In August 2011 I was approached by David Berg from Berg Physiotherapy. Unbeknownst to me, David had arranged for three patients he had been working with to undertake an abdominoplasty with me.

Aside from the obvious cosmetic improvements of an abdominoplasty, I have always been aware of the ‘added benefits’ being improvement in lower back and neck pain, stronger core for exercising and an improved sexlife. But I was not aware of the issue of incontinence.

Post pregnancy over 40% of women experience some ‘light bladder leakage’ or incontinence, usually on stress like coughing or sneezing. This gets worse with time. Encouraged by the success of his first three patients we have decided to take this further and in conjunction with David are currently running a clinical trial of this theory.

If we can demonstrate that repair of the rectus diastasis can lead to an improvement in pelvic floor function and relief of incontinence we could have a new indication for abdominoplasty. We will be sure to keep you abreast of this exciting development.

Dr Alastair Taylor