Pelvic Floor Imaging

3D/4D Pelvic Floor Ultrasound

A pelvic floor ultrasound shows the muscles, bladder, womb and bowel as they move, at rest, when you squeeze and when you push. It shows what an examination alone cannot, so your treatment is planned on a clear picture.

Dr Bob Achila introduced 3D/4D pelvic floor ultrasound in Kenya. It is a routine part of assessment in his urogynaecology practice.

What it can show

  • How far the organs move down in prolapse, and which ones are affected
  • Injury to the pelvic floor muscles (levator muscles) after childbirth
  • Damage to the anal sphincter after a tear, without an internal probe (exo-anal imaging), for women with bowel leakage
  • How the bladder neck moves in urinary incontinence
  • The position of slings (such as TVT) and mesh after previous surgery, including sacrocolpopexy and hysteropexy

What to expect

The scan is done from the outside, with the probe placed gently between the legs, not inside the vagina. It takes about 15 to 20 minutes, is not painful, and can often be done on the day of your consultation. The findings are explained to you and included in your treatment plan.

For referring clinicians

Referrals are welcome for 3D/4D pelvic floor imaging, including assessment after obstetric anal sphincter injury, recurrent prolapse, and imaging of slings (such as TVT) and mesh after sacrocolpopexy or hysteropexy. A written report is returned to you. See referral information.

Common questions

Is it an internal scan?

No. The probe is placed on the outside, between the legs.

Is it different from a normal pelvic ultrasound?

Yes. It looks specifically at the pelvic floor muscles and how the organs move, using 3D/4D imaging and specialist analysis.

Do I need a referral?

No. You can book directly, or your doctor can refer you.

General information only. It does not replace a medical consultation.

Take the Next Step

Ready to book your consultation?

Call or WhatsApp the practice, or book online at any time, including evenings and weekends. Our team will help you arrange a suitable appointment time.

Online bookings and all appointments are confirmed directly by the practice team.