PELVIC FLOOR SYMPTOM FINDER
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Specialist assessment and advanced pelvic floor surgery, tailored to your problem. How I can help
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A USEFUL PLACE TO START
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FROM SYMPTOMS TO A PLAN
A symptom can have several causes, and more than one problem can coexist. My role is to connect your symptoms with the examination and any useful tests, then agree a plan that fits you.
We discuss what limits your life: exercise, sleep, intimacy, work or confidence. I assess pelvic support, bladder and bowel function, tissue health and muscle coordination as relevant.
Options may include targeted physiotherapy, medicines, vaginal tissue treatment, pessary support or a procedure. Muscle treatment may focus on relaxation and coordination as well as strength.
My practice includes continence surgery and advanced pelvic floor reconstruction, including complex or recurrent prolapse. The operation is tailored to the support problem, previous surgery, health and your goals.
For example, a bulge with difficult bowel emptying may involve support at the top and back of the vagina as well as muscle coordination. I assess which findings explain your symptoms before discussing a selected repair or a wider reconstruction. We discuss likely benefits, risks, alternatives and recovery together.
MAKE THE VISIT USEFUL
Note what happens, when it started and what you most want to improve. Bring your medicine list, relevant urine results and details of previous birth injuries or operations, if available. A diary can help with bladder or bowel symptoms; it should not delay getting care.
YOUR NEXT STEP
If symptoms affect your comfort or everyday life, you can book without completing this finder. We can work through the overlapping symptoms together.
Reviewed by Dr Jan Adlam · 22 October 2026.
This is an educational navigation tool, not a diagnostic questionnaire, risk score or emergency assessment. The linked guides explain assessment and treatment in more detail.
Compare leakage with activity, leakage with urgency and a mixture of both.
Read this guideI assess the type of leakage and bladder emptying, then discuss targeted rehabilitation, medicines or continence procedures where appropriate.
Read about leakage with coughing, laughing, lifting or exercise, often called stress incontinence.
Read this guideI assess urethral support, previous treatment and your goals. When surgery is appropriate, I help you compare continence procedures and their benefits and risks.
Read about losing urine while trying to reach the toilet.
Read this guideAssessment checks for infection, emptying problems and other contributors. Treatment can include bladder training, medicines and selected procedures for persistent symptoms.
Read about leakage with activity as well as a sudden urge.
Read this guideI identify which symptoms bother you most and plan treatment for both. A continence operation for stress leakage does not automatically treat urgency.
Read about frequent trips or a sudden need to pass urine.
Read this guideA bladder diary and targeted assessment help separate bladder sensitivity, urine production, infection and emptying problems, so treatment addresses the cause.
Read about night-time toilet trips and the different reasons they happen.
Read this guideI look at overnight urine production, bladder function, medicines, sleep and general health. Treatment follows the pattern recorded in your diary.
Read about a slow stream, repeat trips or a bladder that still feels full.
Read this guideI can check how much urine remains and look for muscle, prolapse or previous-surgery contributors. Treatment may include targeted rehabilitation, support or correction of a confirmed obstruction.
Read about pelvic organ prolapse, assessment and treatment choices.
Read this guideI assess support at the top, front and back of the vagina, together with bladder and bowel function. My expertise includes advanced reconstruction for complex or recurrent prolapse, with the approach tailored to your findings and priorities. We also discuss suitable non-surgical options.
Read about repeated burning or infection-like episodes and how testing helps.
Read this guideI review urine results, bladder emptying, tissue health and possible look-alikes, then tailor treatment and prevention to the findings.
Read about bladder pain, including symptoms that persist between infection episodes.
Read this guideNegative urine tests alone do not establish a diagnosis. I assess infection, pelvic floor tension and other causes before discussing an individual treatment plan.
Compare constipation, difficult emptying and bowel leakage.
Read this guideI assess bowel habits, muscle coordination, pelvic support and childbirth injury. Care may combine bowel treatment, physiotherapy and selected reconstruction or coordinated bowel specialist care.
