_Self_Referral_Form