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Ashley James to Undergo Surgery After Battling Post-Birth Incontinence

September 30, 2026 Julia Evans – Entertainment Editor Entertainment

Presenter and former reality star Ashley James has revealed she will undergo surgery after battling urinary and faecal incontinence for nearly six years. Speaking publicly on This Morning, the 39-year-old detailed how a traumatic birth involving an incorrect stitch-up following her son Alfie’s arrival in January 2021 changed her physical reality, prompting a wider conversation around postpartum care and the heavy silence surrounding maternal birth injuries.

The Reality of Postpartum Birth Injuries

James shares two children, five-year-old Alfie and three-year-old daughter Ada, with her partner Tom Andrews, also referred to in reports as Tommy Andrews. Reflecting on the physical toll of her son’s birth, James explained to This Morning hosts Cat Deeley and Ben Shephard that managing the condition requires constant logistical planning. “When you experience something like incontinence, you have to plan your days and evenings around this physical thing that nobody on the outside really sees, but you know can happen,” James stated on the program.

ITV Star Ashley James Opens Up About Traumatic Birth and Incontinence Surgery

For nearly six years, James kept quiet about the condition, operating under the assumption that such severe postpartum struggles were a standard, unspoken part of motherhood. She noted that the overarching cultural narrative of “mother and baby doing fine” effectively shrouded her symptoms in secrecy. It was only after consulting a private health physiotherapist that James realized her physical reality was not a normal post-birth baseline that women simply had to endure.

Raising Awareness from Paris to Television

The broadcaster recently brought widespread attention to her condition over the weekend while visiting Paris to celebrate her partner’s birthday and attend a Celine Dion residency. During the trip, James posted photographs of herself standing near the Eiffel Tower while wearing Tena incontinence pants. The post followed a logistical mishap on the Eurostar, where she inadvertently left her wash bag containing standard Tena pads behind. With parts of the Champs-Élysées closed due to the Pope’s visit, Andrews was dispatched to source replacements, eventually returning with incontinence pants rather than pads.

Ashley James to Undergo Surgery After Battling Post-Birth Incontinence
Photo: uk.news.yahoo.com

Writing to her 843,000 Instagram followers, James reflected on the humbling nature of the situation: “And honestly, no matter how glam I may look sometimes, there’s something very humbling about the reality of pulling on your Tena pants.” She commended Andrews for his unwavering support, adding that partners should never make individuals feel embarrassed about birth injuries stemming from bringing children into the world.

Path to Surgery and Public Response

The social media post opened a floodgate of shared experiences, with James noting that her direct messages were filled with responses from women echoing “me too” and describing how the condition often feels like a hidden burden. Despite utilizing pelvic floor training and delaying the procedure, James confirmed she has her first appointment scheduled later in the week to discuss the upcoming surgical intervention for her double incontinence.

Instagram

“For anyone that experiences incontinence, it’s not something you have to put up with,” James shared during her broadcast appearance. “And I will have to have surgery, but it’s just the trauma of it.” Highlighting the systemic gaps in postpartum support, she emphasized that individuals deserve medical assistance and societal openness rather than stigma.

Beyond the medical realities, the trip to the French capital offered a poignant cultural milestone. James managed to retrieve her lost wash bag and reflected on the emotional weight of watching Celine Dion perform live, noting the singer’s own documented journey back to the stage after facing health challenges.

Disclaimer: The views and cultural analyses presented in this article are for informational and entertainment purposes only. Information regarding legal disputes or financial data is based on available public records.

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