Urogynaecology & Pelvic Reconstructive Surgery

The department of Urogynaecology & Pelvic Reconstructive Surgery is based at the Cotswold Unit, Southmead Hospital, Bristol and offers a comprehensive care to cover all the aspects of female urinary incontinence and utero-vaginal prolapse. The unit has been recently accredited by the British Society of Urogynaecology (BSUG, UK) and is a recognition of the high standards care provided to women with pelvic floor problems.

Women with these pelvic floor problems are offered a wide range of treatment options from conservative treatments to advanced surgical procedures if appropriate (including keyhole surgeries).

Treatments are delivered by a dedicated team of doctors (surgeons), specialist nurses and physiotherapists.

There are clinics on Mondays, Tuesdays and Wednesdays at the Cotswold Unit, Southmead Hospital, Bristol. We also run clinics at Thornbury, Yate, Clevedon and Portishead and run a dedicated pessary clinic for patients requiring pessary insertion or change or with problems using it.

Conditions treated include:

Female urinary incontinence

  • Stress incontinence: leaking with activities
  • Overactive bladder: urgent need to pass urine, frequent trips to the toilet and getting up at night associated with or without urinary leakage

Painful bladder conditions

Utero-vaginal prolapse

  • Cystocele: Prolapse of the front wall of the vagina
  • Rectocele: Prolapse of the back wall of the vagina
  • Uterus: Prolapse of the womb
  • Vault: Prolapse of the top of the vagina after a hysterectomy

The Team

Mr Chendrimada Madhu
Consultant (Lead) Subspecialist Urogynaecologist

Dr Sanchita Sen
Consultant Obstetrician and Gynaecologist

Tracy Wareham
Specialist Urogynaecology Nurse

Women’s Health Physiotherapists
Paula Riseborough
Jennifer Pinkstone

Cherilyn Griffiths

We work closely with the departments of urology and colorectal surgery in complex pelvic floor problems involving the bladder and bowel.

Useful Links & Leaflets

British Society of Urogynaecology (BSUG) bsug.org.uk

International Urogynaecological Association (IUGA) www.iuga.org

The Royal College of Obstetricians and Gynaecologists (RCOG) www.rcog.org.uk

International Continence Society (ICS) www.ics.org

Bladder and Bowel Foundation www.bladderandbowelfoundation.org

Patient.co.uk patient.info/health

Pelvic Floor Muscle Training video:


Urogynaecology & Pelvic Reconstructive Surgery