Dr Orla Conlon

But we have to have realistic expectations because if you have really, really severe incontinence, it's not going to work.

It's more to do with the mild to moderate.

And that's the big message here.

Whether you're postnatal, whether you're young, young women, this is when you need to get start, you know, looking at fixing this problem.

And so then the bulk of it will be much more successful than having to have a major operation.

And as she described the impact it has on her quality of life.

And that's the issue, you know, that prolonged childbirth with a very, very big baby.

And, you know, it is it can be catastrophic for your pelvic floor.

What I would say to that lady is, first of all, I'm so sorry that you're suffering like that.

But second of all, it is trying to put the jigsaw puzzle together.

You may not be completely dry.

A hysterectomy is not actually a treatment for incontinence, but if you do have a prolapse, that needs to be sorted out.

And the vaginal oestrogen is really important.

Well, I mean, as you can see, you know, it's so, so complicated.

The bladder, even though it's just like a little sack of, you know, to hold urine, it's a little balloon because of the nerve distribution, as she says, it's linked to the lumbar spine.

I mean, that's an extremely, extremely complex case.

And, you know, that lady would need a multi-professional team to work out between her spinal surgeon, neurologist,

gynaecologist, urologist, physiotherapist, specialist nurse.

I mean, it's really complex.

But again, it's putting the jigsaw puzzle together.