Involuntary leakage of urine is common and often manageable - however it can affect your confidence and daily life. Seen within days at 4 private London hospitals. No GP referral needed.
Assessed personally by Mr Maneesh GheiConsultant Urological Surgeon · GMC 5208045
Platinum Consultant
142 verified reviewsUrinary incontinence is the involuntary leakage of urine, affecting around 1 in 3 people over 60. It is caused by an overactive bladder, a weak pelvic floor or urinary sphincter, or a combination of both - and effective treatments exist for all three types.
A sudden urge to urinate that is difficult to contain, often with a need to rush to the toilet or get up at night.
Leakage when pressure is placed on the bladder, such as coughing, sneezing, bending or exercising.
A combination of both urgency and stress symptoms together.
Assesses how well the bladder empties and the wellbeing of the kidneys and bladder.
A test performed on the bladder to show what happens as it fills and empties.
Optimising weight and fluid intake, and avoiding irritant fluids such as caffeinated and carbonated drinks.
Behavioural exercises that help you overcome the urge to urinate and increase the interval between visits to the toilet.
Exercises to strengthen the pelvic floor muscles, best learned under the guidance of a dedicated physiotherapist.
Medication that calms the bladder down, effective in around 60% of patients.
A minor day case procedure where Botox is injected at several places in the bladder wall, via a telescope inserted into the urethra. It has an 80% success rate. The main side effect, seen in around 10-15% of patients, is a temporary impairment of bladder emptying requiring use of a catheter. Treatment needs to be repeated once every 6 to 9 months.
See Mr Ghei at one of 4 London private hospitals. No GP referral needed. Most patients are seen within a few days of enquiry.
A history, examination and, if needed, an ultrasound scan or urodynamics to confirm the type of incontinence.
From conservative measures and pelvic floor exercises through to medication or Botox - the right option for your type and severity.
Mr Ghei is a consultant urological surgeon with a specialist focus on prostate diagnosis and treatment. He holds a Research MD from University College London and is a Fellow of the Royal College of Surgeons.
In his NHS role he is Cancer Lead and Academic Lead at Whittington Hospital London - one of a small number of consultant urologists in the UK to hold both positions. Every private patient is cared for by Mr Ghei personally, from first appointment through to any treatment that follows.
Platinum recognised consultant
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