About this episode

Dr Fadi discusses pelvic floor health and the various factors contributing to incontinence in women.

In this episode, consultant obstetrician and gynaecologist Dr Fadi joins Laura for an open, practical conversation about pelvic floor health, incontinence, prolapse and the realities of modern obstetrics. Dr Fadi explains how childbirth, ageing and menopause affect the pelvic floor, and why so many women end up living with stress incontinence, prolapse and faecal incontinence in silence. He walks through the full range of treatment options — from physiotherapy and pessaries to urethral bulking, Botox, sacral neuromodulation, robotic surgery, and the mesh procedures paused in Ireland since 2018. The conversation also takes in interstitial cystitis, vaginal oestrogen, the impact of long inductions on older mothers, and the trade-offs women now weigh up between a vaginal delivery and a caesarean section. Dr Fadi closes with a reflection on his time working with Syrian refugees, where he met 13-year-old mothers and a 26-year-old grandmother. 🔑 Key Points 1. Pelvic floor problems are common and treatable — Stress incontinence, prolapse and faecal incontinence are usually linked to childbirth, not an inevitable part of being a woman. 2. Mesh for incontinence has been paused in Ireland…

People in this episode

Host: Laura Dowling

Guest: Dr Fadi

Topics covered

• pelvic floor health
• incontinence
• childbirth
• treatment options
• women's health
• modern obstetrics

Keywords

• incontinence
• pelvic floor
• childbirth
• treatment options
• prolapse
• physiotherapy
• mesh procedures

Mentioned in this episode

Organizations: Ireland, Syrian refugees

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