Read about hard stool, straining and the role of pelvic floor coordination.
Read this guideI separate stool consistency from difficulty relaxing or a structural support problem. This helps identify which bowel treatments, rehabilitation or further assessment may help.
Read about feeling blocked or needing repeated attempts to empty.
Read this guideI assess how support and muscle coordination affect emptying. If a relevant structural problem is confirmed, tailored pelvic floor reconstruction may be part of your treatment.
Read about back-wall vaginal support and its possible link with bowel emptying.
Read this guideI assess the whole support system. Reconstruction may involve more than a posterior repair, depending on vaginal support, an enterocele or perineal descent and how these relate to symptoms.
Read about difficulty controlling wind or stool, or rushing to open your bowels.
Read this guideI assess stool consistency, muscles and possible childbirth injury. Treatment may include rehabilitation, selected repair or discussion of sacral neuromodulation with the appropriate specialist team.
Read about third- and fourth-degree tears and ongoing bowel symptoms.
Read this guideI review the birth injury, healing and current control. Rehabilitation, further investigation and selected surgery are considered according to the findings.
Read about pain or difficulty with insertion and how assessment can be adapted.
Read this guideI distinguish muscle tightening, skin or tissue sensitivity and scar problems. You control the pace of examination; treatment is directed at the findings.
Read about vulval and entrance pain and the different problems that can overlap.
Read this guideI assess skin, tissue health, pain sensitivity and pelvic floor muscles. A symptom description alone cannot confirm vulvodynia or determine whether a procedure would help.
Read about burning, aching or pulling after sex.
Read this guideI distinguish scar or support problems from muscle tension, bladder symptoms and deeper pain. Tailored scar revision or reconstruction can help selected structural problems; other causes need different treatment.
Read about itching, soreness and changes in the skin around the vaginal opening.
Read this guideExamination helps distinguish skin conditions, infection, irritation and hormone-related changes. A persistent sore, ulcer, lump or bleeding needs medical review.
Read about lichen sclerosus, one possible cause of these changes.
Read this guideSkin appearance needs an examination rather than a diagnosis from this finder. I assess the cause and whether treatment or a biopsy is needed.
Read about a painful scar between the vagina and anus after childbirth.
Read this guideI assess the scar, surrounding muscles and tissue. Selected scar revision or perineal reconstruction may help when a structural problem matches the pain.
Explore different causes of pain with sex and overlapping pelvic floor symptoms.
Read this guideI assess tissues, muscles, scars, support and deeper pelvic causes. Care can combine physiotherapy, medicines and targeted procedures or surgery when there is an appropriate indication.
Read about dryness, burning and hormone-related vaginal changes.
Read this guideI assess tissue health and other possible causes. Menopause and breastfeeding need different discussions; treatment is adapted to your circumstances.
Read about bladder, vaginal and support symptoms around menopause.
Read this guideHormonal change may contribute, but it does not explain every symptom. Treatment may include local tissue care, bladder treatment and tailored prolapse care.
Read about leakage, heaviness, emptying difficulties and pain after birth.
Read this guideI assess healing, muscle function and possible injury. Care may include tailored rehabilitation, scar treatment or reconstructive surgery for a persistent structural problem.
Read about new or ongoing symptoms following an operation.
Read this guideI review the original procedure and current anatomy. Complex or recurrent support problems may benefit from tailored reconstruction, while other symptoms need targeted non-surgical care.
Read about treatment choices when symptoms overlap in later life.
Read this guideYour health, independence, comfort and preferences guide care. Age alone does not determine whether a pessary, continence procedure or reconstructive surgery is appropriate.
Start with the overview if several symptoms overlap or you are unsure.
Read this guideYou do not need a diagnosis before booking. I assess the whole pelvic floor, identify what matters most to you and discuss suitable treatment, including specialist surgery when indicated.
Read about recurring or ongoing pelvic pain, including pain unrelated to sex.
Read this guideI consider gynaecological, bladder, bowel and muscle contributors together. Further tests and treatment are selected around your symptoms, findings and priorities.