Concierge pelvic health · UK
Pelvic floor physiotherapy - the treatment the evidence puts first.
Not a leaflet of Kegels - a specialist-led, supervised training programme for leaking, prolapse symptoms, postnatal recovery and pelvic pain, with your progress measured rather than guessed. For women, and for men.
Why patients choose us
- 01
Specialist pelvic health physiotherapists only
Postgraduate-trained clinicians who work in pelvic health full-time - assessing internally where appropriate, not handing out a leaflet of squeezes.
- 02
A programme, not a session
The evidence is for supervised training over three to four months with measured progress - so that is what we book: a course with re-assessment built in, not one-off appointments.
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Independent, and free
We are paid by no clinic, so the recommendation - including when you need a doctor before a physiotherapist - is impartial and costs you nothing.
Indicative pricing
What private pelvic floor physiotherapy costs in the UK.
Indicative ranges across our partner pelvic health clinics. Send the details and we quote a firm course price, with cover checked.
In short
A full six-session course: £420–£780, first assessment within days.
| Item | Indicative range | Typical duration | Notes |
|---|---|---|---|
| Initial pelvic health assessment (60 min) | £90–£150 | 60 min | Plan same visit |
| Follow-up session | £60–£110 | 30–45 min | Every 1–2 weeks |
| Course of six sessions (assessment + five) | £420–£780 | 12–16 weeks | Re-assessment included |
| Postnatal check ("mummy MOT") with programme | £100–£180 | 60–75 min | Report same visit |
| Biofeedback or electrical stimulation add-on | £20–£50 per session | Within session | - |
NHS pelvic health physiotherapy is free via GP referral, and where your local waiting list is short we will honestly tell you to use it. Private courses earn their fee through immediate starts, hour-long assessments and continuity with one named physiotherapist.
The problem
Everyone has heard of pelvic floor exercises. Almost no one is taught them.
The gap between a leaflet and a supervised programme is the gap between failure and the first-line treatment UK guidance actually recommends.
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Technique before dose
A third of women squeeze incorrectly when untaught. One assessment fixes what years of DIY Kegels could not.
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The right diagnosis first
Weak floors need strengthening; overtight floors need release. The same exercises that fix one worsen the other - assessment tells them apart.
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Measured, or it did not happen
Strength grades and symptom scores at the start, and again at three months. If the numbers have not moved, the plan changes - with evidence in hand.
The journey
From enquiry to measured results - what happens, in order.
One physiotherapist from first assessment through the full programme, re-measurement and maintenance.
Phase 1 · Assessment
History, examination, programme
Phase 2 · Training
Supervised sessions, progression
Phase 3 · After
Re-measurement, maintenance
- 01
Assessment
You tell us what is going on
A short, confidential form. Leaking, heaviness, urgency, pain, postnatal recovery - plus births, surgery, sport and what you have tried already.
- 02
Assessment
We come back with a recommendation
Within one working day: the right pelvic health physiotherapist near you, whether a medical review should come first, and a clear price for the course.
- 03
Assessment
Your first assessment
A one-hour appointment: your story in full, posture and breathing, abdominal examination, and - only with your consent - an internal examination to grade strength, endurance and coordination.
- 04
Assessment
Your programme, built and taught
An individualised plan: correct technique confirmed (most people squeeze wrongly at first), a daily training dose, and bladder or bowel retraining where needed.
- 05
Training
Training, supervised and progressed
Sessions every one to two weeks. Technique is rechecked, load is progressed, and adjuncts - biofeedback, stimulation, pessary liaison - are added where they earn their place.
- 06
Training
Life integration
The knack for coughs and lifts, safe return to running and the gym, intercourse comfort work, and habits that stop progress unravelling - trained, not just mentioned.
- 07
After
Re-measurement and the maintenance plan
At 12–16 weeks your strength grades and symptom scores are formally repeated. Then a maintenance dose for life - or an honest onward referral if physio alone has not been enough.
Typical course: 12–16 weeks. First improvements: weeks 4–6. Daily commitment: about five minutes.
When it helps
When pelvic floor physiotherapy is the right step.
