Urogynecology & Pelvic Floor Therapy
Urogynecology & Pelvic Floor Therapy
Urinary incontinence, pelvic organ prolapse, and pelvic floor dysfunction affect a remarkably large proportion of women, yet remain widely under-treated, often dismissed as an unavoidable consequence of childbirth or ageing. Dr. Ruby Rashmi provides specialist urogynecology assessment and pelvic floor therapy in Dubai, offering evidence-based treatment that can meaningfully restore comfort, confidence, and quality of life.
Urogynecology & Pelvic Floor Care
Conditions We Treat
Conditions We Treat
- ✓Stress urinary incontinence — leakage with coughing, sneezing, exercise, or laughing.
- ✓Urgency urinary incontinence and overactive bladder.
- ✓Mixed urinary incontinence combining stress and urgency symptoms.
- ✓Pelvic organ prolapse involving the bladder, uterus, or rectum.
- ✓General pelvic floor weakness following childbirth or with ageing.
- ✓Pelvic pain related to pelvic floor muscle dysfunction.
Assessment Process
A comprehensive urogynecology assessment begins with a detailed symptom history, bladder diary review, and focused pelvic examination to evaluate pelvic floor strength and identify any degree of prolapse.
- ✓Detailed symptom and medical history.
- ✓Bladder diary evaluation.
- ✓Pelvic floor strength assessment.
- ✓Post-void residual bladder scan where indicated.
- ✓Urodynamic studies for accurate diagnosis when required.
Treatment Options
- ✓Supervised pelvic floor muscle training — the evidence-based first-line treatment for stress incontinence and mild-to-moderate prolapse.
- ✓Bladder retraining programmes for urgency incontinence and overactive bladder.
- ✓Vaginal pessary fitting as a non-surgical support option for pelvic organ prolapse.
- ✓Topical vaginal oestrogen for postmenopausal women with associated tissue changes.
- ✓Medication options for overactive bladder when conservative treatment is insufficient.
- ✓Referral coordination for surgical procedures such as midurethral sling or prolapse repair when required.
Why Early Assessment Matters
Many women live with pelvic floor symptoms for years, assuming they are simply part of ageing or childbirth. In reality, early assessment and evidence-based treatment — particularly supervised pelvic floor rehabilitation — can significantly improve symptoms and quality of life.
Addressing pelvic floor concerns proactively, including during pregnancy and after childbirth, helps prevent progression and supports long-term bladder, pelvic, and reproductive health.
Frequently Asked Questions
Is bladder leakage normal after having children?
It is common, but it is not something you need to simply live with. Effective treatments, particularly supervised pelvic floor training, can significantly improve or resolve symptoms.
Do I need surgery to treat pelvic organ prolapse?
Not necessarily. Many women manage prolapse successfully with pelvic floor training and a vaginal pessary. Surgery is one option among several and is considered when conservative measures do not provide sufficient relief.
How long does pelvic floor therapy take to show results?
Most women notice improvement within 6 to 12 weeks of consistent, correctly performed pelvic floor exercises, particularly when guided by a supervised programme rather than self-directed exercise alone.
Can young women have pelvic floor problems, or is this only an issue for older women?
Pelvic floor dysfunction can affect women of any age, particularly after childbirth, and is not limited to older or postmenopausal women.
Where can I get a pelvic floor assessment in Dubai?
Dr. Ruby Rashmi provides comprehensive urogynecology assessment and pelvic floor therapy guidance as part of her women's health practice in Dubai.
