Stress Incontinence
Leaking urine when coughing, sneezing, laughing, jumping, or exercising. Caused by weakened pelvic floor muscles that cannot support the urethra under physical pressure.
Urinary incontinence affects 1 in 3 women in the UK at some point in their lives, yet fewer than half ever seek help. At Zyloh Physio, our specialist pelvic health physiotherapist delivers expert, private incontinence physiotherapy in London — helping you regain control, confidence, and quality of life without surgery or medication.
18+ years clinical experiencePOGP registered memberNHS & private dual expertiseNICE-aligned treatment protocols
What is Urinary Incontinence?
Urinary incontinence is the involuntary leakage of urine — a condition recognised by NICE guidelines as a priority for physiotherapy treatment. It ranges from occasional small leaks to complete loss of bladder control and can significantly affect daily activities, exercise, relationships, and mental wellbeing.
Despite being common, incontinence is not an inevitable consequence of ageing or childbirth. NICE guidelines (NG123) recommend physiotherapy as the first-line treatment for stress, urge, and mixed incontinence — and for many people it eliminates the need for medication or surgery entirely.
Types of Incontinence We Treat in London
Our specialist physiotherapist assesses and treats all common forms of urinary and bladder incontinence:
Urge Incontinence
A sudden, intense urge to urinate followed by involuntary leakage before reaching the toilet. Typically associated with an overactive bladder.
Mixed Incontinence
A combination of stress and urge incontinence — the most common presentation in women. Both components are assessed and treated simultaneously for best outcomes.
Postnatal Incontinence
Bladder weakness following childbirth linked to pelvic floor muscle damage during labour. Early physiotherapy intervention produces the strongest long-term recovery.
Menopausal Bladder Weakness
Hormonal changes during perimenopause and menopause can weaken pelvic floor support tissues. Physiotherapy and lifestyle strategies significantly improve symptoms.
Bowel Incontinence
Inability to control bowel movements or wind, often co-existing with bladder symptoms. A holistic approach to pelvic floor rehabilitation addresses both together.
How Incontinence Physiotherapy Works
Incontinence physiotherapy addresses the root cause of bladder weakness rather than masking symptoms. Our evidence-based treatment programme is tailored specifically to your assessment findings and personal goals.
Pelvic Floor Muscle Training (PFMT)
The gold-standard treatment for stress and mixed incontinence. A progressive, personalised exercise programme that builds pelvic floor strength, co-ordination, and endurance. NICE (NG123) recommends a supervised minimum 3-month PFMT programme as first-line treatment.
Biofeedback Therapy
Real-time electronic feedback helps you correctly identify and activate your pelvic floor muscles. Clinical evidence shows biofeedback-assisted PFMT significantly outperforms exercises alone — especially for women who struggle to isolate the correct muscles.
Bladder Retraining
A structured programme to gradually increase bladder capacity and reduce urgency. Bladder diaries, timed voiding, and urge suppression techniques restore normal bladder habits and reduce urgency episodes.
Percutaneous Tibial Nerve Stimulation (PTNS)
A minimally invasive neuromodulation therapy for overactive bladder and urge incontinence. PTNS modulates the tibial nerve to regulate bladder-nerve pathways, offering significant symptom relief for cases where standard treatments need support.
Lifestyle & Dietary Guidance
Targeted advice on fluid intake, caffeine reduction, bowel habits, postural mechanics, and activity modification — evidence-based changes that make a measurable, lasting difference to bladder control.
Pelvic Organ Prolapse Management
Where incontinence is accompanied by pelvic organ prolapse, a combined pelvic floor support approach is provided — integrating specialist exercise, pessary advice, and activity modification.
What to Expect at Your Appointment
Your first appointment is a comprehensive, private consultation lasting approximately 60 minutes, conducted in a sensitive and non-judgemental environment.
- Detailed history — Review of symptoms, bladder diary, medical and obstetric history, and your individual goals.
- Pelvic floor assessment — Clinical assessment using validated tools; an optional internal examination is available with your fully informed consent.
- Personalised treatment plan — A clear, evidence-based programme tailored to your assessment findings and lifestyle.
- Immediate guidance — Specific home exercise programme and lifestyle advice to start the same day.
