Urogynaecology

Pelvic Organ Prolapse
Urinary incontinence

Urodynamics

Voiding disorders

Overactive bladder
Recurrent Urinary Tract Infection
Bladder pain / interstitial cystitis
Pelvic mesh-related problems
Postpartum bladder dysfunction

Patients depend on me to provide evidence-based pelvic floor care. I offer a complete range of conservative (non-surgical) and surgical options to my patients. I have received extensive Australian-based surgical training and I’m dedicated to building long-lasting relationships based on trust and medical integrity with every single patient.

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What We Do

Prolapse

Prolapse symptoms come in many forms. Most commonly women complain of a bulge or dragging sensation in the vagina.

You might have been told you have a bladder, uterine or bowel prolapse by your GP. You might hear this described as a rectocoele or cystocoele.

Prolapse is surprisingly common! Approximately 50% of women have some degree of prolapse and over 12% will seek surgery at some stage.

If this is something that concerns you, we can help

Urinary Incontince

Bladder leakage is a problem that effects many women in many different ways. For some, it is of minimal bother. For others it can be socially crippling.

There are several causes of urinary incontinence. Most of this can be determined through a consultation with Dr James.

Please come and talk to us if bladder leakage is a problem for you.

Voiding Disorders

Do you ever find that you have a slow urine stream? Or does it feel like the bladder never empties fully?

There are many causes of voiding dysfunction and there are options available to improve your symptoms if this bothers you.

As a certified urogynaecologist, Dr James specialises in diagnosing and treating these complex presentations.

Urodynamics

Urodynamics is an investigation performed by a urogynaecologist to find out what is going on with the bladder.

Urodynamics can help inform the type of incontinence you have and also whether an operation for you might be a good option.

Certified urogynaecologists are experts in interpreting the findings from urodynamics. As Dr Alexander offers all treatment options for urinary incontinence he is well-placed to be able to act on these findings in your best interests.

Pelvic Mesh Removal

Have you had vaginal mesh inserted in the past and have developed symptoms?

Most patient's who have undergone a mesh procedure do not have any issues but sadly there are too many women for whom the insertion of mesh has left them in poorer health.

Common symptoms include vaginal and pelvic pain, vaginal bleeding/discharge and painful sex.

Dr James can discuss what options may be available to you from symptom control under the guidance of a multi-disciplinary team to mesh removal.