What we offer
Following initial clinic appointment, we offer a combined urology, colorectal and gynaecology input for pelvic floor dysfunction and female incontinence (both urinary and faecal). Assessments of female incontinence including cystometry, flow rate, post void residual volume and pad tests performed by experienced nurse specialists.
Our unit offers conservative, surgical and outpatient management such as biofeedback (specialized pelvic physiotherapy), bladder retraining, percutaneous tibial nerve stimulation (PTNS), Botox and periurethral bulking agents. We are currently the largest PTNS centre in the UK for the treatment of overactive bladder and have published research on this treatment in international journals.
We also perform complex non-mesh prolapse surgery and specialize in same day discharge hysterectomy through the vagina (no cuts).
We manage and treat childbirth injuries from vaginal births (third and fourth degree perineal tears) and also offer anorectal physiology tests to investigate faecal incontinence.
Sister Joadel Mafuta runs a weekly ring pessary clinic on Monday afternoons and gives expert advise on conservative measures for vaginal prolapse.
In conjunction with Sister Rosemary Dadswell (from Urology Suite), we also manage painful bladder syndrome and urinary retention problems.
We hold regional multidisciplinary team discussions with our colleagues from other North London sector hospitals.
How to prepare for your visit
- Bladder diary for 3 days
- MSSU specimen
- History of previous surgery/treatment
- List of medication
Meet our team
- Medical: Wai Yoong, Adewale Adeyemo
- Nursing: Joadel Mafuta (ring pessary clinic), Rosemary Dadswell (Urology Suite), Roda Owusu (pelvic physiotherapy)
Useful websites
NICE Guidance NG123. Urinary Incontinence and Pelvic Organ Prolapse in Women (2019).
The Independent Medicines and Medical Devices Review on Vaginal Meshes (2020).
Research work from our unit
1: O'Neill AT, Hockey J, O'Brien P, Williams A, Morris TP, Khan T, Hardwick E, Yoong W. Knowledge of pelvic floor problems: a study of third trimester, primiparous women. Int Urogynecol J. 2017
2: Zhou D, Seraphim A, Yoong W. Tibial sensory neuropathy as a rare complication of percutaneous tibial nerve stimulation. Int Urogynecol J. 2015
3: Newbold P, Vithayathil M, Fatania K, Yoong W. Is vaginal hysterectomy is equally safe for the enlarged and normally sized non-prolapse uterus? A cohort study assessing outcomes. Eur J Obstet Gynecol Reprod Biol. 2015
4: Aref-Adib M, Lamb BW, Lee HB, Akinnawo E, Raza MM, Hughes A, Mehta VS, Odonde RI, Yoong W. Stem cell therapy for stress urinary incontinence: a systematic review in human subjects. Arch Gynecol Obstet. 2013
5: Ridout AE, Yoong W. Tibial nerve stimulation for overactive bladder syndrome unresponsive to medical therapy. J Obstet Gynaecol. 2010
6: Yoong W, Sivashanmugarajan V, Relph S, Bell A, Fajemirokun E, Davies T, Munro K, Chigwidden K, Evan F, Lodhi W; Enhanced Recovery After Surgery (ERAS) Team for Gynaecology and Anaesthesia. Can enhanced recovery pathways improve outcomes of vaginal hysterectomy? Cohort control study. J Minim Invasive Gynecol. 2014
7: Relph S, Bell A, Sivashanmugarajan V, Munro K, Chigwidden K, Lloyd S, Fakokunde A, Yoong W. Cost effectiveness of enhanced recovery after surgery programme for vaginal hysterectomy: a comparison of pre and post-implementation expenditures. Int J Health Plann Manage. 2014
8: Yoong W, Shah P, Dadswell R, Green L. Sustained effectiveness of percutaneous tibial nerve stimulation for overactive bladder syndrome: 2-year follow-up of positive responders. Int Urogynecol J. 2013
9: Yoong W, Ridout AE, Damodaram M, Dadswell R. Neuromodulative treatment with percutaneous tibial nerve stimulation for intractable detrusor instability: outcomes following a shortened 6-week protocol. BJU Int. 2010