- Ongoing review — Regular follow-up appointments to progress treatment and monitor your improvement objectively.
Why Choose Zyloh Physio for Incontinence Treatment in London?
Specialist-Level Expertise
Jency holds a Master's degree in Obstetrics and Gynaecology and is a POGP-registered pelvic health physiotherapist — guaranteeing the highest clinical standard.
NHS & Private Experience
Alongside her private practice, Jency works as a Highly Specialised Pelvic Health Physiotherapist at the Royal London Hospital — bringing complex NHS caseload expertise to your private care.
NICE-Aligned Protocols
All treatment protocols follow the latest NICE guidelines (NG123) for urinary incontinence, so you receive proven, best-practice care every time.
Holistic & Patient-Centred
We treat you as a whole person. Beyond exercises, we address lifestyle, mental wellbeing, and long-term pelvic health strategy for results that last.
Location: Our clinic is based at 154 High Road, Woodford Green, London (IG8 9EF) — easily accessible from across North-East London and Essex, including Chigwell, Wanstead, Snaresbrook, Loughton, and Epping.
Your Incontinence Specialist — Jency Sudha
Jency is a Consultant Pelvic Health Physiotherapist and Biofeedback Specialist with over 18 years of experience dedicated exclusively to women's pelvic health. She holds a Master's degree in Obstetrics and Gynaecology and is a registered member of the Association of Pelvic Obstetric and Gynaecological Physiotherapists (POGP).
In addition to her private practice at Zyloh Physio, Jency holds a Highly Specialised clinical role at the Royal London Hospital, where she works within the colorectal and pelvic floor team treating complex incontinence, defecatory disorders, and pelvic floor dysfunction.
Her approach is compassionate, evidence-based, and centred entirely on your goals — empowering you to understand your pelvic floor and achieve lasting improvements in bladder control and quality of life.
Book with JencyFrequently Asked Questions — Incontinence Physiotherapy London
Can physiotherapy cure urinary incontinence?
Physiotherapy is a highly effective first-line treatment for urinary incontinence. Research shows pelvic floor physiotherapy resolves or significantly improves stress incontinence in 60–80% of cases. A structured programme of pelvic floor exercises, biofeedback, and bladder retraining can restore bladder control without the need for surgery or medication.
What types of incontinence can physiotherapy treat?
Physiotherapy is effective for stress incontinence (leaking when coughing, sneezing or exercising), urge incontinence (sudden strong urge to urinate), mixed incontinence (stress and urge combined), postnatal incontinence, and menopausal bladder weakness. Bowel incontinence and post-prostatectomy incontinence can also be managed with specialist pelvic floor physiotherapy.
How many physiotherapy sessions are needed for incontinence?
Most patients see significant improvement within 6–12 sessions over 8–12 weeks. NICE guidelines (NG123) recommend a minimum 3-month supervised pelvic floor muscle training programme as the first-line treatment for stress and mixed incontinence. The exact number of sessions depends on the type and severity of incontinence and individual response to treatment.
What happens at a first incontinence physiotherapy appointment?
Your first appointment lasts approximately 60 minutes and includes a comprehensive assessment of your bladder diary, symptoms, and medical history. The physiotherapist will assess your pelvic floor muscle strength, co-ordination, and endurance using validated clinical tools. A personalised treatment plan is then created, which may include pelvic floor exercises, bladder retraining, lifestyle advice, biofeedback, or PTNS depending on your needs.
Does incontinence physiotherapy involve an internal examination?
An internal pelvic floor assessment is often offered as it provides the most accurate measurement of pelvic floor muscle function. It is always optional and requires your fully informed consent. External biofeedback and surface EMG are available as non-invasive alternatives. Your comfort and dignity are always prioritised throughout your care at Zyloh Physio.
How much does incontinence physiotherapy cost in London?
Contact Zyloh Physio at info@zylohphysio.com or call +44 799 999 6926 to discuss current fees and available packages. We also accommodate some private health insurance options.
Ready to Take Back Control?
Don't let incontinence limit your life. Book a private consultation with our specialist pelvic health physiotherapist in London today — the first step toward lasting relief.
Book Your ConsultationOr contact us directly: +44 799 999 6926 | info@zylohphysio.com