The situations we see most, plus the symptoms that need a doctor before any physiotherapist.
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Leaking with cough, laugh or exercise
Stress incontinence - the flagship indication. Supervised training cures or markedly improves most who complete a proper course.
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Urgency and frequency
The bladder that shouts. Training plus urge-suppression techniques and bladder retraining calm it in most cases.
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Heaviness or early prolapse
Dragging or a mild bulge - physiotherapy improves symptoms of stage 1–2 prolapse and works alongside a pessary for later stages.
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Pregnancy and the postnatal year
Preventive training in pregnancy, and structured rehab after delivery - especially after instrumental birth or significant tears.
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Before and after pelvic surgery
Prehab before prolapse or prostate surgery and rehab afterwards both measurably improve outcomes - and are routinely skipped.
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Pain: an overtight pelvic floor
Painful sex, vaginismus, chronic pelvic pain, tailbone pain - a hypertonic floor needs release and down-training, the opposite of Kegels.
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Men after prostate treatment
Pelvic floor training before and after prostatectomy speeds the return of continence - men are pelvic health patients too.
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Red flag: see a doctor first
Blood in urine or stool, inability to pass urine, saddle numbness or unexplained weight loss needs medical assessment before any physiotherapy.
What treatment involves
A toolkit, assembled to your assessment.
What each element involves - chosen and combined for your floor, your symptoms and your goals, never off a standard sheet.
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Internal assessment
The gold-standard way to grade strength, endurance and technique - gloved, gentle, always optional, and the reason specialist physio outperforms a leaflet.
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Individualised muscle training
A daily programme of correct contractions - quick and sustained holds - dosed and progressed like any strength training, because that is what it is.
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Down-training and release
For the overtight floor: breathing work, manual release techniques and graded desensitisation. Strengthening a hypertonic floor makes it worse.
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Biofeedback
Sensors show your contraction on a screen in real time - invaluable for the many people who cannot feel whether they are squeezing correctly.
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Electrical stimulation
Gentle stimulation helps a very weak floor find the movement at all, as a bridge into active training - used selectively, per NICE.
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Bladder and bowel retraining
Scheduled voiding, urge-suppression drills, stool habit and positioning work - behavioural treatment with strong evidence behind it.
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The knack, and load management
A pre-tightening squeeze before coughs and lifts, plus honest guidance on impact exercise, lifting and running - restriction where needed, return where possible.
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Liaison upward
When measured progress stalls, your physiotherapist writes to a urogynaecologist or colorectal surgeon with data in hand - the escalation is seamless, not a fresh start.
Our vetted UK network
A small panel of pelvic health physiotherapists, we picked them.
Specialist clinicians across London and the major UK cities, treating women and men. Introductions are made privately, once we understand your case.
Selection criteria
How we choose every physiotherapist in our network.
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Postgraduate-qualified pelvic health physiotherapists (POGP-trained or equivalent), HCPC-registered
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Internal examination competence, with chaperones and trauma-informed practice as standard
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Outcome measures recorded at baseline and repeated - progress is data, not impressions
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Direct referral relationships with urogynaecology, colorectal and men’s health consultants
What to expect
Honest expectations, from week one.
This is one of the safest treatments in medicine - the honesty needed here is about effort, timescale and when to step up.
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Essentially risk-free
Pelvic floor physiotherapy has no meaningful complications. The only real risk is wasted months from wrong technique or a wrong diagnosis - both prevented by specialist assessment.
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It works, with numbers
Supervised training cures or substantially improves stress incontinence in the majority of women who complete a course, and NICE recommends at least three months of it before any surgery is considered.
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Internal examination is always your choice
It gives the best information, but assessment can proceed externally, with biofeedback, or by ultrasound. Nothing happens without consent, and a chaperone is available.
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Most people squeeze wrongly at first
Around a third of women bear down or use the wrong muscles when first attempting a contraction - which is why unsupervised Kegels so often fail, and why technique is checked before dose.
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Expect weeks, not days
Muscle takes time. Early change appears by weeks four to six; the full result is judged at three to four months. Anyone promising a fortnight fix is selling something.
