Your Appointment
What to expect at your appointment
Private, respectful, assessment-led pelvic health care
This page explains how appointments usually work, including consent, assessment, treatment planning and next steps.
Before your appointment
Before your appointment, you may be asked for information about symptoms, medical history and goals. Depending on the confirmed booking process, this may be through a form, questionnaire or direct communication. You do not need to prepare everything in detail. A simple summary is enough.
Talking through your symptoms
The first part of the appointment usually involves a detailed conversation. This may include bladder and bowel habits, leakage, urgency, pain, surgery or birth history, exercise, work routines, sleep and previous tests. You can pause, ask questions or choose not to answer something.
Assessment and consent
Assessment depends on your symptoms and what is clinically appropriate. For some people, internal pelvic floor assessment may be discussed if relevant. This only happens with informed consent, and you can decline or stop at any point. This isn’t the right choice for everyone, and that is completely okay.
There is also an option for non-invasive real-time ultrasound imaging right here in the clinic. This incredible technology assesses your pelvic floor muscles externally through your abdomen or perineal area, giving excellent visual feedback into the muscle function without the need for an internal exam. Your comfort, privacy, and peace of mind are the priority and every step of your assessment is entirely up to you. Together, we will choose the approach that makes you feel safest and most supported.
Your treatment plan
Your plan is based on your assessment, symptoms and goals. It may include pelvic floor work, bladder or bowel strategies, post-surgical rehabilitation, return-to-exercise guidance and education about pain, pressure or recovery. You will be told what to focus on first and how progress can be reviewed.
After the appointment
By the end of the appointment, the aim is that you understand what may be contributing to symptoms, what your first steps are, and whether medical review or onward referral is recommended. Some people need a small number of appointments. Others benefit from a longer rehabilitation plan.
Frequently Asked Questions
- Do I need a referral?
- This depends on the confirmed clinic process. Some people seek pelvic health physiotherapy directly, while others come through a GP, consultant or surgical pathway. No referral is required - you are welcome to book directly.
- Will I need an internal examination?
- Not always. An internal assessment may be discussed if clinically relevant, but it is never mandatory and only happens with your informed consent. I also have access to a real time ultrasound machine, which can be used as an alternative.
- How long is a first appointment?
- First appointments are typically 60 minutes, allowing enough time for a thorough conversation and assessment. Follow-up appointments are usually 30 minutes.
- What should I wear?
- Comfortable, loose-fitting clothing is helpful but not essential.
- How many appointments will I need?
- This varies significantly depending on your concerns and goals. Many patients see meaningful improvement within a small number of sessions. You will get a realistic indication at your first appointment.
- Is this service available on the NHS?
- Appointments with Sioned at Physis are private. If you are interested in NHS pelvic health physiotherapy, your GP can advise on referral pathways in your area.
- Is this only for women?
- No. Men commonly seek support for leakage, urgency, dribbling, pelvic pain and recovery after prostate surgery.
- What if my tests were normal?
- Normal tests do not mean symptoms are not real. Physiotherapy may help assess muscular, functional, behavioural or recovery-related factors that do not always appear on routine tests.
Book or ask before booking
Book through the online booking pathway or contact Sioned if you have a question before arranging care.