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Women's and men's health physiotherapy – private patients

Specialist care for patients with pelvic floor conditions

Coronavirus: physiotherapy update

In response to the coronavirus (COVID-19) outbreak, please read our advice and information before attending the service or sending any referrals.

Guy’s and St Thomas’ private women’s and men’s health physiotherapy service provides specialist physiotherapy care for patients with non-surgical or surgical pelvic floor related conditions.

Patients receive a thorough assessment and treatment session tailored to the individual, to maximise recovery and functional return.

Working closely with specialist consultants your physiotherapist will have a sound understanding of any surgical procedures performed and the plan for your rehabilitation.


You can refer yourself to our service – a GP referral is not needed. Contact between our team and your doctor is not compulsory, although we recommend it as in your best interests.

Your specialist consultant may refer you to our services.

See the patients' page for more information about our service.

Conditions treated 

  • Urinary incontinence (for women and men)
  • Faecal incontinence and bowel evacuation disorders (for women and men)
  • Pelvic organ prolapse
  • Birth-related pelvic floor dysfunction 
  • Perineal dysfunction associated with dyspareunia or vulvodynia

Treatment available 

  • Manual therapy
  • Individualised pelvic floor exercise programmes
  • Soft tissue massage
  • Individualised Pilates based exercises
  • EMG biofeedback
  • Neuromuscular electrical muscle stimulation
  • Acupuncture
  • Real time ultrasound
  • Bowel and bladder retraining

Contact us

The lead for our women’s and men’s health physiotherapy service is Paula Igualada-Martinez, MSc, BSc (Hons), MCSP, MICS, MPOGP.

For further information or to arrange an appointment, please contact Paula on:

More about Paula

Paula initially trained as a physiotherapist in Spain (1995-1998) and qualified in 2000 with a BSc (Hons) degree in physiotherapy at Manchester University. In 2011 she completed her masters in Women’s Health Physiotherapy at Oxford Brookes University.

Since her graduation she has worked in various NHS hospitals – Addenbrooke's in Cambridge, Barts Health NHS Trust and Guy’s and St Thomas’ in London – as well as some private physiotherapy services.

Since 2007 she has been the lead for the women’s and men’s health physiotherapy service at Guy’s and St Thomas’ NHS Foundation Trust.

This has allowed her to work with the urology, urogynaecology and colorectal teams giving her a great insight into the advanced assessment and management of pelvic floor related disorders.  Her main interest is the effect of physiotherapy on pelvic floor dysfunction following childbirth.




  • 020 7188 5097 (St Thomas’ clinic)
  • 020 7188 5100 (Guy’s clinic).

Email (private patients):