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Soreness, occasionally
Mild muscle ache after sessions is normal, like any training. Pain during or after internal work is feedback to give your physiotherapist - the plan adapts.
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When physio is not enough
Roughly a quarter to a third of patients need something more - pessary, medication or surgery. A measured, completed course means that escalation happens with evidence, not by default.
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Maintenance is forever, gently
Like any strength gain, pelvic floor fitness fades without use. A short daily maintenance dose - a minute or two - protects the result long term.
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Red flags during a course
New blood in urine or stool, retention, fever, or saddle numbness mean pause the programme and see a doctor the same day.
Reading your programme notes
Your programme notes in four parts. Read the last one first.
After each review your physiotherapist writes up where you are - and every write-up keeps to the same shape.
A quiet reminder
Oxford grades and acronyms can obscure real progress - we translate them for you.
If you would like us to talk you through your notes and scores at any point in the course, just ask.
- 01 Header
Your presentation and goals
The symptoms, their impact scored on validated questionnaires, and the goals you set - the yardsticks the whole course is measured against.
- 02 Technique
Assessment findings
Strength and endurance grades (usually the Oxford scale), tone, coordination, and whether the problem is weakness, overactivity or both.
- 03 Findings
Progress, measured
Grade changes and symptom-score changes at each review - the objective story of whether the programme is working.
- 04 Impression
The plan from here
Read this first: your current exercise dose, the next progression, the re-assessment date, and the agreed trigger for onward referral if needed.
Recognised by major UK insurers
Most UK insurers cover physiotherapy, including pelvic health, when clinically indicated - often with a session limit per year. We confirm cover before booking.
Frequently asked
Everything we get asked about pelvic floor physiotherapy.
Quick answers on what it involves, the evidence, examinations, cost and who it is for.
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What does a pelvic floor physiotherapist actually do?
Far more than teach Kegels. A specialist assessment covers your history, posture and breathing, abdominal wall, and - with consent - an internal examination that grades muscle strength, endurance, tone and technique. From that, you get an individualised programme: strengthening for a weak floor, release and down-training for an overtight one, bladder and bowel retraining, biofeedback where useful, and supervised progression over three to four months with your results formally re-measured.
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Does the evidence really support it?
Yes, strongly. Supervised pelvic floor muscle training is the first-line treatment for stress and mixed urinary incontinence in UK guidance, curing or substantially improving symptoms in the majority of women who complete a course; NICE recommends at least three months of supervised training before continence surgery is considered. There is also good evidence for early prolapse symptoms, postnatal recovery and continence after prostate surgery in men.
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Is the internal examination compulsory?
No - it is offered because it gives the most accurate picture of what your muscles are doing, but plenty of effective treatment happens without it. You can decline entirely, defer it to a later session, or opt for external assessment, biofeedback or ultrasound-based methods instead. Chaperones are available, trauma-informed care is standard in our network, and consent is asked for at every step, not once.
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How much does private pelvic floor physiotherapy cost in the UK?
An initial hour-long assessment costs £90–£150 and follow-ups £60–£110, so a typical course of six sessions comes to £420–£780. Postnatal assessments run £100–£180. NHS pelvic health physiotherapy is free but waits vary widely by area; many patients start privately and are transferred once technique and programme are established. We quote a firm figure within one working day.
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I have done Kegels for years and nothing changed - why would this differ?
Because unsupervised squeezing fails for predictable reasons: roughly a third of women perform the contraction incorrectly (often bearing down instead), the dose is usually too low to build strength, and some floors are actually overtight - for which strengthening is precisely the wrong treatment. A specialist confirms your technique, identifies which problem you actually have, doses the programme like real training and progresses it. That is the difference between the leaflet and the evidence.
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Is pelvic floor physiotherapy only for women?
No. Men benefit substantially too - most notably before and after prostate surgery, where structured training speeds the return of urinary continence, and in chronic pelvic pain syndromes, which in men are frequently driven by an overactive pelvic floor rather than the prostate itself. Our network includes physiotherapists who assess and treat men routinely; tell us when you enquire and we route you accordingly.
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